PD27-10 PD27-10ORGASMIC DYSFUNCTION FOLLOWING ROBOT-ASSISTED RADICAL PROSTATECTOMY: A SINGLE CENTER PREVALENCE STUDY

Abstract

You have accessJournal of UrologyCME1 May 2022PD27-10 PD27-10ORGASMIC DYSFUNCTION FOLLOWING ROBOT-ASSISTED RADICAL PROSTATECTOMY: A SINGLE CENTER PREVALENCE STUDY Masashi Honda, Ryutaro Shimizu, Shogo Teraoka, Tetsuya Yumioka, Noriya Yamaguchi, Hideto Iwamoto, Shuichi Morizane, Katsuya Hikita, and Atsushi Takenaka Masashi HondaMasashi Honda More articles by this author , Ryutaro ShimizuRyutaro Shimizu More articles by this author , Shogo TeraokaShogo Teraoka More articles by this author , Tetsuya YumiokaTetsuya Yumioka More articles by this author , Noriya YamaguchiNoriya Yamaguchi More articles by this author , Hideto IwamotoHideto Iwamoto More articles by this author , Shuichi MorizaneShuichi Morizane More articles by this author , Katsuya HikitaKatsuya Hikita More articles by this author , and Atsushi TakenakaAtsushi Takenaka More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002575.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Among the sexual problems that may arise after radical prostatectomy (RP), erectile dysfunction has received the most attention. However, orgasmic dysfunction, such as orgasm-associated urinary incontinence (climacturia) and pain (dysorgasmia), anorgasmia, and altered perception of orgasm also occur in this context. The etiology of orgasmic dysfunction is not well understood, and it remains unclear how many and which patients with RP are affected, especially those who had robot-assisted radical prostatectomy (RARP). Therefore, the current study aimed to investigate the incidence and extent of orgasmic dysfunction in patients after the RARP, and identify the factors that can help predict patients at risk. METHODS: Between October 2010 and November 2019, we performed a single-center, cross-sectional, questionnaire-based investigation of patients who underwent RARP (n = 523). All the patients were treated at our institution between 3 and 111 months prior to beginning the study. Six questions on sexual activity, orgasmic function, altered perception of orgasms, dysorgasmia, and climacturia were developed. The questionnaires were mailed in February 2020, including a letter inviting patients to participate in the study. The primary outcome measure was the prevalence of orgasmic dysfunction. Predictive factors were identified using the logistic regression analyses. RESULTS: A total of 259 questionnaires were available for analysis. Among sexually active patients (n = 145), 33 (22.8%) reported anorgasmia, and 83 (57.2%) reported decreased orgasm intensity after versus before the RARP. Twenty-two (15.1%) patients reported dysorgasmia; among these patients, pain was experienced almost always or always in 13.6%, sometimes in 13.6%, and a few times in 72.8% of the cases. Climacturia was reported in 44 patients (30.3%). Urinary incontinence (odds ratio, 3.13; 95% confidence interval, 1.20−8.15) increased the risk of climacturia after the RARP. CONCLUSIONS: These results indicate that orgasmic dysfunction after RARP is relatively common and should be considered by clinicians and researchers. It remains difficult to predict which patients are at risk before surgery. However, urinary incontinence can help identify patients who are at risk after RARP. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e497 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Masashi Honda More articles by this author Ryutaro Shimizu More articles by this author Shogo Teraoka More articles by this author Tetsuya Yumioka More articles by this author Noriya Yamaguchi More articles by this author Hideto Iwamoto More articles by this author Shuichi Morizane More articles by this author Katsuya Hikita More articles by this author Atsushi Takenaka More articles by this author Expand All Advertisement PDF DownloadLoading ...