I had multiport RARP (five incisions) at the Cleveland Clinic on 6/18/25. Since CC is well-known for single port (mainly Dr. Jihad Kaouk), I asked about that at my initial appointment for two of the same reasons that you mentioned - quicker recovery and early return to continence. My surgeon (Dr. Christopher Weight) said that he hadn't seen strong enough evidence to justify switching from multiport to single port yet and that he considered single port mostly "marketing."

Sample size of one here, but I was up and walking the day of surgery, only took Tylenol for two days (no narcotics), and have had almost zero continence issues - just a minor dribble here and there. My incisions are healing fine and only itch when I walk outside in the heat vs. on the treadmill. Dr. Weight was able to do bilateral nerve sparing, but I'm not sexually active and haven't attempted to get an erection so I don't have any info to offer on that front. From what I've gathered, there are certain cases where single port may be advantageous, but in general you'll likely get similar outcomes from an experienced multiport surgeon. I agree with @survivor5280 - find an experienced surgeon that you're comfortable with and go with whichever approach they recommend.