As I was learning about prostate surgery one fact that I encountered over and over in books and articles was the importance of the surgeon's skill in preserving the external urethral sphincter located just below the prostate.
It was emphasized that the surgeon must cut out all the prostate, but be careful to not cut any of the urethral sphincter, which is all that is left after prostatectomy to control urine flow. This is a delicate part of the operation, requiring exquisite skill.
I talked to my urologist at length about this aspect of the surgery beforehand, as well bilateral nerve-sparing. He agreed that saving the entire urethral sphincter is crucial to regaining continence. I'm wondering if my quick recovery of continence was in part due to my urologist's surgical skill.
A number of men I talked to who were operated on by the same urologist stated that relatively good continence returned within weeks after surgery
Age 57 PSA 2.5 Gleason 5 Open Radical Retropubic Prostatectomy/Bilateral Nerve-sparing 6/21/06 Cancer confined to prostate No further treatment