This is done by making a simple cut or incision along the entire length of the prostate. Because of the circular muscle fibers running around the prostate, the TUIP allows the bladder neck to spring open and allows free urinary flow. TUIP is particularly beneficial for smaller prostates and does have a lower incidence of ejaculation disturbances. Hospital stays and recovery are much shorter. Open Prostatectomy Open prostatectomy refers to a major surgical procedure for removal of the obstructing portion of the prostate.
Open prostatectomy entails an incision on the lower abdomen.
In either case, the blocking or obstructing portion of the prostate is shelled out from the prostate capsule in one piece. The end result is similar to the TURP in which the obstructing portion of the prostate is removed, leaving the prostate capsule behind. The reason to do an 'open' prostatectomy is the size of the prostate. Some prostates are large enough that open prostatectomy is the only treatment option. Open prostatectomy, also called 'simple' or 'subtotal' prostatectomy' should not be confused with 'radical' prostatectomy, an operation done for prostate cancer in which the entire prostate including capsule is removed.