121 Climacturia Following Radical Prostatectomy: The Time is Now to Query and Treat

Abstract

Orgasm/sexual activity induced urinary incontinence (climacturia) is not uncommon after radical prostatectomy. Men with climacturia uniformly list this as a significant detractor to quality of life contributing to shame and avoidance of sexual intimacy. Current literature suggests climacturia may be present in 20-48% of men who have undergone radical prostatectomy. Unfortunately, post-prostatectomy patients are rarely queried as to the presence of climacturia. We report the largest series to date of men with climacturia after radical prostatectomy who were treated with a transobturator male sling. Review of registry data for men treated with the AdVance transobturator male sling (AMS/Boston Scientific) following robotically assisted radical prostatectomy from January, 2010 through April, 2016 identified 44 men who had climacturia concurrent with clinically significant stress urinary incontinence (SUI) and 2 as a stand alone complaint. At the time of this abstract all had resumed sexual activity following sling placement and had reported on their incontinence, sexual function and specifically climacturia.