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Updated: May 30, 2026
12:10
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Post-prostatectomy incontinence during sexual activity: a single center prevalence study
Sarah A Mitchell1, Rajat K Jain, Juliana Laze
1New York University Langone Medical Center, New York, New York 10016, USA.
The Journal of Urology
|July 28, 2011
Summary
Incontinence during sexual activity is common after radical prostatectomy, persisting for many men. This issue can occur even without stress urinary incontinence during daily activities, requiring further study.
Area of Science:
- Urology
- Oncology
- Sexual Health
Background:
- Radical prostatectomy for prostate cancer can lead to urinary incontinence.
- Incontinence during sexual activity post-surgery is not well understood.
Purpose of the Study:
- Determine the prevalence and severity of incontinence during sexual activity over time.
- Examine the relationship between sexual activity incontinence and stress urinary incontinence.
Main Methods:
- 1,459 men undergoing radical prostatectomy were analyzed.
- Urology-Continence Patient-Reported Outcome Measure (UCLA-PCI) was used preoperatively and up to 24 months postoperatively.
- Statistical analysis, including chi-square, examined incontinence prevalence and associations.
Main Results:
- 44.4% of men reported bother from incontinence during sexual activity at 3 months, decreasing to 36.1% at 24 months.
- Major bother from sexual activity incontinence decreased from 22.4% at 3 months to 12.1% at 24 months.
- Incontinence during sexual activity and stress urinary incontinence were strongly associated (p<0.001).
Conclusions:
- Incontinence during sexual activity is a persistent issue for some men post-radical prostatectomy.
- Significant sexual activity incontinence can occur independently of stress urinary incontinence.
- Further research is needed for effective management strategies.
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