(A) Sexual incontinence (SI) is an umbrella term that encompasses two similar but distinct entities: arousal incontinence and climacturia. As the names suggest, arousal incontinence refers to inadvertent loss of urine during sexual arousal, while climacturia specifically refers to involuntary urine leakage at orgasm (moment of climax, ergo the term climacturia). The term SI implies that the patient does not have significant urinary incontinence in a nonsexual context, but both continuous urinary incontinence and SI present great barriers to intimacy.
KeywordsUrinary Incontinence Radical Prostatectomy Stress Urinary Incontinence Bladder Neck Sexual Arousal
- Mehta A, Deveci S, Mulhall JP. Efficacy of a penile variable tension loop for improving climacturia after radical prostatectomy. BJU Int. 2013;111(3):500–4. doi: 10.1111/j.1464-410X.2012.11269.x. [Epub ahead of print].