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【文摘发布】盆腔根治性手术后性高潮时伴尿失
Volume 177, Issue 6, Pages 2223-2226 (June 2007)
Orgasm Associated Incontinence (Climacturia) Following Radical Pelvic Surgery: Rates of Occurrence and Predictors
Judy M. Choia, Christian J. Nelsonbc, Jason Stasic, John P. Mulhallac†
Received 31 October 2006
Purpose
Orgasm associated incontinence, that is the inadvertent leakage of urine at orgasm, has received little attention in the literature. We evaluated the rate of occurrence of orgasm associated incontinence following radical pelvic surgery as well as its associated factors and predictors.
Materials and Methods
From January 2005 to March 2006, 696 patients were evaluated for post-radical pelvic surgery sexual dysfunction. A database was created, and descriptive statistics, chi-square analysis and logistic regression analysis were used to evaluate associated factors and predictors.
Results
Of 475 patients 96 (20%) reported orgasm associated incontinence following radical pelvic surgery. The incidence was significantly less in the cystoprostatectomy group than in the open and laparoscopic radical prostatectomy groups (p <0.05). Orgasm associated incontinence was more commonly found within 12 months following surgery vs greater than 12 months (RR 0.81, 95% CI 0.72–0.92, p <0.01) and in patients with orgasm associated pain (RR 1.09, 95% CI 1.01–1.16, p <0.01) and penile length loss (RR 1.32, 95% CI 1.09–1.59, p <0.01). On multivariate analysis all factors associated on univariate analyses remained predictive. Orgasm associated incontinence was not associated with patient age, the degree of nerve sparing, surgical margin status, seminal vesicle or lymph node involvement, preoperative erectile function, nocturnal erections, libido level or daytime continence.
Conclusions
Orgasm associated incontinence occurs in a fifth of men (96 of 475) following radical pelvic surgery. The incidence of orgasm associated incontinence is greater with radical prostatectomy than with radical cystectomy and it is unrelated to the type of prostatectomy performed (open vs laparoscopic). Orgasm associated incontinence is more likely to be reported within year 1 following surgery and in men who complain of orgasmic pain and/or penile shortening.
Key Words: prostate, prostatic neoplasms, prostatectomy, urinary incontinence, orgasm
Abbreviations and Acronyms: CP, cystoprostatectomy, LP, laparoscopic radical prostatectomy, NS, nerve sparing, OAI, orgasm associated incontinence, RP, open radical prostatectomy, RPS, radical pelvic surgery 初译：
http://www.jurology.com/article/PIIS0022534707002881/abstract
Volume 177, Issue 6, Pages 2223-2226 (June 2007)
Orgasm Associated Incontinence (Climacturia) Following Radical Pelvic Surgery: Rates of Occurrence and Predictors
盆腔根治性手术后性高潮时伴尿失禁：发生率和预测因素
Judy M. Choia, Christian J. Nelsonbc, Jason Stasic, John P. Mulhallac†
Received 31 October 2006
Purpose
Orgasm associated incontinence, that is the inadvertent leakage of urine at orgasm, has received little attention in the literature. We evaluated the rate of occurrence of orgasm associated incontinence following radical pelvic surgery as well as its associated factors and predictors.
目的：性高潮时伴尿失禁为性高潮时尿液的不慎漏出，其在文献中较少报道引起关注。我们评估性高潮时伴尿失禁在盆腔根治性手术后的发生率以及其相关因素和预测因素。[标签:content1][标签:content2]
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作者:admin@医学,生命科学 2011-04-18 17:11
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