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Open / laparoscopic / robotic-assisted laparoscopic prostatectomy for BPE

This surgery is used to remove the enlarged part of the prostate when it is very large (usually over 80 mL, about four times the size of a healthy prostate).

Related topics for further reading

Follow-up care for BPELiving with BPE

About the surgery

Traditionally, this was done as open surgery, with a cut in the lower abdomen. In recent years, minimally invasive techniques - laparoscopic and robotic-assisted prostatectomy - have been introduced. These use small cuts and long instruments to remove the prostate, reproducing the open approach but in a less invasive way, which can help recovery and reduce complications. 

This surgery is usually recommended only when other treatments haven’t worked or the prostate is very large.

This chapter provides general information about prostatectomy for BPE. It is not a replacement for professional medical advice or treatment. Always consult your doctor or healthcare provider for guidance on your individual medical situation.

Last updated: September 2025

Reviewed by: 

  • Prof. Jean-Nicolas Cornu (Guideline Panel on Non-Neurogenic Male LUTS)
  • Dr. Tarik Emre Şener (YAU Working Group Endourology & Urolithiasis)

Other possible treatments

Transurethral Resection of the Prostate (TURP) for BPETransurethral Incision of the Prostate (TUIP) for BPEOpen / laparoscopic / robotic-assisted laparoscopic prostatectomy for BPELaser vaporisation of the prostate for BPELaser enucleation of the prostate for BPEBipolar enucleation of the prostate for BPEProstatic urethral lift for BPENew surgical treatments for BPE

Where am I in my journey?

I want to know about the diagnosis of BPEI want to manage symptoms on my ownI want to know about conservative managementI want to know about drug treatmentI want to know about surgeryFollow-up care for BPELiving with BPE

Condition

Benign Prostate Enlargement (BPE)All conditions
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