MP84-17 INCIDENCE OF CLIMACTURIA IN MEN WITH SEXUAL DYSFUNCTION AFTER RADICAL PROSTATECTOMY

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Basic Research & Pathophysiology (MP84)1 Apr 2020MP84-17 INCIDENCE OF CLIMACTURIA IN MEN WITH SEXUAL DYSFUNCTION AFTER RADICAL PROSTATECTOMY Homero Filho*, Bruno Nascimento, Miguel Srougi, Jose Cury, Rogerio Sayao, Cristovao Barbosa, William Nahas, Plinio Goes, Sergio Andurte, and Fernando Cruvinel Homero Filho*Homero Filho* More articles by this author , Bruno NascimentoBruno Nascimento More articles by this author , Miguel SrougiMiguel Srougi More articles by this author , Jose CuryJose Cury More articles by this author , Rogerio SayaoRogerio Sayao More articles by this author , Cristovao BarbosaCristovao Barbosa More articles by this author , William NahasWilliam Nahas More articles by this author , Plinio GoesPlinio Goes More articles by this author , Sergio AndurteSergio Andurte More articles by this author , and Fernando CruvinelFernando Cruvinel More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000976.017AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Many series report the incidence of climacturia after radical prostatectomy (RP) as greater than 50%, and yet it is remarkable the short space for its discussion, which remains largely unrecognized and unaddressed. Our aim was to describe the incidence and characterize climacturia in patients with erectile dysfunction (ED) after RP. METHODS: We performed a retrospective analysis of a prospectively maintained database of men after RP with complaints of ED not responsive to oral therapy. Patients seen in the sexual medicine group of our institution underwent a structured visit which included the investigation of the presence of climacturia and a detailed characterization (frequency, intensity, discomfort). Other factors such as the presence of stress urinary incontinence (SUI) and demographics were also recorded. Finally, patients were asked if they were counseled of this possible side effect of RP. RESULTS: Data from 44 patients were available, with a mean age of 66 years. Climacturia was reported by 30 patients (68%). Of these, 63% reported to occur rarely or occasionally, while 37% reported to occur frequently. In terms of the amount of urinary leakage, the vast majority (84%) reported leakage in small amounts, with only 1 patient (3%) reporting leakage in large volume. In general, 44% reported that climacturia generated significant discomfort, and only 10% recalled being warned preoperatively. Among patients with climacturia, 74% had SUI. CONCLUSIONS: Our analysis supports a high incidence of climacturia, with perceived negative impact on approximately half of patients and with almost 90% of them not being aware of this possible complication. This preliminary analysis is one of the first on sexual urinary incontinence in Brazil and highlights the importance of its recognition and better patient counseling. Source of Funding: N/A © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1271-e1271 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Homero Filho* More articles by this author Bruno Nascimento More articles by this author Miguel Srougi More articles by this author Jose Cury More articles by this author Rogerio Sayao More articles by this author Cristovao Barbosa More articles by this author William Nahas More articles by this author Plinio Goes More articles by this author Sergio Andurte More articles by this author Fernando Cruvinel More articles by this author Expand All Advertisement PDF downloadLoading ...