Abstract
Incontinence is a known complication of radical prostatectomy for prostate cancer. Recently, climacturia, or orgasmic incontinence, has been reported after this procedure. Patients have occasionally reported some loss of urine during sexual foreplay, even when general daytime incontinence was not present. A review of questions on this subject was conducted in 45 men to better appreciate how often this occurred. Nine of twenty-four men (38%) with no daytime incontinence stated that they had some incontinence with sexual foreplay. These men involved have related that this causes embarrassment and frustration, with the effect of avoidance of sexual activity. This in turn causes relationship problems. The use of a rubber ring at the base of the penis during foreplay can help relieve this difficulty.
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References
Penson DF, McLerran D, Feng Z, Li L, Albertsen PC, Gilligand FD et al. 5-year urinary and sexual outcomes after radical prostatectomy: results from the prostate cancer outcome studies. J Urol 2005; 173: 1701–1705.
Lee J, Hersey K, Lee CT, Fleshner N . Climacturia following radical prostatectomy: prevalence and risk factors. J Urol 2006; 176: 2562–2565.
Choi JM, Nelson CJ, Stasi J, Mulhall JP . Orgasm associated incontinence (climacturia) following radical prostatectomy: rates of occurrence and predictors. J Urol 2007; 177: 2223–2226.
Koeman M, Van Driel MF, Weijmar Schultz WCM, Mensink HJA . Orgasm after radical prostatectomy. Brit J Urol 1996; 77: 861–864.
Zippe C, Nandipati K, Agarwal A, Raina R . Sexual dysfunction after pelvic surgery. Int J Impot Res 2006; 18: 1–18.
IIie CP, Mischianu DL, Pemberton RJ . Mini-review: painful ejaculation. BJU Int 2007; 99: 1335–1339.
Abouassaly R, Lane BR, Lakin MM, Klein AN, Gill IS . Ejaculatory incontinence after radical prostatectomy: a review of 26 cases. Abstract, Sexual Medicine Society of North America, New York 2005, 17–20 November.
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Guay, A., Seftel, A. Sexual foreplay incontinence in men with erectile dysfunction after radical prostatectomy: a clinical observation. Int J Impot Res 20, 199–201 (2008). https://doi.org/10.1038/sj.ijir.3901609
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DOI: https://doi.org/10.1038/sj.ijir.3901609
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