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Climacturia Common in Men After Radical Pelvic Surgery

Orgasm-associated incontinence occurs more often after radical prostatectomy than cystectomy

MONDAY, June 18 (HealthDay News) -- Up to one-fifth of men who undergo radical pelvic surgery, including radical prostatectomy and cystoprostatectomy, may experience orgasm-associated incontinence, according to a report in the June issue of the Journal of Urology.

To measure the rate of occurrence of orgasm-associated incontinence, or climacturia, John Mulhall, M.D., of Weill Medical College of Cornell University in New York City, and colleagues evaluated post-surgery sexual dysfunction in 696 patients between January 2005 and March 2006.

Overall, 20 percent of men reported orgasm-associated incontinence, which was more likely to occur within the first year after surgery. It was also more likely in those who also reported orgasm-associated pain or penile shortening. In addition, orgasm-associated incontinence was over five times more likely to occur in men undergoing radical prostatectomy than in radical cystectomy. The risk was the same with either open or laparoscopic prostatectomy.

"Orgasm-associated incontinence is a relatively common occurrence following radical pelvic surgery and patients should be forewarned that this is a possible complication," the authors write.

Mulhall has financial interests and/or other relationship with Pfizer, Lilly-ICOS, Auxilium, and Johnson & Johnson.

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