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@surftohealth88
We’re all here to support one another and share our experiences.
You shared your story, and Wheel1 shared his. Everyone can take in the information and decide what feels right for them. I don’t think the number of ports is really the key issue—he’s simply trying to provide information based on his experience.
There are newer surgical techniques that can allow for immediate continence while also preserving nerves. In your husband’s case, it took about four months for the incontinence to resolve. In my case, it was very different—my leakage stopped completely four days after the catheter was removed—and I’d like to share that perspective as well. For me, the number of ports (single vs. multiple) isn’t what mattered most
My surgeon used an approach from behind the bladder (through the pouch of Douglas), which avoids disturbing the Retzius space. From what I understand, this can help support earlier—sometimes immediate—urinary control.
I agree with you that a lot comes down to the surgeon’s level of expertise.
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@mozir
Yes, that is why I shared our expirenace lol
I write on this forum mostly for "others", not myself.
I want patients to know that surgeon's expertise is the most important factor and I would like to add that any individual result is just that - individual.
No matter what technique one uses or what machine, there will be cases of full continence and cases of continence that needs some recovery time and than about 5 % of cases that will have permanent incontinence .
The SAME applies for ED. There are patients who have erection the first night at hospital and than there are some that never achieve it regardless of the number of ports.
Just ask @rlpostrp - as far as I remember he had SINGLE PORT last year, he is still having complete ED and had prolonged problems with incontinence (maybe still has) , I hope that he will come here and tell you about his "single port" surgery.
Regarding our surgeon - he had patients with full continence upon catheter removal and erections the first week. My husband had 4 mos of minor dribbling and his ED is recovering nicely, thank you very much lol, I just do not like to share my intimate details here.
Recovery depends on soooo many details beside surgical technique that it is unreasonable to attribute it to number of ports. Beside of surgeon's expertise results depend of extent of cancer - if it escaped the capsule surgeon HAS to cut into nerves. If prostate is very big -surgeon HAS to cut more of an urethra. If patient is obese or out of shape, had any ED problems before surgery , had a weak pelvic floor etc etc, his recovery and results will be different no matter how many ports were used.
I am writing all of this so FUTURE patients know and have reasonable expectations and do not worry if their surgeon uses multi port - he can do Retzius sparing with multi-port too . Your SA will depend on many other factors beside surgical technique.