根治性前列腺切除术后患者排尿困难的发生率：一项系统评价。
The Prevalence of Climacturia in Patients after Radical Prostatectomy: A Systematic Review.
机构信息
Faculdade de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS, Porto Alegre, RS, Brasil.
Departamento de Urologia, Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS, Porto Alegre, RS, Brasil.
出版信息
Int Braz J Urol. 2025 Jan-Feb;51(1). doi: 10.1590/S1677-5538.IBJU.2024.0406.
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.
目的
前列腺癌（PCa）是男性最常见的非皮肤癌，根治性前列腺切除术（RP）是治疗这种疾病的主要方法之一。我们的研究旨在调查尿失禁（高潮时尿液漏出）的发生率，这是一种与性高潮相关的 RP 后潜在变化。
材料与方法
根据 PRISMA 指南进行了系统评价，并在 PROSPERO 平台上进行了注册。使用 MEDLINE 通过 PubMed 进行了搜索。
结果
符合纳入标准的 13 项研究分别进行了描述。在这些研究中，评估了 5208 名患者，其中 1417 例出现尿失禁，发生率为 27.2%。当我们分析机器人辅助根治性前列腺切除术（RARP）亚组时，尿失禁的发生率为 5.7%，而开放性根治性前列腺切除术（ORP）亚组为 1.8%。
结论
尿失禁是泌尿科医生经常低估的一种并发症。鉴于其对生活质量的重大影响，RP 后专家应更加关注这一问题。
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