Abstract
Introduction and objectives: Surgical excision remains the definitive treatment of benign prostatic hypertrophy and in this regard, open enucleation is the gold standard. Due to the morbidity associated with open surgery, less invasive methods of prostatic excision have been developed of which transurethral resection is the oldest and most widely used. However, minimally invasive procedures are best suited for small glands (80 g) whilst the glands of most black African men are large (100 g) making them unsuitable for enucleation via these methods. Also, the equipment and/or expertise for TURP are not widely available in sub-Saharan Africa. In our centre, open prostatectomy is the preferred option in ninety percent of patients requiring surgical treatment for BPH.
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