Open Radical Prostatectomy

Open radical prostatectomy is a surgical procedure performed on patients with prostate cancer. In case of a disease limited to prostate, excising the cancerous gland is the most effective method of prostate cancer treatment, which in many cases, allows to cure the patient completely of the disease. The procedure can also be performed on selected patients with a locally advanced tumor. Open radical prostatectomy allows for a change in the scope of surgery and excision in it’s duration, after a visual evaluation of local disease stage by the operator.Open-Radical-Prostatectomy

What is an Open Radical Prostatectomy?

Open Radical Prostatectomy is a method of prostate cancer treatment, in which the prostate, seminal vesicles, and in some cases, lymph nodes are excised. The surgery is performed by making an incision in the abdomen above pubic symphysis. This gives the operator the ability to visually evaluate the local stage of cancer and the patient’s individual anatomical conditions. Retropubic access allows for a simultaneous lymphadenectomy, i.e. excising of the lymph nodes,  as well as minimizing the risk of rectal injury during surgery.

What’s the goal of the surgery?

In cases of organ confined cancer, the goal of the therapy is completely curing the patient. In cases of advanced disease, the procedure is performed within a multimodal strategy - the goal is not only to cure the patient but also to improve the prognosis as well as to prolong life expectancy.

How does Radical Open Prostatectomy look like?

The patient is admitted to the hospital a day before the surgery and goes through the necessary consultations, including pre-operative anaesthesia consultation. The procedure usually lasts from 2 to 3 hours and is performed in general anaesthesia. During the surgery, the patient lays on his back, the urologist makes an incision between pubic symphysis and the umbilicus, obtaining access to the bladder and prostate gland, without opening the peritoneal cavity. During the surgery, a catheter is placed in the bladder where it remains for some time after prostatectomy. The majority of patients going through Radical Open Prostatectomy are discharged from the hospital in a couple of days after the surgery.

Who is Open Radical Prostatectomy for?

Open Radical Prostatectomy is for patients with organ confined or locally advanced prostate cancer, with contraindications for Laparoscopic Radical Prostatectomy.


How can I arrange a Open Radical Prostatectomy?

Please contact us for consultation and confirming the need for the procedure using the free online consultation. We will gladly analyse your medical history and answer all your questions.

To arrange the treatment, please contact the Patient coordination department at: + 48 606 994 372 or by email:

At HIFU CLINIC Prostate Cancer Treatment Centre open radical prostatectomy is performed by a team of experienced specialists led by Artur A. Antoniewicz MD, PhD.

Do you have any questions or need more information?Contact us >>

See also

HIFU method – prostate cancer treatment

High Intensity Focused Ultrasound – innovative, minimally invasive method of prostate cancer treatment...

4KSCORE® molecular test

4Kscore®Test allows to predict development of clinically significant prostate cancer...

Penile Prosthesis Insertion

The aim of this procedure is to restore man's ability to develop erection, e.g., after radical prostatectomy.