ArticleThe journal of sexual medicine2020
Bother Associated With Climacturia After Radical Prostatectomy: Prevalence and Predictors.
Article in The journal of sexual medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Prevalence of Climacturia in Patients after Radical Prostatectomy: A Systematic Review.International braz j urol : official journal of the Brazilian Society of UrologyPooled it
- Contemporary Practices in the Assessment and Management of Climacturia: Results from an International Survey.European urology open science · 2026Article
- Report of climacturia and orgasmic disorders after radical prostatectomy in a Brazilian tertiary hospital: shedding light on a neglected condition.International urology and nephrology · 2025Article
- Management of Post-RALP SUI and ED - What are and What Should we be Doing?Current urology reports · 2024Review
- Narrative review of male urethral sling for post-prostatectomy stress incontinence: sling type, patient selection, and clinical applications.Translational andrology and urology · 2021Review
- Neglected side effects to curative prostate cancer treatments.International journal of impotence research · 2021Review
- Radical Prostatectomy: Sequelae in the Course of Time.Frontiers in surgery · 2021Review
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
introductionOrgasm-associated incontinence, climacturia, is one of the lesser studied radical prostatectomy (RP) complications. Little is known about patient bother related to this condition, specifically, its prevalence and predictors.
aimTo ascertain the prevalence and predictors of patient bother associated with climacturia.
methodsPatients presenting for the evaluation of sexual dysfunction after RP at a single center were queried on various domains of sexual dysfunction. This included orgasmic dysfunction and sexual incontinence (including climacturia and arousal incontinence). Patients were specifically asked about the frequency and amount of climacturia. In addition, questions addressed patient bother and the perceived bother of their partners. Descriptive statistics were used for patient characteristics. A t-test was used for comparing the frequency of patient and partner bother, and the Pearson correlation test compared relationships between bother and predictors. Multivariable analysis was conducted to define predictors of climacturia-associated bother.
main outcome measureThe main outcome measures was the prevalence and predictors of climacturia-associated patient bother and perceived partner bother.
resultsClimacturia was reported by 23% of 3,207 consecutive men analyzed. Bother of any degree was experienced by 45% of these patients, and 14% reported partner bother related to this condition. Patient bother was associated with perceived partner bother (P < .001) and inversely correlated with relationship duration (P < .001). The overall frequency and quantity of climacturia were also predictive (P < .001 for both). In the adjusted model, all of these factors remained significant. CLINICAL IMPLICATIONS: Given the prevalence of this condition and the bother associated with it, this complication should be discussed with patients preoperatively. STRENGTH & LIMITATIONS: Strengths include a large study population and specific questions on climacturia-associated bother. Limitations include the fact that it is a single-center study and no direct partner questioning occurred.
conclusionClimacturia and its associated bother are common after RP. The predictors of patient bother include perceived partner bother, shorter relationship duration, and increasing frequency and quantity of climacturia. Salter CA, Bach PV, Miranda E, et al. Bother Associated With Climacturia After Radical Prostatectomy: Prevalence and Predictors. J Sex Med 2020;17:731-736.
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