Sometimes I Hate Prostate Cancer

Sometimes I Hate Prostate Cancer
Seven years after my robotic prostate surgery, I’m still coping with climacturia, which is defined as leaking urine during an orgasm. I leak substantial amounts of urine before and during my orgasms. Using the restroom prior to engaging in sex lessens the volume of urine but won’t prevent leaks. Recently, my wife and I had

Knowledge is power when living with ovarian cancer.

Get access to the web’s leading Ovarian Cancer news & insights for as little as 16¢/day.
Subscribe or to access all post and page content.

Tagged , , , , , , .

Rick Redner received his master’s degree in social work from Michigan State University. He has spent many years working as a medical and psychiatric social worker He is the author of the award winning book I Left My Prostate in San Francisco-Where's Yours? His second book Everything You Never Wanted to Know About Erectile Dysfunction and Penile Implants won the Beverly Hills International Book Awards in Men's Health in 2016. Additionally, the book was a winner in the 2017 IAN Book of the Year Awards.


  1. Stephen B. Strum, MD, FACP says:

    The complications of the various treatments in a curative attempt of prostate cancer (PC) are rarely discussed in “full”. And one of the areas of greatest neglect is the lack of information provided to men and their significant others as to the effect of any ablative procedure (e.g., RP of any kind, RT, brachy, HIFU, Cryo) on the quality/nature of orgasm post-procedure. This flaw in “informed” consent is universal, and not specific to any one country or medical institution. In my 35 years of working with thousands of men with PC, a major factor is the artistry or skill of the treating physician–no matter what the specialty. A dear friend of mine, Lloyd Ney, who started the first PC support group called PAACT, had a great quote for this:
    “If you want first-class oats, you go to the head of the horse.” Lloyd Ney
    With the above said, I would advise you to do you due diligence and review the peer-reviewed literature on climacturia. There are physicians who are focused on this and there are now papers in 2017 that focus on climacturia. I found 10 papers published on this topic in 2016-17. One that I have just ordered is:
    Mendez MH, Sexton SJ, Lentz AC: Contemporary Review of Male and Female Climacturia and Urinary Leakage During Sexual Activities. Sex Med Rev, 2017.

    The corresponding author is Aaron Lentz from Duke University. You may wish to interact with Dr. Lentz via the contact info below:
    Division of Urologic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA.
    Division of Urologic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA. Electronic address:

    • Lawrence Glickman says:

      If anyone reading this blog is lucky enough to meet or be treated by Dr. Strum count yourself as being quite fortunate. After the death of my Father and recovery of my Brother from prostate cancer I attended many meetings of the Prostate Cancer Research Center PCRI in Los Angeles which was founded by Dr. Strum. He was kind enough to answer some of my emails as I began my studies on the subject. He is one of the very few practitioners that has a 365 degree comprehensive view of the disease and all its treatments.

  2. Stephen B. Strum, MD, FACP says:

    I appreciate Larry Glickman’s very kind remarks. The true profession of medicine to the practitioner that practices it with the full passion of both heart and mind is beyond description. I call it “instant intimacy” and it may be unique to the context of life-threatening disease. Such a relationship embraces humanity (i.e., a contraction of the words human and unity) and brings to my mind the perspective of universe as uni (one) verse (story). When this is looked at with open mind– the beginner’s eye, the macrocosm-microcosm relationships of all things living takes on a far higher dimension of biological significance. Then, all of life and including all things medical is seen as systems biology or what I call SAIN medicine. SAIN (Systems Analysis & Integrity Networking) is the hub of interactive medicine, aka wholistic medicine, holistic medicine. When this becomes routine in the practice of medicine then major advances will be made, far beyond what we are seeing presently. At the University of Cambridge in the UK there is now a “Cambridge Systems Biology Centre, and in 2016, Juan Castrillo of that center published a book entitled Systems Biology of Alzheimer’s disease. How long will it take for this concept to populate the medical peer-reviewed literature? My guess is likely 10-20 years.

    Returning to Rick’s medical dilemma, I continued my search (researched) on climacturia using that search term as well as post-RP orgasmic dysfunction, and found 27 pertinent articles published between 2006 and 2017 with the vast majority published in the last 5 years. I would implore any empowered patient to download the 30-day trial of EndNote at & use the local and online parts of this app (for use with either PC or Mac) to enhance their knowledge as well as to find individual practitioners who are well-versed in treating men with this & other complications relating to prostate cancer ablative procedures.

Leave a Comment

Your email address will not be published. Required fields are marked *