Urinary incontinence after robotic prostate removal surgery is almost always short term. The impaired urinary control that most men experience after prostate surgery is very similar to the stress incontinence that women have after childbirth. The sphincter muscles that manage the release of urine may be temporarily disrupted or damaged during surgery.
Most often, the short-term incontinence that men experience after prostate cancer surgery involves slight dripping or leaking, particularly during strenuous activity. Sometimes even a cough, sneeze, or laugh can trigger unwanted bladder emptying.
In the hands of an experienced surgeon, most patients can regain urinary control in just two to three months. These results are more often noticeable in patients that choose robotic surgery as a form of treatment. The high precision of the robotic arms allow the doctor to avoid the urinary sphincter during surgery, which significantly improves urinary outcomes, with much faster results. Additionally, by leaving the dorsal vein complex stitch until the end of surgery, the doctor is in complete control of the length of the urethra, thereby reducing leaking after surgery.