Climacturia posterior a la prostatectomía radical

Background

To know the frequency, associations, and impact of climacturia on the function of orgasm after definitive surgical treatment of prostate cancer in Mexican patients.

Material and methods

A questionnaire was applied between January 2003 and January 2013 to know the aspects of climacturia (frequency, quantity of urine leakage, mechanisms used by the patient, and the level of discomfort and coping).

Results

A total of 122 patients were selected and 84 met the inclusion criteria. The mean age was 55.3 years. A total of 45.2% of the patients stated that they presented with climacturia, resulting in a prevalence of 0.45. Of those patients, 23.6% said they rarely experienced the condition, 47.3% occasionally, 10.5% often, 13.15% the majority of the time, and 5.26% all the time. In relation to patient satisfaction and negative perception during sexual intercourse, 23 patients stated that it was not a significant problem. Only 9 patients said that it represented an important level of discomfort for their partner.

Conclusions

There is a high number of patients with climacturia following radical prostatectomy and the condition is not necessarily associated with a negative impact on sexual satisfaction.