Climacturia

  • 4 replies
  • 170 subscribers
  • 172 views

Hi, it’s a question about climacturia.  A bit about me… from the UK, live in Australia (past 25 years).  54years old, PSA 2.1, PHI 85, positive biopsy and MRI, negative PET and CT Scan.  So, low PSA, but a shocking family history which informed my GP’s decision to monitor my PSA for the past 12 years.  Anyway, diagnosed in September and had a robot assisted laparoscopic radical prostatectomy on 02/10.  Been pretty good, with little leakage after the catheter was removed.  The issue now is stimulating the nerves and experiencing climacturia.  From what I’ve read it’s under-reported.  Just wanted to hear other men’s experiences about this issue.  Thanks

  • Hi . Just to help inform others of what this is and possible treatments I have attached a link which might help. Thank you for starting the discussion and I hope others will chip in with their experiences.

    Leaking urine during ejaculation is known as climax-associated incontinence or climacturia. It’s a common side effect of prostate removal surgery.

    https://www.healthline.com/health/ejaculating-urine-after-prostatectomy

  • My husband is due to have a robotic surgery on the 15th. May i ask how you were after the surgery Nd how long it too for you to be up and about and not too affected from the GA please?  Anxious wife asking. Thanks 

  • Hardest part was getting used to the sensation of having the catheter in my bladder, but that passes.  Up and about the next day getting showered - nurses can be a bit sadistic.  Your husband will be encouraged to get mobile and walking around the ward the day after the surgery.  That will increase to a couple of rounds of the ward on the second day, and hopefully he’ll be home on the third day.  The pain in the shoulders was a bit uncomfortable (from the gas in the abdomen), but it passes in about 2-3 days.  Just make sure that he takes plenty of pain medication and asks for it before the effects of the last lot have worn-off.  Combination of palexia and Panadol.  If he’s like me he’ll sleep a lot for the first week and then, when the catheter is removed, he’ll improve in leaps and bounds. Best of luck, but I’m sure you and husband don’t need it and are in good hands.

  • Ok he is likely to be home on the Sunday after the op on the Friday all being well. Pppermint tea at the ready for the wind pain.