Division of Urology, Department of Surgery, University of Texas Health Science Center-McGovern Medical School at Houston, Houston, TX, USA; University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Division of Urology, Department of Surgery, University of Texas Health Science Center-McGovern Medical School at Houston, Houston, TX, USA.
Sex Med Rev. 2018 Jan;6(1):124-134. doi: 10.1016/j.sxmr.2017.09.003. Epub 2017 Nov 3.
The sexual problem after radical prostatectomy (RP) that has received the most focus in the current literature is erectile dysfunction. However, there are orgasmic complications that encompass orgasm-associated urinary incontinence (climacturia), anorgasmia, changes in orgasmic sensation, and painful orgasm (dysorgasmia). Although the body of research is still growing, there remains a need for physician and patient awareness of these potentially problematic complications.
To review the prevalence and management options for different orgasmic dysfunctions after RP.
A Medline PubMed search was used to identify articles related to orgasmic dysfunction, including climacturia, dysorgasmia, anorgasmia, and altered sensation after RP.
Rates and types of orgasmic dysfunction after RP.
Orgasmic dysfunction encompasses a series of conditions that affect men after RP. These include climacturia, dysorgasmia, anorgasmia, and altered sensation. Although the etiologies and management options remain uncertain, their effect on the sexual health of patients is not negligible.
To provide proper counseling to patients, physicians should be aware of the prevalence of orgasmic side effects after RP. Post-prostatectomy sexual recovery should be focused not only on penile erectile function but also on a satisfactory and healthy sexual life for patients and their partners. Clavell-Hernández J, Martin C, Wang R. Orgasmic Dysfunction Following Radical Prostatectomy: Review of Current Literature. Sex Med Rev 2018;6:124-134.
根治性前列腺切除术（RP）后最受当前文献关注的性问题是勃起功能障碍。然而，还存在与性高潮相关的尿失禁（高潮尿失禁）、无高潮、高潮感觉改变和疼痛性高潮（性高潮障碍）等性功能障碍问题。尽管研究文献不断增加，但仍需要医生和患者意识到这些潜在的问题。
综述 RP 后不同类型的性高潮障碍的患病率和治疗选择。
使用 Medline PubMed 搜索，以确定与性高潮障碍相关的文章，包括高潮尿失禁、性高潮障碍、无高潮和 RP 后的感觉改变。
RP 后性高潮障碍的发生率和类型。
性高潮障碍包括一系列影响 RP 后男性的疾病。这些包括高潮尿失禁、性高潮障碍、无高潮和感觉改变。尽管其病因和治疗选择仍不确定，但对患者的性健康的影响不容忽视。
为了向患者提供适当的咨询，医生应该了解 RP 后性高潮副作用的发生率。前列腺切除术后的性恢复不仅应关注阴茎勃起功能，还应关注患者及其伴侣的满意和健康的性生活。
