- “Urine channel openers” – relax the smooth muscle of the prostate gland and thus improve urinary symptoms.
- “Prostate shrinkers” – block the production of dihydrotestosterone (DHT), which is felt to play a pivotal role in the prostate growth.
Simple Prostatectomy is done for patients with urinary retention who have very large prostates over 80 grams. All surgeries require hospitalization and a drainage tube called Foley catheter that will remain from 2-7 days.
This can be done a variety of ways:
- Open Retropubic Simple Prostatectomy – through an incision, the surgeon will move the bladder aside, cut into your prostate, and remove the blocking core of the gland. The capsule or shell of your prostate is then closed.
- Open Suprapubic Simple Prostatectomy – your surgeon will make an incision in the lower abdomen, then open the bladder to remove prostate tissue through the bladder.
- Robotic Simple Prostatectomy – here the surgeon makes 5 small incisions in the abdomen. Cameras and surgical instruments are put into the holes to help your surgeon remove the enlarged prostate core that is blocking the urethra. The core is removed through one of the small holes in the abdomen.