Ask About Climacturia Before Your Prostate Surgery

Ask About Climacturia Before Your Prostate Surgery
I decided to write this column after an embarrassing and humiliating experience. I was hesitant to go public with this, but I believe far too many men and couples are suffering alone and in silence. Leaking urine is listed as a possible risk in all of the consent forms for prostate surgery. What isn't listed in most consent forms is a specific type of urine leak called climacturia. This is an uncontrolled leaking of urine during an orgasm. I leak urine before and during an orgasm. Like most men with climacturia, I don't regularly leak urine at other times. This week, during a sexual encounter with my wife, I managed to wet the sheet with urine during a moment of excitement. It was a large leak. We had to take off the sheet and mattress protector and put it in the wash. I felt like a little child who wet his bed. In several studies, the rate of climacturia after prostate surgery averages about 30 percent. This unpleasant symptom adversely affects sexual satisfaction. A question that has bothered me for years: Why wasn't this known risk discussed with me before my surgery? As far as I can tell, from reading current consent forms seven years after my surgery, it's still a risk hidden from men consenting to prostate surgery. Since my prostate surgery, I've lived with a waterproof mattress protector. We use a towel as an added measure of protection. I make sure I use the bathroom to empty my bladder before we engage in foreplay. This isn't terribly romantic. I'm blessed with a very understanding wife who is not turned off by this problem. I'm sure it bothers me more than it bothers her. If I were single, this would be a devastating issue. I'm sure many married couples struggle as well. I'm surprised that after seven years, I still felt angry as we w
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