What surgical approach is preferred for male patients with benign prostatic hypertrophy who require an open procedure?

For male patients with benign prostatic hypertrophy (BPH) requiring an open surgical procedure, the suprapubic prostatectomy is often preferred. This approach involves the removal of the prostate through an incision made in the lower abdomen, which allows for direct access to the prostate gland.

The choice of suprapubic prostatectomy is particularly relevant when considering the nature of the obstruction caused by BPH and the need for significant tissue removal. This technique facilitates thorough examination and ensures that any surrounding structures can be managed appropriately, reducing the risk of complications associated with other methods.

While transurethral resection of the prostate (TURP) is a common surgical intervention for BPH, it is considered more of a minimally invasive approach and is not classified as an "open" surgery. Therefore, it is not the suitable choice for patients requiring open procedures. Retropubic and perineal prostatectomies are alternatives but may not offer the same level of exposure and capability for large tissue removal as the suprapubic approach does. Thus, the suprapubic prostatectomy is favored for its direct access and comprehensive approach, making it the preferred choice in this context.