Prostate · Preparation and recovery
Before and after surgery
Going into the operation prepared means recovering faster. Much of it is in your hands.
Before the operation
Don't wait — prepare
The weeks before the operation are not lost time. They are the part of the treatment that you control yourself.
Train the pelvic floor
Start pelvic floor training before the operation. Prepared tissue recovers faster afterwards. Have the exercises shown to you instead of guessing them.
Prepare physically
Exercise, stopping smoking and stable control of any accompanying conditions improve the starting position for the operation and the recovery after it.
Bring your documents
Previous findings, imaging, and a current list of your medication. Blood-thinning medication is discussed with us in good time before the operation.
Regaining continence
Bladder control returns in most men over weeks to months. How fast also depends on how consistently you train.
First week after catheter removal
Take it easy. The pelvic floor gets time to settle.
From the second week
Resume pelvic floor training — regularly, in short sessions spread across the day.
After a few weeks
If activating the right muscles is difficult, biofeedback helps you find the right muscle group.
Further on
If stress incontinence persists, there are further treatment options. We discuss them with you individually.
Erectile function
The nerves need time. It can take one to two years for erectile function to recover — even when the operation was nerve-sparing on both sides.
Starting early matters more than waiting: regular blood flow protects the erectile tissue while the nerves recover. Several routes are available for this — medication to promote blood flow, vacuum therapy, injection therapy and other methods. Which route is right for you is something we discuss individually.
You are not alone with this
Already during your inpatient stay, a specialised continence and potency nurse accompanies you — showing you the exercises and answering the questions people often do not ask on the ward round.
Consultation hours
- Wednesday · 14:00
- Thursday · 08:30–16:00
PD Dr. med. Sami-Ramzi Leyh-Bannurah
Appointments are arranged by the urology secretariat: Iris Holstein, Stefanie Brillowski, Eva Natalie Pusch — +49 2381 681-1589
Second opinion
Questions about continence or potency after the operation? Talk to us.
Rehabilitation (Anschlussheilbehandlung)
⚠ The rehabilitation programme should be applied for during your inpatient stay.
The rehabilitation programme usually lasts three weeks and typically begins a few weeks after discharge. The costs are usually carried by the German pension insurance (Deutsche Rentenversicherung). It includes, among other things, physical reconditioning, pelvic floor training, dietary advice and psychological support.
Alternatively, physiotherapy can be prescribed on an outpatient basis — by your urology practice or your family doctor.
Before and after the operation you are not alone: nursing, doctors and continence advice work together on the ward.
Contact
Second opinion and appointments
You have received a diagnosis and are unsure what comes next? Talk to us about the options. Please bring previous findings and imaging with you if you can.
Consultation hours
- Wednesday · 14:00
- Thursday · 08:30–16:00
PD Dr. med. Sami-Ramzi Leyh-Bannurah. Appointments are arranged by the urology secretariat.