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Climacturia after robot-assisted laparoscopic radical prostatectomy
María Loreto Parra López1, Jose María Lozano Blasco1, Ignacio Osman García1
1Seville Biomedicine Institute, IBiS/Virgen del Rocío University Hospital/CSIC/Seville University, Department of Urology and Nephrology, Seville, Spain.
Revista Internacional De Andrologia
|March 10, 2020
Summary
Climacturia, or urine loss during orgasm, affects 17.9% of patients after robotic prostatectomy. This study found no predictors for climacturia, though it was linked to worse orgasm quality and higher incontinence rates.
Area of Science:
- Urology
- Sexual Medicine
- Oncology
Background:
- Sexual side effects are common after radical prostatectomy (RP).
- Climacturia, involuntary urine loss during orgasm, affects 20-40% of patients post-RP.
- This study investigates climacturia prevalence and risk factors after robotic-assisted laparoscopic radical prostatectomy (RALRP).
Purpose of the Study:
- To determine the prevalence of climacturia following RALRP.
- To identify associated risk factors for climacturia after RALRP.
- To assess the impact of climacturia on orgasmic quality and incontinence.
Main Methods:
- Retrospective study of 62 patients who underwent RALRP.
- Structured telephone interviews assessed climacturia, orgasmic quality, incontinence, and erectile dysfunction.
- Statistical analysis included Chi-squared tests and logistic regression.
Main Results:
- The prevalence of climacturia was 17.9%, with 82% experiencing slight leaks.
- Patients with climacturia reported worse orgasmic quality (63%) and higher incontinence rates (62%).
- No statistically significant predictors for climacturia were identified among the analyzed parameters.
Conclusions:
- Climacturia occurs in 17.9% of patients after RALRP.
- Climacturia is associated with diminished orgasmic quality and increased urinary incontinence.
- No specific patient or surgical factors were found to predict climacturia development.
