{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:53:37Z","timestamp":1790902417621,"version":"4.1.0"},"reference-count":81,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Radical prostatectomy (RP) for prostate cancer commonly results in sexual dysfunction and stress urinary incontinence, including climacturia-orgasm\u2013associated urinary incontinence. Prevalence estimates range widely (20%-93%, averaging closer to 30%), and the condition is likely underreported despite its substantial psychosocial impact, including embarrassment, relationship strain, and avoidance of sexual activity. This review summarizes its pathophysiology, prevalence, and management following RP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A narrative review of the literature was performed, synthesizing data on epidemiology, proposed pathophysiological mechanisms, and conservative, medical, and surgical treatment options, drawing on case series, observational cohorts, randomized trials, and systematic reviews\/meta-analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Proposed mechanisms include loss of the internal urethral sphincter and bladder neck closure mechanism, intrinsic sphincter deficiency, loss of the prostatic urethral segment with reduction in functional urethral length, pudendal nerve injury, and periurethral fibrosis, though no single mechanism is established. Shorter preoperative urethral length and lower urinary tract symptoms predict higher risk. Conservative management-pre-coital voiding, condom use, pelvic floor physical therapy, and penile occlusion devices-provides benefit in many patients, though pelvic floor therapy data are mixed, with no significant advantage over controls in a 12-month meta-analysis. Pharmacologic options remain largely empirical, lacking condition\u2013specific evidence. Surgical interventions-artificial urinary sphincter, male urethral slings, and the Mini\u2013Jupette sling and its modifications performed with inflatable penile prosthesis placement-show high rates of improvement or resolution (complete resolution 65%-93% across pooled series), though evidence derives from small, retrospective, non-comparative studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Climacturia remains an underrecognized complication of RP with meaningful effects on patient and partner quality of life. While conservative measures and surgical options offer effective relief for many men, the evidence base is limited by small samples, retrospective design, and scarce randomized data directly evaluating climacturia. Further high-quality, comparative, longer-term studies are needed to clarify pathophysiology, validate predictive factors, and refine treatment algorithms for this distressing but treatable condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/sxmrev\/qeag077","type":"journal-article","created":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T11:23:29Z","timestamp":1789903409000},"source":"Crossref","is-referenced-by-count":0,"title":["Orgasm\u2013associated urinary incontinence (climacturia) after radical prostatectomy: current concepts in pathophysiology and management"],"prefix":"10.1093","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8597-2081","authenticated-orcid":false,"given":"Mesut Berkan","family":"Duran","sequence":"first","affiliation":[{"name":"Pamukkale University, School of Medicine, Department of Urology , 20070, Denizli ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammet Volkan","family":"Bulbul","sequence":"additional","affiliation":[{"name":"A\u011fr\u0131 \u0130brahim \u00c7e\u00e7en University, School of Medicine, Department of Histology and Embryology , 04100, A\u011fr\u0131 ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ege Can","family":"Serefoglu","sequence":"additional","affiliation":[{"name":"Biruni University School of Medicine, Department of Urology , 34010, Istanbul ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"issue":"8","key":"2026100119551550300_ref1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol32080457","article-title":"A narrative review of the roles of nursing in addressing sexual dysfunction in oncology patients","volume":"32","author":"Alqaisi","year":"2025","journal-title":"Curr Oncol"},{"key":"2026100119551550300_ref2","volume-title":"SEER