Orgasm-associated urinary in continence(climacturia)following radical prostatectomy:a review of pathophysiology and current treatment options  

作　　者：Christopher Kannady Jonathan Clavell-Hernandez 

机构地区：[1]Division of Urology,McGovern Medical School at The University of Texas Health Science Center at Houston,Houston,TX 77030,USA [2]St.Joseph Medical Center,Houston,TX 77002,USA

出　　处：《Asian Journal of Andrology》2020年第6期549-554,共6页亚洲男性学杂志（英文版）

摘　　要：Orgasm-associated urinary incontinence,or climacturia,is a common side effect after radical prostatectomy(RP)that is gaining more attention due to the distress it causes to patients.A range of treatment options have been reported in the literature and are outlined in this review.The goal of our study is to review the pathophysiology and current management options for climacturia following RP.A PubMed search was used to review the current literature relating to the pathophysiology and the treatment of postprostatectomy climacturia.We reviewed the currently available treatment options and their success rates for climacturia.Several techniques were found to subjectively help improve the amount and bother of patients'climacturia.These include pelvic floor muscle training(PFMT),penile variable tension loop,soft silicone occlusion loop,artificial urethral sphincter,male urethral sling,and the Mini-Jupette graft.Success rates ranged from 48%to 100%depending on the modality used.For patients with erectile dysfunction and climacturia,the Mini-Jupette graft could be a valuable option.Given the lack of validated measurement tools and management options,climacturia has become a challenge for urologists.Albeit a condition that has not garnered much attention,there are several management options from conservative to invasive treatments that have shown a hopeful promise for the treatment of climacturia.These options should be discussed with patients to determine the best treatment for each individual.More clinical trials are n eeded to assess the efficacy and impact of the d iff ere nt treatme nt options before a defi nitive recommendation regarding management can be made.

关 键 词：climacturia male urethral sling Mini-Jupette graft orgasm-associated urinary inc on tinence prostate can cer radical prostatectomy 

分 类 号：R697.3[医药卫生—泌尿科学]