Sexual Incontinence

  • John P. Mulhall
  • Peter J. Stahl
  • Doron S. Stember


(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.


Urinary Incontinence Radical Prostatectomy Stress Urinary Incontinence Bladder Neck Sexual Arousal 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. Choi JM, Nelson CJ, Stasi J, Mulhall JP. Orgasm-associated incontinence (climacturia) following radical pelvic surgery: rates of occurrence and predictors. J Urol. 2007;177(6):2233–6.CrossRefGoogle Scholar
  2. 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].
  3. Mitchell SA, Jain RK, Laze J, Lepor H. Post-prostatectomy incontinence during sexual activity: a single center prevalence study. J Urol. 2011;186(3):982–5.PubMedCrossRefGoogle Scholar
  4. Nilsson AE, Carlsson S, Johansson E, Jonsson MN, Adding C, Nyberg T, et al. Orgasm-associated urinary incontinence and sexual life after radical prostatectomy. J Sex Med. 2011;8(9):2632–9.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • John P. Mulhall
    • 1
  • Peter J. Stahl
    • 2
  • Doron S. Stember
    • 3
  1. 1.Sexual and Reprodictive Medicine Program Department of Surgery Division of Urology, Department of SurgeryMemorial Sloan-Kettering Cancer CenterNew YorkUSA
  2. 2.Department of UrologyColumbia University College of Physicians & SurgeonsNew YorkUSA
  3. 3.Department of UrologyBeth Israel Medical Center Albert Einstein College of Medicine of Yeshiva UniversityNew YorkUSA

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