In order to preserve potency, the prostate is first carefully separated from the very fine layer containing the vascular and nervous structures that serve the erectile function; then the prostate is removed and its borders are immediately examined by an experienced uro-pathologist during the course of the surgery at the Martini Klinik. Only when he microscopically determines that the tumor has crossed the capsule is tissue carefully removed at the places affected – always with the aim to preserve the maximum amount of potency (the NeuroSAFE technique).
In order preserve continence, a surgery method for the complete protection of the urethral sphincter was developed at the Martini Klinik. Although a significant part of the urethral sphincter protrudes into the prostate, we are able to preserve the entire functional length of the urethral sphincter as well as the entire anatomical embedding of the sphincter within the anatomy of the pelvic floor (the FFLU technique).
Thus, in most cases, both continence and potency remain as they were prior to the intervention.
At the Martini Klinik, two surgery techniques for the complete removal of the prostate (radical retropubic prostatectomy) are offered.
In case of the open-surgical removal of the prostate, the prostate is extracted through a small cut in the lower abdomen. The surgery is performed with micro-surgical technology under microscopic magnification.
In the minimally invasive, robot-assisted surgery with the da Vinci® system, the surgeon directs the micro-surgical instruments via a console in a highly magnified, three-dimensional view that exactly translates his hand movements.
An advantage of the Martini Klinik is the fact that it achieves a very good result quality regardless of the procedure. For most of our patients, both procedures are equally well applicable.
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