Sexual foreplay incontinence in men with erectile dysfunction after radical prostatectomy: a clinical observation

• Published in: International journal of impotence research Vol. 20; no. 2; pp. 199 - 201
• Main Authors: GUAY, A, SEFTEL, A. D
• Format: Journal Article
• Language: English
• Published: Basingstoke Nature Publishing 01.03.2008; Nature Publishing Group
• Subjects: Biological and medical sciences; Cancer surgery; Care and treatment; Complications and side effects; Erectile dysfunction; Erectile Dysfunction - etiology; Gynecology. Andrology. Obstetrics; Humans; Impotence; Male; Medical sciences; Middle Aged; Nephrology. Urinary tract diseases; Patient outcomes; Prevention; Prostate cancer; Prostatectomy; Prostatectomy - adverse effects; Prostatic Neoplasms - surgery; Risk factors; Sexual Behavior; Sexual disorders; Surveys and Questionnaires; Urinary incontinence; Urinary Incontinence - etiology; Urinary system involvement in other diseases. Miscellaneous; Urinary tract. Prostate gland; Urological surgery; United States; Human; Andrology; Urinary system disease; Erection disorders; Erection; Sexual dysfunction; foreplay incontinence; Male; Urinary tract disease; avoidance; Radical; erectile dysfunction; Urinary incontinence; Voiding dysfunction; Treatment; radical prostatectomy; Surgery; Adult; Prostatectomy; Bladder disease; Male genital diseases
• ISSN: 0955-9930; 1476-5489
• DOI: 10.1038/sj.ijir.3901609

Incontinence is a known complication of radical prostatectomy for prostate cancer. Recently, climacturia, or orgasmic incontinence, has been reported after this procedure. Patients have occasionally reported some loss of urine during sexual foreplay, even when general daytime incontinence was not present. A review of questions on this subject was conducted in 45 men to better appreciate how often this occurred. Nine of twenty-four men (38%) with no daytime incontinence stated that they had some incontinence with sexual foreplay. These men involved have related that this causes embarrassment and frustration, with the effect of avoidance of sexual activity. This in turn causes relationship problems. The use of a rubber ring at the base of the penis during foreplay can help relieve this difficulty.