Preserving continence: The facts

The second most important aspect, after that of being cured of cancer, is that continence is preserved. If doctor and patient decide on surgical removal of the prostate, the operation is carried out at the Martini Clinic using the so-called FFLU Technique (Full-Functional-Length-Uretha), which is particularly sparing of the sphincter muscle of the bladder. As the so-called "potency nerves" also contain very sensitive nerve tissues that positively contribute to early and complete recovery of continence, the operation is carried out in a nerve-sparing manner, as far as this is technically and  oncologically possible. Continence can usually be preserved by using this sophisticated technique in such this highly sensitive area. The preservation of continence is, of course, also influenced by the age of the patient, possible accompanying illnesses, and the way in which the nerves are preserved - either on one or on both sides of the prostate.  

 

 

Tab. 1 Continence rates 12 months after radical prostatectomy
No. of incontinence pads required  
in 24 hours
FFLU * (n = 324)
No. (%)
Non-FFLU (n = 282)
No. (%)
096.994.7
1 - 22.24.1
3 - 5 0.60.8
> 50.30.4

* FFLU = Full-Functional-Length-Urethra
Source: Schlomm, T., et al. (2011). Full Functional-Length Urethral Sphincter Preservation During Radical Prostatectomy

Frequently asked questions

Do I receive a catheter after the operation?

Yes, during every operation method a catheter is inserted. In general, it remains for one to two weeks after the operation.