Cancer Statistics Review, 1975-2014","author":"Howlader","year":"2017"},{"issue":"2","key":"2026100119551550300_ref3","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1200\/jco.2010.30.2075","article-title":"Impact of age at diagnosis on prostate cancer treatment and survival","volume":"29","author":"Bechis","year":"2011","journal-title":"J Clin Oncol"},{"issue":"5 Suppl","key":"2026100119551550300_ref4","doi-asserted-by":"publisher","first-page":"S40","DOI":"10.1016\/j.juro.2008.03.136","article-title":"5-year urinary and sexual outcomes after radical prostatectomy: results from the prostate cancer outcomes study","volume":"179","author":"Penson","year":"2008","journal-title":"J Urol"},{"issue":"1","key":"2026100119551550300_ref5","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1016\/j.sxmr.2016.07.005","article-title":"Sexuality following radical prostatectomy: is restoration of erectile function enough?","volume":"5","author":"Fode","year":"2017","journal-title":"Sex Med Rev"},{"issue":"6","key":"2026100119551550300_ref6","doi-asserted-by":"publisher","first-page":"1143","DOI":"10.2164\/jandrol.112.016790","article-title":"Sexual dysfunction following radical prostatectomy","volume":"33","author":"Benson","year":"2012","journal-title":"J Androl Nov-Dec"},{"issue":"4","key":"2026100119551550300_ref7","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1038\/s41443-020-00386-4","article-title":"Neglected side effects to curative prostate cancer treatments","volume":"33","author":"Nols\u00f8e","year":"2021","journal-title":"Int J Impot Res"},{"issue":"4","key":"2026100119551550300_ref8","doi-asserted-by":"publisher","first-page":"448","DOI":"10.1038\/s41443-021-00420-z","article-title":"Focusing on sexual rehabilitation besides penile rehabilitation following radical prostatectomy is important","volume":"33","author":"Vanderhaeghe","year":"2021","journal-title":"Int J Impot Res"},{"issue":"6","key":"2026100119551550300_ref9","doi-asserted-by":"publisher","first-page":"2223","DOI":"10.1016\/j.juro.2007.01.150","article-title":"Orgasm associated incontinence (climacturia) following radical pelvic surgery: rates of occurrence and predictors","volume":"177","author":"Choi","year":"2007","journal-title":"J Urol"},{"issue":"4","key":"2026100119551550300_ref10","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1111\/j.1464-410X.2004.05009.x","article-title":"The prevalence and nature of orgasmic dysfunction after radical prostatectomy","volume":"94","author":"Barnas","year":"2004","journal-title":"BJU Int"},{"issue":"3","key":"2026100119551550300_ref11","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1093\/sxmrev\/qeaf016","article-title":"Review of recent data on disorders of ejaculation and orgasm in men: recommendations from the fifth international consultation on sexual medicine. Sex","volume":"13","author":"Shindel","year":"2025","journal-title":"Med Rev"},{"issue":"4","key":"2026100119551550300_ref12","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1007\/s11934-019-0879-3","article-title":"Management of Climacturia during inflatable penile prosthesis surgery","volume":"20","author":"El-Khatib","year":"2019","journal-title":"Curr Urol Rep"},{"issue":"6","key":"2026100119551550300_ref13","doi-asserted-by":"publisher","first-page":"549","DOI":"10.4103\/aja.aja_145_19","article-title":"Orgasm-associated urinary incontinence (climacturia) following radical prostatectomy: a review of pathophysiology and current treatment options","volume":"22","author":"Kannady","year":"2020","journal-title":"Asian J Androl"},{"key":"2026100119551550300_ref14","author":"What is climacturia? How can it be managed?","year":"2023"},{"issue":"1","key":"2026100119551550300_ref15","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5534\/wjmh.2017.35.1.1","article-title":"Orgasmic dysfunction after radical prostatectomy","volume":"35","author":"Capogrosso","year":"2017","journal-title":"World J Mens Health"},{"issue":"9","key":"2026100119551550300_ref16","doi-asserted-by":"publisher","first-page":"2318","DOI":"10.1111\/jsm.12624","article-title":"Prevalence and predicting factors for commonly neglected sexual side effects to radical prostatectomies: results from a cross-sectional questionnaire-based study","volume":"11","author":"Frey","year":"2014","journal-title":"J Sex Med"},{"issue":"6 Pt 1","key":"2026100119551550300_ref17","doi-asserted-by":"publisher","first-page":"2562","DOI":"10.1016\/j.juro.2006.07.158","article-title":"Climacturia following radical prostatectomy: prevalence and risk factors","volume":"176","author":"Lee","year":"2006","journal-title":"J Urol"},{"issue":"1","key":"2026100119551550300_ref18","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1007\/s11255-024-04181-8","article-title":"Report of climacturia and orgasmic disorders after radical prostatectomy in a Brazilian tertiary hospital: shedding light on a neglected condition","volume":"57","author":"Gamberini","year":"2025","journal-title":"Int Urol Nephrol"},{"issue":"2","key":"2026100119551550300_ref19","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1016\/j.eururo.2015.10.046","article-title":"Orgasmic dysfunction after robot-assisted versus open radical prostatectomy","volume":"70","author":"Capogrosso","year":"2016","journal-title":"Eur Urol"},{"issue":"3","key":"2026100119551550300_ref20","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1038\/s41443-020-0257-1","article-title":"Climacturia: a comprehensive review assessing pathophysiology, prevalence, impact, and treatment options regarding the \"leak of pleasure\"","volume":"33","author":"Mykoniatis","year":"2021","journal-title":"Int J Impot Res"},{"issue":"1","key":"2026100119551550300_ref21","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1016\/j.sxmr.2017.09.003","article-title":"Orgasmic dysfunction following radical prostatectomy: review of current literature","volume":"6","author":"Clavell-Hern\u00e1ndez","year":"2018","journal-title":"Sex Med Rev"},{"issue":"1","key":"2026100119551550300_ref22","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/j.juro.2013.06.122","article-title":"Climacturia after definitive treatment of prostate cancer","volume":"191","author":"O'Neil","year":"2014","journal-title":"J Urol"},{"issue":"1","key":"2026100119551550300_ref23","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1016\/j.sxmr.2017.07.012","article-title":"Contemporary review of male and female Climacturia and urinary leakage during sexual activities","volume":"6","author":"Mendez","year":"2018","journal-title":"Sex Med Rev"},{"issue":"4","key":"2026100119551550300_ref24","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1016\/j.jsxm.2019.12.016","article-title":"Bother associated with Climacturia after radical prostatectomy: prevalence and predictors","volume":"17","author":"Salter","year":"2020","journal-title":"J Sex Med"},{"issue":"2","key":"2026100119551550300_ref25","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1038\/sj.ijir.3901609","article-title":"Sexual foreplay incontinence in men with erectile dysfunction after radical prostatectomy: a clinical observation","volume":"20","author":"Guay","year":"2008","journal-title":"Int J Impot Res"},{"issue":"3","key":"2026100119551550300_ref26","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1111\/j.1464-410X.2012.11269.x","article-title":"Efficacy of a penile variable tension loop for improving climacturia after radical prostatectomy","volume":"111","author":"Mehta","year":"2013","journal-title":"BJU Int"},{"issue":"6","key":"2026100119551550300_ref27","doi-asserted-by":"publisher","first-page":"1126","DOI":"10.1016\/j.jsxm.2020.02.016","article-title":"Prevalence and predictors of Climacturia and associated patient\/partner bother in patients with history of definitive therapy for prostate cancer","volume":"17","author":"Jimbo","year":"2020","journal-title":"J Sex Med"},{"issue":"7","key":"2026100119551550300_ref28","doi-asserted-by":"publisher","first-page":"2043","DOI":"10.1007\/s10508-016-0728-0","article-title":"Threat of sexual disqualification: the consequences of erectile dysfunction and other sexual changes for gay and bisexual men with prostate cancer","volume":"46","author":"Ussher","year":"2017","journal-title":"Arch Sex Behav"},{"issue":"1","key":"2026100119551550300_ref29","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1038\/s41391-024-00861-9","article-title":"Sexual outcomes in men who have sex with men who underwent radical prostatectomy","volume":"28","author":"Vedovo","year":"2025","journal-title":"Prostate Cancer Prostatic Dis"},{"issue":"5","key":"2026100119551550300_ref30","doi-asserted-by":"publisher","first-page":"1051","DOI":"10.1016\/j.fertnstert.2015.08.033","article-title":"Normal male sexual function: emphasis on orgasm and ejaculation","volume":"104","author":"Alwaal","year":"2015","journal-title":"Fertil Steril"},{"issue":"2","key":"2026100119551550300_ref31","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1097\/00003081-199006000-00014","article-title":"Anatomy and physiology of urinary continence","volume":"33","author":"DeLancey","year":"1990","journal-title":"Clin Obstet Gynecol"},{"issue":"8","key":"2026100119551550300_ref32","doi-asserted-by":"publisher","first-page":"2150","DOI":"10.1111\/j.1743-6109.2012.02829.x","article-title":"Orgasm-associated incontinence (climacturia) after bladder neck-sparing radical prostatectomy: clinical and video-urodynamic evaluation","volume":"9","author":"Manassero","year":"2012","journal-title":"J Sex Med"},{"issue":"Suppl 3","key":"2026100119551550300_ref33","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1111\/bcpt.12546","article-title":"Physiology and pharmacology of ejaculation","volume":"119","author":"Clement","year":"2016","journal-title":"Basic Clin Pharmacol Toxicol"},{"issue":"6","key":"2026100119551550300_ref34","doi-asserted-by":"publisher","first-page":"861","DOI":"10.1046\/j.1464-410x.1996.01416.x","article-title":"Orgasm after radical prostatectomy","volume":"77","author":"Koeman","year":"1996","journal-title":"Br J Urol"},{"issue":"6","key":"2026100119551550300_ref35","doi-asserted-by":"publisher","first-page":"1767","DOI":"10.1016\/S0022-5347(05)67538-6","article-title":"The pathophysiology of post-radical prostatectomy incontinence: a clinical and video urodynamic study","volume":"163","author":"Groutz","year":"2000","journal-title":"J Urol"},{"issue":"4","key":"2026100119551550300_ref36","doi-asserted-by":"publisher","first-page":"1128","DOI":"10.1016\/j.eururo.2006.10.026","article-title":"Penile length alterations following penile prosthesis surgery","volume":"51","author":"Deveci","year":"2007","journal-title":"Eur Urol"},{"issue":"4","key":"2026100119551550300_ref37","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1007\/bf01631399","article-title":"Caverno-pudendal nervous communicating branches in the penile hilum","volume":"21","author":"Colombel","year":"1999","journal-title":"Surg Radiol Anat"},{"issue":"4","key":"2026100119551550300_ref38","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1007\/s11884-012-0156-5","article-title":"Voiding dysfunction associated with pudendal nerve entrapment","volume":"7","author":"Possover","year":"2012","journal-title":"Curr Bladder Dysfunct Rep"},{"issue":"4","key":"2026100119551550300_ref39","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1111\/j.1600-0412.1997.tb07986.x","article-title":"Delivery and pudendal nerve function","volume":"76","author":"Tetzschner","year":"1997","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"9","key":"2026100119551550300_ref40","doi-asserted-by":"publisher","first-page":"2632","DOI":"10.1111\/j.1743-6109.2011.02347.x","article-title":"Orgasm-associated urinary incontinence and sexual life after radical prostatectomy","volume":"8","author":"Nilsson","year":"2011","journal-title":"J Sex Med"},{"issue":"3","key":"2026100119551550300_ref41","doi-asserted-by":"publisher","first-page":"638","DOI":"10.1038\/s41391-025-01007-1","article-title":"Treatment choice and sexual health outcomes in gay and bisexual men with prostate cancer","volume":"29","author":"Dickstein","year":"2025","journal-title":"Prostate Cancer Prostatic Dis"},{"issue":"7","key":"2026100119551550300_ref42","doi-asserted-by":"publisher","first-page":"536","DOI":"10.1038\/s41443-024-00974-8","article-title":"Shorter prostatic urethral length in preoperative magnetic resonance imaging is associated with higher risk of climacturia following robot-assisted laparoscopic radical prostatectomy","volume":"37","author":"Mu\u00f1oz-Calahorro","year":"2025","journal-title":"Int J Impot Res"},{"issue":"5","key":"2026100119551550300_ref43","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1002\/nau.22761","article-title":"Is pilates as effective as conventional pelvic floor muscle exercises in the conservative