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Current Sexual Health Reports
Erschienen in: Current Sexual Health Reports 4/2019

08.11.2019 | Male Sexual Dysfunction and Disorders (A Pastuszak and N Thirumavalavan, Section Editors)

Climacturia (Uroclimax) in Men After Radical Prostatectomy: A Comprehensive Review of the Current Literature and Treatment Strategies

verfasst von: Kirtishri Mishra, Nishant Jain, Laura Bukavina, Aram Loeb

Erschienen in: Current Sexual Health Reports | Ausgabe 4/2019

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Abstract

Purpose of Review

Climacturia is an underreported condition seen in men who undergo radical prostatectomy. An estimated 16–93% of these patients may suffer from climacturia, with significant adverse effect on their sexual satisfaction and quality of life. Our understanding of the pathology is limited, with no standard treatment algorithm. In this review, we aim to contextualize the condition in relation to the current literature and offer an in depth evaluation of the treatment strategies, with a focus on the surgical interventions.

Recent Findings

There has been an increased emphasis on evaluating patients for climacturia routinely after radical prostatectomy. Due to the increased identification of climacturia, the last two decades have seen the development of novel techniques to address the condition. Behavioral therapy is the initial intervention that should be tried; however, depending on other comorbidities, the patient can be offered surgical interventions. These include artificial urinary sphincter, male sling, or dual implantation of penile prosthesis with an artificial sphincter or a sling.

Summary

In this review, we provide a comprehensive review of the etiology, pathophysiology, and treatment strategies related to climacturia. This review focuses on current literature on the topic, with an emphasis on the available surgical interventions.
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Metadaten
Titel
Climacturia (Uroclimax) in Men After Radical Prostatectomy: A Comprehensive Review of the Current Literature and Treatment Strategies
verfasst von
Kirtishri Mishra
Nishant Jain
Laura Bukavina
Aram Loeb
Publikationsdatum
08.11.2019
Verlag
Springer US
Erschienen in
Current Sexual Health Reports / Ausgabe 4/2019
Print ISSN: 1548-3584
Elektronische ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-019-00217-8

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