(O-06) PREVALENCE OF CLIMACTURIA IN POST RADICAL PROSTATECTOMY PATIENTS IN REFERRAL HOSPITAL IN BOGOTA

Abstract

Abstract Introduction Climacturia is a frequent complication of radical prostatectomy (RP). Pelvic floor involvement and urinary sphincter functionality play a vital role in its pathophysiology. The prevalence in Colombia is unknown, and it is currently an underdiagnosed entity. This study aims to estimate the prevalence of climacturia in men undergoing RP in a fourth-level hospital in Bogota from 2018 to 2023. Methodology A descriptive cross-sectional observational study was conducted. Patients who attended postoperative control for 6 months and 1 year after a RP in the institution were included. A standardized survey was applied evaluating the presence of urine leakage during sexual arousal and/or orgasm and standardized scales of urinary incontinence and sexual function. Results Forty-four patients were included. The mean age of the patients was 64.7 (range: 45-81). The distribution of the surgical approach used in these patients is shown in Table 1. 56,8% (n=25) reported urine leakage during arousal. Of these patients, 43.1% (n=19) had received robot-assisted radical prostatectomy (RARP), followed by open surgery with 13,6% (n=6) of patients reporting this symptom. On the other hand, 38,6% (n=17) of patients had urine leakage during orgasm, of which the highest proportion of this symptom was open surgery. A limitation of the study was the lack of active search for this pathology in the general urological consultation and the poor response of patients to the forms. Conclusions The prevalence of climacturia is high and its diagnosis has multiple limitations. In addition, other post-prostatectomy side effects were identified, such as urine leakage with arousal, whose prevalence was higher than that of climacturia and may affect the sexuality of patients. Additionally, considering these are the preliminary findings from a prospective study, a larger sample size is required to achieve more representative results. Financing No conflict.