The Prevalence of Climacturia in Patients after Radical Prostatectomy: A Systematic Review

ABSTRACT Purpose: Prostate Cancer (PCa) is the most common non-cutaneous cancer in males, and Radical Prostatectomy (RP) is among the primary treatments for this condition. Our study aims to investigate the prevalence of climacturia (urine leakage at the moment of the climax), a potential post-RP c...

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Main Authors: João Vítor Ferrão, Alice Scalzilli Becker, Gustavo Konopka, Gustavo Bangemann, Thiago Oliboni, Nilson Marquardt Filho, Carlos Teodósio Da Ros, Gustavo Franco Carvalhal
Format: Article
Language:English
Published: Sociedade Brasileira de Urologia 2025-01-01
Series:International Brazilian Journal of Urology
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382025000100301&lng=en&tlng=en
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author João Vítor Ferrão
Alice Scalzilli Becker
Gustavo Konopka
Gustavo Bangemann
Thiago Oliboni
Nilson Marquardt Filho
Carlos Teodósio Da Ros
Gustavo Franco Carvalhal
author_facet João Vítor Ferrão
Alice Scalzilli Becker
Gustavo Konopka
Gustavo Bangemann
Thiago Oliboni
Nilson Marquardt Filho
Carlos Teodósio Da Ros
Gustavo Franco Carvalhal
author_sort João Vítor Ferrão
collection DOAJ
description ABSTRACT Purpose: Prostate Cancer (PCa) is the most common non-cutaneous cancer in males, and Radical Prostatectomy (RP) is among the primary treatments for this condition. Our study aims to investigate the prevalence of climacturia (urine leakage at the moment of the climax), a potential post-RP change related to orgasm. Material and Methods: A systematic review was conducted following PRISMA guidelines and registered on the PROSPERO platform. The search was performed using MEDLINE via PubMed. Results: Thirteen studies met the inclusion criteria and were described separately. Within these studies, 5,208 patients were evaluated, among which 1,417 cases of climacturia were identified, with a prevalence of 27.2%. When we analyzed the robot-assisted radical prostatectomy (RARP) subgroup, the prevalence of climacturia was 5.7% vs 1.8% the open radical prostatectomy (ORP) subgroup. Conclusion: Climacturia is a frequently underestimated complication by urologists. Given its significant impact on quality of life, it warrants greater attention from specialists following RP.
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series International Brazilian Journal of Urology
spelling doaj-art-0f1eebc256c74e388adcdddd7d932e602025-02-04T07:35:57ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192025-01-0151110.1590/s1677-5538.ibju.2024.0406The Prevalence of Climacturia in Patients after Radical Prostatectomy: A Systematic ReviewJoão Vítor FerrãoAlice Scalzilli BeckerGustavo KonopkaGustavo BangemannThiago OliboniNilson Marquardt Filhohttps://orcid.org/0000-0001-8790-8158Carlos Teodósio Da RosGustavo Franco CarvalhalABSTRACT Purpose: Prostate Cancer (PCa) is the most common non-cutaneous cancer in males, and Radical Prostatectomy (RP) is among the primary treatments for this condition. Our study aims to investigate the prevalence of climacturia (urine leakage at the moment of the climax), a potential post-RP change related to orgasm. Material and Methods: A systematic review was conducted following PRISMA guidelines and registered on the PROSPERO platform. The search was performed using MEDLINE via PubMed. Results: Thirteen studies met the inclusion criteria and were described separately. Within these studies, 5,208 patients were evaluated, among which 1,417 cases of climacturia were identified, with a prevalence of 27.2%. When we analyzed the robot-assisted radical prostatectomy (RARP) subgroup, the prevalence of climacturia was 5.7% vs 1.8% the open radical prostatectomy (ORP) subgroup. Conclusion: Climacturia is a frequently underestimated complication by urologists. Given its significant impact on quality of life, it warrants greater attention from specialists following RP.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382025000100301&lng=en&tlng=enProstatic NeoplasmsProstatectomySystematic Review [Publication Type]
spellingShingle João Vítor Ferrão
Alice Scalzilli Becker
Gustavo Konopka
Gustavo Bangemann
Thiago Oliboni
Nilson Marquardt Filho
Carlos Teodósio Da Ros
Gustavo Franco Carvalhal
The Prevalence of Climacturia in Patients after Radical Prostatectomy: A Systematic Review
International Brazilian Journal of Urology
Prostatic Neoplasms
Prostatectomy
Systematic Review [Publication Type]
title The Prevalence of Climacturia in Patients after Radical Prostatectomy: A Systematic Review
title_full The Prevalence of Climacturia in Patients after Radical Prostatectomy: A Systematic Review
title_fullStr The Prevalence of Climacturia in Patients after Radical Prostatectomy: A Systematic Review
title_full_unstemmed The Prevalence of Climacturia in Patients after Radical Prostatectomy: A Systematic Review
title_short The Prevalence of Climacturia in Patients after Radical Prostatectomy: A Systematic Review
title_sort prevalence of climacturia in patients after radical prostatectomy a systematic review
topic Prostatic Neoplasms
Prostatectomy
Systematic Review [Publication Type]
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382025000100301&lng=en&tlng=en
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