Background/Aim: Prostate cancer is among the most prevalent malignancies affecting men, with surgical intervention remaining a cornerstone of treatment. Despite the growing adoption of minimally invasive techniques, open surgery continues to be the preferred approach in certain centers. This study aims to evaluate the functional outcomes of patients who underwent open radical retropubic prostatectomy (RRP) for localized prostate cancer. Materials and Methods: A retrospective analysis was conducted on 77 patients who underwent open RRP at the 1st Urology Clinic of İzmir Atatürk Training and Research Hospital. Postoperative assessments included continence status, uroflowmetry parameters (Qmax, flow time, average flow rate, and postvoid residual [PVR]), and erectile function. Results: A statistically significant inverse correlation was observed between urethral stricture and both Qmax and average flow rate. The presence of urethral stricture was associated with a 3.5-fold increase in the risk of incontinence. Additionally, a significant inverse correlation was identified between pathological stage and erectile function. Conclusion: Open radical prostatectomy remains associated with notable morbidity concerning functional outcomes. Nonetheless, advancements in surgical techniques emphasizing anatomical preservation, alongside increased surgeon experience and technological progress, have led to improved management of postoperative complications compared to earlier practices.

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