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Climacturia: what treatment options do we offer to those with and without concomitant erectile dysfunction?

International Journal of Impotence Research volume 35, pages 634–638 (2023)Cite this article

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Abstract

Radical prostatectomy for prostate cancer carries many sequelae, including climacturia, which is not commonly discussed and often under-recognized. To better understand treatment options for incontinence and climacturia, as well as those at time of penile implantation surgery, we completed a comprehensive literature review to identify nonoperative and operative treatments for patients with climacturia alone and those with concomitant climacturia and erectile dysfunction. Nonoperative interventions include behavioral modifications, physical therapy, and tension loops. Operative interventions include the artificial urinary sphincter, male urethral slings, Mini-Jupette sling, and a periurethral prosthesis. We also explore options that can be offered to patients who are also in need of penile prosthesis for concomitant erectile dysfunction. Contemporary work suggests that synchronous implantation of certain devices to treat both climacturia and erectile dysfunction can be done with proven safety and efficacy.

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Authors and Affiliations

  1. Department of Urology, Fox Chase Cancer Center, Philadelphia, PA, USA

    Lauren Chew, Chrystal Chang & Jay Simhan

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  1. Lauren Chew
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LC, CC, and JS contributed to literature search and review, and authored the manuscript.

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Correspondence to Jay Simhan.

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Jay Simhan is a consultant for boston scientific and coloplast.

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Chew, L., Chang, C. & Simhan, J. Climacturia: what treatment options do we offer to those with and without concomitant erectile dysfunction?. Int J Impot Res 35, 634–638 (2023). https://doi.org/10.1038/s41443-023-00714-4

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