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Related Experiment Video

Updated: Mar 30, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Orgasmic Dysfunction After Robot-assisted Versus Open Radical Prostatectomy.

Paolo Capogrosso1, Eugenio Ventimiglia1, Alessandro Serino2

  • 1Università Vita-Salute San Raffaele, Milan, Italy; Division of Experimental Oncology/Unit of Urology, URI-Urological Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.

European Urology
|November 18, 2015
PubMed
Summary
This summary is machine-generated.

Robot-assisted radical prostatectomy (RARP) shows better outcomes for orgasm-associated incontinence (climacturia) and painful orgasm (PO) compared to open radical prostatectomy (ORP). RARP patients experienced faster and greater climacturia recovery.

Keywords:
ClimacturiaOrgasmic dysfunctionPainful orgasmRobot-assisted radical prostatectomy

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Area of Science:

  • Urology
  • Oncology
  • Sexual Health

Background:

  • Radical prostatectomy (RP) can lead to significant alterations in orgasmic function, including climacturia and painful orgasm (PO).
  • Previous assessments have not fully evaluated these outcomes specifically after robot-assisted radical prostatectomy (RARP).

Purpose of the Study:

  • To determine the prevalence and predictors of recovery from climacturia and PO after both RARP and open radical prostatectomy (ORP).

Main Methods:

  • Prospective study of sexually active patients who underwent RARP or ORP.
  • Utilized a 28-item questionnaire assessing sexual function, including climacturia and PO.
  • Kaplan-Meier analysis and Cox regression models were used to evaluate recovery rates and predictors.

Main Results:

  • Climacturia prevalence was similar between RARP and ORP (29.5%).
  • Painful orgasm (PO) was less frequent after RARP (7.1%) compared to ORP (11.6%; p=0.04).
  • Recovery from climacturia was significantly faster and greater after RARP than ORP (p<0.01). RARP was an independent predictor for climacturia recovery.

Conclusions:

  • Robot-assisted radical prostatectomy (RARP) is associated with a lower incidence of painful orgasm and improved recovery from orgasm-associated incontinence compared to open radical prostatectomy (ORP).
  • RARP facilitates quicker and more substantial recovery from climacturia post-prostatectomy.