The Prevalence of Climacturia in Patients after Radical Prostatectomy: A Systematic Review.

IF 4.5 3区医学 Q1 UROLOGY & NEPHROLOGY

International Braz J Urol Pub Date : 2025-01-01 DOI:10.1590/S1677-5538.IBJU.2024.0406

João Vítor Ferrão, Alice Scalzilli Becker, Gustavo Bangemann Bangemann, Thiago Minossi Oliboni, Nilson Marquardt, Carlos Teodósio da Ros, Gustavo Franco Carvalhal, Gustavo Konopka

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Abstract

Purpose: Prostate Cancer (PCa) is the most common non-cutaneous cancer in males, and Radical Prostatectomy (RP) is among the primary treatments for this condition. Our study aims to investigate the prevalence of climacturia (urine leakage at the moment of the climax), a potential post-RP change related to orgasm.

Material and methods: A systematic review was conducted following PRISMA guidelines and registered on the PROSPERO platform. The search was performed using MEDLINE via PubMed.

Results: Thirteen studies met the inclusion criteria and were described separately. Within these studies, 5,208 patients were evaluated, among which 1,417 cases of climacturia were identified, with a prevalence of 27.2%. When we analyzed the robot-assisted radical prostatectomy (RARP) subgroup, the prevalence of climacturia was 5.7% vs 1.8% the open radical prostatectomy (ORP) subgroup.

Conclusion: Climacturia is a frequently underestimated complication by urologists. Given its significant impact on quality of life, it warrants greater attention from specialists following RP.

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前列腺癌根治术后患者泌尿系统疾病的发病率：系统回顾。

目的：前列腺癌（PCa）是男性最常见的非皮肤癌，根治性前列腺切除术（RP）是治疗这种疾病的主要方法之一。我们的研究旨在调查高潮漏尿（高潮时漏尿）的发生率，这是前列腺癌根治术后与性高潮有关的潜在变化：按照 PRISMA 指南进行了系统性综述，并在 PROSPERO 平台上进行了注册。通过 PubMed 使用 MEDLINE 进行搜索：结果：13 项研究符合纳入标准，并分别进行了描述。在这些研究中，共有 5208 名患者接受了评估，其中有 1417 例患者出现了泌尿系统疾病，发病率为 27.2%。当我们分析机器人辅助前列腺癌根治术（RARP）亚组时，泌尿系统感染率为5.7%，而开放性前列腺癌根治术（ORP）亚组为1.8%：结论：泌尿科医生经常低估泌尿系统并发症。结论：泌尿科医生经常低估泌尿系统并发症，鉴于其对生活质量的重大影响，前列腺癌根治术后的专家应给予更多关注。

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