Suprapubic Prostatectomy

In a very enlarged prostate has enlarged prostate, endoscopic treatment (laser therapy, TURP) is in some cases not possible. An option is here open prostate surgery through an abdominal incision (suprapubic prostate enucleation). In this type of surgery, the bladder is opened via an incision in the lower abdomen. Then the surgeon removes with his finger the benign enlarged prostate tissue. Afterwards, the bladder must be emptied via a catheter for 10 days via a catheter until the bladder has healed. This is a relatively extensive surgical procedure with a corresponding blood loss, which is especially stressfull for older patients. The potency is mostly preserved. However, the outpouring of semen flows backwards into the bladder (called retrograde ejaculation or dry ejaculation).