Orgasm‐Associated Incontinence (Climacturia) after Bladder Neck‐Sparing Radical Prostatectomy: Clinical and Video‐Urodynamic Evaluation

To the best of our knowledge, this is the first functional and morphological evaluation of climacturia after RP. In our experience, this event is indirectly associated with a reduced FUL in the sphincter area, although both patients and controls were continent during daily activities. BNS technique seems to reduce time to continence recovery, although climacturic patients need longer time than control patients. Since in our series no rigidity of the vesicourethral anastomosis was radiographically evident, we believe that differences in FUL could explain OAI. Anatomical difference in membranous urethra length could explain the occurrence of this symptom in patients treated with the same surgical technique. Manassero F, Di Paola G, Paperini D, Mogorovich A, Pistolesi D, Valent F, and Selli C. Orgasm‐associated incontinence (climacturia) after bladder neck‐sparing radical prostatectomy: Clinical and video‐urodynamic evaluation. J Sex Med 2012;9:2150-2156.