The prostate gland is a pea-size gland located just below the urinary bladder in men. The gland increases in size during puberty and attains its full size during the early twenties and remains stable thereafter. Sometimes after the age of 40 the cells in the prostate gland undergo multiplication and cause the gland to further enlarge, which in turn presses against the urinary bladder and urethra causing problems during urination. Millin’s open prostatectomy is indicated for the treatment of prostate enlargement.
Millin’s open prostatectomy can be performed under general, regional or epidural anesthesia. Your doctor performs cystoscopy (flexible tube attached with a telescope to view internal organs through the urethral opening) prior to the surgery to view the location of the cells forming the tumor. You will lie on the operation table with your feet higher than your head. Your doctor makes an incision from the navel to the pubic area. The underlying muscles and tissues are separated to expose the prostate gland. Your doctor makes an incision on the prostate gland and removes the cells causing the overgrowth of the gland. The wound is then closed with sutures.
The surgery has the advantage of direct visualization of the tumor and less surgical trauma to the urinary bladder. However, like all surgeries, Millin’s open prostatectomy may be associated with certain side effects such as incontinence (lack of control over urination), erectile dysfunction, and retrograde ejaculation (backward flow of semen).
There are alternate minimally invasive/laparoscopic procedures that can be availed of. The Millin’s open prostatectomy is restricted to selected cases only. Your surgeon will discuss your options with you based on your particular medical history.
NMC UroCare provides specialized and experienced urologists and the best available quality treatments. For further information regarding Millin’s Open Prostatectomy, please contact NMC UroCare at http://www.nmcurocare.ae/contact-us/