Depending on the instruments, transurethral resection of the prostate (TUR-P) should not take longer than 1–2 hours. If the benign prostate tissue (adenoma) is now very large and endoscopic prostate enucleation would take too long, open removal of the prostate adenoma through an abdominal incision would ultimately be less stressful for the patient.
The bladder can be reached through a cross-section in the lower abdomen. This will be opened. After identifying the ureteral orifice, the adenoma is easily cut with an electric knife. The surgeon can then remove the entire benign enlargement with a finger.
Because patients now receive urological checks earlier on and ultrasound diagnosis has been further refined, this operation has become rather rare.