[Climacturia, a symptom to take into account after radical prostatectomy].
OBJECTIVE
Patients after radical prostatectomy describe sexual dysfunctions such as orgasm-associated incontinence also termed climacturia. Our aim is to analyse incidence and data in relation with this symptom.


METHODS
119 phone surveys carried out to patients after radical prostatectomy to Know about climacturia incidence. We are trying to show the relationship between this symptom and the degree and type of incontinence, affectation at bladder neck and apex, and the age.


RESULTS
The climacturia incidence came to 20%. The average age of the patients with this symptom was 59 years, the same as for those without it. The patients with both, incontinence and climacturia perform stress incontinence basically but urgency-incontinence to a greater extent (20%) that those with no climacturia (5%). Most patients with climacturia suffer a light leakage (87%) and a 62% always associated to orgasm. Negative effect of the symptom in the patient's and partner's sexual life appeared only in 2 cases (13%).


CONCLUSIONS
We suggest the same term in Spanish than in English. Age and affectation of the bladder neck and apex do not have an effect on climacturia. Stress incontinence is more often related to patients with climacturia and the degree of incontinence is higher than in those without it.
Loizaga Iriarte
A
A
Servicio de Urología, Hospital de Basurto, Bilbao. ana.loizagairiarte@osakidetza.net
Paz Díaz-Romeral
J L
JL
Arciniega García
J M
JM
Arceo Santiago
R
R
Pérez Fernandez
A
A
Unda Urzaiz
M
M
D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009948:Orgasm; D011468:Prostatectomy / Q000009:adverse effects*; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology / Q000209:etiology*; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology*