Loizaga Iriarte A, Paz Díaz-Romeral J L, Arciniega García J M, Arceo Santiago R, Pérez Fernandez A, Unda Urzaiz M
Servicio de Urología, Hospital de Basurto, Bilbao.
Actas Urol Esp. 2007 Apr;31(4):345-8. doi: 10.1016/s0210-4806(07)73647-1.
Patients after radical prostatectomy describe sexual dysfunctions such as orgasm-associated incontinence also termed climacturia. Our aim is to analyse incidence and data in relation with this symptom.
119 phone surveys carried out to patients after radical prostatectomy to Know about climacturia incidence. We are trying to show the relationship between this symptom and the degree and type of incontinence, affectation at bladder neck and apex, and the age.
The climacturia incidence came to 20%. The average age of the patients with this symptom was 59 years, the same as for those without it. The patients with both, incontinence and climacturia perform stress incontinence basically but urgency-incontinence to a greater extent (20%) that those with no climacturia (5%). Most patients with climacturia suffer a light leakage (87%) and a 62% always associated to orgasm. Negative effect of the symptom in the patient's and partner's sexual life appeared only in 2 cases (13%).
We suggest the same term in Spanish than in English. Age and affectation of the bladder neck and apex do not have an effect on climacturia. Stress incontinence is more often related to patients with climacturia and the degree of incontinence is higher than in those without it.
根治性前列腺切除术后的患者描述了诸如与性高潮相关的尿失禁等性功能障碍，也称为性高潮期排尿。我们的目的是分析与该症状相关的发病率及数据。
对根治性前列腺切除术后的患者进行了119次电话调查，以了解性高潮期排尿的发病率。我们试图展示该症状与尿失禁的程度和类型、膀胱颈和膀胱尖的受累情况以及年龄之间的关系。
性高潮期排尿的发病率为20%。有该症状的患者的平均年龄为59岁，与无此症状的患者相同。既有尿失禁又有性高潮期排尿的患者主要表现为压力性尿失禁，但急迫性尿失禁的发生率（20%）高于无性高潮期排尿的患者（5%）。大多数有性高潮期排尿的患者漏尿程度较轻（87%），且62%的情况总是与性高潮相关。该症状对患者及其伴侣性生活的负面影响仅在2例（13%）中出现。
我们建议在西班牙语中使用与英语相同的术语。年龄以及膀胱颈和膀胱尖的受累情况对性高潮期排尿没有影响。压力性尿失禁更常与有性高潮期排尿的患者相关，且尿失禁程度高于无性高潮期排尿的患者。
