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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Urinary Bladder01:23

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
Anatomy of the Genitourinary System II: Bladder and Urethra01:19

Anatomy of the Genitourinary System II: Bladder and Urethra

The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Physiology of the Genitourinary System III: Urine Concentration and Dilution01:20

Physiology of the Genitourinary System III: Urine Concentration and Dilution

The kidneys concentrate or dilute urine to maintain water and electrolyte balance. Nephrons, particularly the loop of Henle, play a crucial role in this process through the countercurrent multiplication system. This system establishes a high osmolarity in the renal medulla, which is essential for water reabsorption. In the loop of Henle’s descending limb, water is reabsorbed into the surrounding medulla due to its permeability to water. In contrast, the ascending limb actively transports...
Nursing Assessment of the Genitourinary System I: Health History01:21

Nursing Assessment of the Genitourinary System I: Health History

The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...

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Ejaculatory urine incontinence after radical prostatectomy.

Robert Abouassaly1, Brian R Lane, Milton M Lakin

  • 1Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. abouasr@ccf.org

Urology
|December 5, 2006
PubMed
Summary

Post-prostatectomy urinary incontinence during ejaculation is a common and significant issue for many men. This condition, though often mild, can greatly impact quality of life and warrants routine evaluation.

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Area of Science:

  • Urology
  • Oncology
  • Sexual Health

Background:

  • Radical prostatectomy can lead to long-term complications like urinary incontinence and erectile dysfunction.
  • Existing assessments of incontinence often overlook the impact of minor urine loss during sexual activity.
  • Ejaculatory urinary incontinence is a distressing symptom for patients post-prostatectomy.

Purpose of the Study:

  • To describe and assess the phenomenon of urinary incontinence with ejaculation in patients after radical prostatectomy.
  • To highlight the patient's perspective on the significance of ejaculatory incontinence.

Main Methods:

  • Retrospective review of 26 men treated for erectile dysfunction post-prostatectomy.
  • Inclusion criteria: urine leak predominantly during ejaculation.
  • Assessment via questionnaires on urinary incontinence severity and impact.

Main Results:

  • All 26 patients reported urine leakage during ejaculation, with volumes ranging from 0.5 teaspoon to 1 cup.
  • Median follow-up was 42 months.
  • Most patients experienced mild incontinence but reported it frequently ('most, or all of the time') and considered it a 'big problem'.

Conclusions:

  • Ejaculatory urinary incontinence is a frequent occurrence after radical prostatectomy.
  • This condition should be considered in routine post-prostatectomy evaluations.
  • Further understanding of its pathophysiology is needed for targeted therapies and improved patient quality of life.