While most urological problems can be treated through minimally invasive or laser procedures, open surgery is still required in selected complex cases where other methods are not effective or feasible.
Under the expertise of Dr. Ajinkya Kasekar, open surgery is performed with precision, safety, and the highest surgical standards to ensure complete treatment and long-term relief.

What Is Open Surgery in Urology?

Open surgery involves making a controlled incision to directly access the kidney, ureter, bladder, or prostate.
It is typically recommended when:

• Stones are extremely large or complex

• Previous endoscopic surgeries have failed

• Anatomy prevents safe endoscopic access

• There is severe infection or obstruction

• Coexisting abnormalities require correction

• Tumors or masses need complete removal

Although less common today, open surgery remains a reliable, highly effective option for complicated cases.

When Is Open Surgery Needed?

Open surgery may be advised in:

1. Large or Complex Kidney Stones

Such as:

• Staghorn calculi

• Stones larger than 3–4 cm

• Stones with kidney deformity

• Stones not responding to PCNL or RIRS

2. Ureteric Stones With Complications

• Impacted stones with ureteric damage

• Failed endoscopic removal

• Severe scarring or strictures

3. Bladder Conditions

• Very large bladder stones

• Bladder diverticula with stones

• Complex bladder abnormalities

4. Prostate Conditions

• Very large prostate requiring open prostatectomy

• Coexisting large stones in the bladder

5. Tumors or Masses

• Renal tumors

• Bladder tumors

• Ureteric or pelvic masses requiring surgical removal

Benefits of Open Surgery

Although it involves an incision, open surgery provides:

• Complete access to the organ

• High success rate for complex cases

• Thorough removal of large or multiple stones

• Correction of anatomical abnormalities

• Definitive treatment in difficult scenarios

How the Procedure Is Performed

Open surgery is done under general or spinal anesthesia.

Depending on the condition:

1. A precise incision is made over the kidney, ureter, or bladder.

2. The organ or stone is reached directly.

3. Stones, tumors, or diseased tissues are removed carefully.

4. Any structural issues are corrected.

5. Drains or catheters may temporarily be placed.

The procedure is tailored to the patient’s medical condition for maximum safety.

Recovery After Open Surgery

Most patients experience:

• Hospital stay of 2–4 days

• Gradual recovery within 2–3 weeks

• Mild temporary incision-site discomfort

• Follow-up to monitor healing and kidney/bladder function

Dr. Ajinkya Kasekar provides detailed post-operative care instructions to ensure smooth recovery.

Risks (Rare & Well-Managed)

• Mild bleeding

• Infection

• Swelling or temporary pain

• Delayed wound healing

Under expert surgical care, complications are rare and carefully managed.

Why Choose Dr. Ajinkya Kasekar?

• Expertise in complex urological surgeries

• Modern techniques ensuring safe, precise results

• Transparent explanation of treatment options

• Compassionate, patient-centric care

• Strong postoperative support and follow-up

Book a Consultation

If you have been advised open surgery or are dealing with a complex urological problem, consult Dr. Ajinkya Kasekar for the right evaluation and expert surgical care.