What is climacturia?

Climacturia is a worrying problem which happens in men after surgery for a radical prostatectomy, an operation to treat prostate cancer by removing the prostate. The condition is best described as a leaking of urine when a man ejaculates during sex.
The prostate gland is surrounded by nerves and tissues which are essential for the proper function of sex and urination. During prostatectomy surgery, nerves may be damaged, resulting in incontinence and in some cases, erectile dysfunction.
Studies have shown that more than 40% of men globally may suffer to one degree or another from this condition. This is a distressing situation for both men and their partners, and some men are so embarrassed by the circumstances that they may even try to avoid sex, leaving their partners wondering what the problem is.

How many men are seriously bothered by this condition?

Depending on the severity of the climacturia, according to a survey in the US, a large percentage of men interviewed reported that they were bothered by the leaking. Those with regular leaking when ejaculating stated that even a small leakage was concerning.

Although only some partners were individually assessed, it was noted that according to the survey, many of the men were convinced that their partner was disturbed by the condition. There were also a number of men who believed that their partners were disturbed by the condition. 

What is the outlook for those suffering from climacturia?

If the leakage is mild, such as only a few drops, then the outlook is very positive. You can try emptying the bladder before having sex. You can also set up a regular exercise program of strengthening exercises, combined with physiotherapy, to help strengthen the pelvic floor muscles. This will help you regain some control over your bladder.

If this does not help, a urologist may suggest that if your daily life, social life, or work life is adversely affected, surgery might be considered to put in an artificial sphincter (a type of valve) to help control the bladder. The urologist could also recommend a device known as a reusable tension loop to reroute the flow of urine through the urethra, which exits through the penis.

How can you help ease matters?

• Speak to your partner about the condition, especially if you are avoiding sex.
  
• If necessary, consider couples counselling to bring all the concerns out into the open.
  
• Consider always using a condom during sex, even if there is another method of birth control in operation.
  
• Keep doing your pelvic floor exercises to strengthen the muscles that you need to use to have control over your urine leakage issues.
  
• Use pads and liners to absorb urine leaks during the day.

Having some urine leaks during sex does not have to ruin your sex life, and definitely does not mean the end of your sex life. Do the best that you can and keep a positive attitude.

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