treatment of post-prostatectomy urinary incontinence? A randomised controlled trial","volume":"35","author":"Pedriali","year":"2016","journal-title":"Neurourol Urodyn"},{"issue":"7","key":"2026100119551550300_ref44","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1007\/s00192-010-1125-1","article-title":"Intensive supervised versus unsupervised pelvic floor muscle training for the treatment of stress urinary incontinence: a randomized comparative trial","volume":"21","author":"Felic\u00edssimo","year":"2010","journal-title":"Int Urogynecol J"},{"issue":"12","key":"2026100119551550300_ref45","doi-asserted-by":"publisher","first-page":"3496","DOI":"10.1111\/j.1743-6109.2009.01493.x","article-title":"Potential effectiveness of pelvic floor rehabilitation treatment for postradical prostatectomy incontinence, climacturia, and erectile dysfunction: a case series","volume":"6","author":"Sighinolfi","year":"2009","journal-title":"J Sex Med"},{"issue":"1","key":"2026100119551550300_ref46","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1038\/ijir.2015.24","article-title":"Pelvic floor muscle training for erectile dysfunction and climacturia 1 year after nerve sparing radical prostatectomy: a randomized controlled trial","volume":"28","author":"Geraerts","year":"2016","journal-title":"Int J Impot Res"},{"issue":"8","key":"2026100119551550300_ref47","doi-asserted-by":"publisher","first-page":"1298","DOI":"10.1177\/0269215519840392","article-title":"Effectiveness of physiotherapy interventions for improving erectile function and climacturia in men after prostatectomy: a systematic review and meta-analysis of randomized controlled trials","volume":"33","author":"Kannan","year":"2019","journal-title":"Clin Rehabil"},{"issue":"Supplement_2","key":"2026100119551550300_ref48","doi-asserted-by":"publisher","first-page":"e47","DOI":"10.1016\/j.jsxm.2016.12.109","article-title":"122 salvage of climacturia non-surgical treatment failures using a patient and partner-friendly novel soft silicone occlusion loop during sexual activity","volume":"14","author":"Bella","year":"2017","journal-title":"J Sex Med"},{"issue":"1","key":"2026100119551550300_ref49","doi-asserted-by":"publisher","first-page":"61","DOI":"10.3978\/j.issn.2223-4683.2013.01.04","article-title":"The science of vacuum erectile device in penile rehabilitation after radical prostatectomy","volume":"2","author":"Lin","year":"2013","journal-title":"Transl Androl Urol"},{"issue":"6","key":"2026100119551550300_ref50","doi-asserted-by":"publisher","first-page":"551","DOI":"10.1038\/s41443-023-00754-w","article-title":"Xialla\u00ae: a novel medical device for addressing erectile dysfunction associated with veno-occlusive dysfunction","volume":"36","author":"Yafi","year":"2023","journal-title":"Int J Impot Res"},{"issue":"1","key":"2026100119551550300_ref51","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1097\/ju.0000000000003985","article-title":"The AUA\/SUFU guideline on the diagnosis and treatment of idiopathic overactive bladder","volume":"212","author":"Cameron","year":"2024","journal-title":"J Urol"},{"issue":"6","key":"2026100119551550300_ref52","doi-asserted-by":"publisher","first-page":"461","DOI":"10.3109\/07853890.2011.564203","article-title":"Urinary incontinence\u2014pharmacotherapy options","volume":"43","author":"Smith","year":"2011","journal-title":"Ann Med"},{"issue":"3","key":"2026100119551550300_ref53","doi-asserted-by":"publisher","first-page":"Cd001842","DOI":"10.1002\/14651858.CD001842.pub2","article-title":"Adrenergic drugs for urinary incontinence in adults","volume":"2005","author":"Alhasso","year":"2005","journal-title":"Cochrane Database Syst Rev"},{"issue":"2","key":"2026100119551550300_ref54","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1016\/j.eururo.2012.04.047","article-title":"Prevention and management of postprostatectomy sexual dysfunctions part 2: recovery and preservation of erectile function, sexual desire, and orgasmic function","volume":"62","author":"Salonia","year":"2012","journal-title":"Eur Urol"},{"issue":"2","key":"2026100119551550300_ref55","doi-asserted-by":"publisher","first-page":"124","DOI":"10.21037\/tau-21-881","article-title":"Efficacy of phosphodiesterase type 5 inhibitors in patients with erectile dysfunction after nerve-sparing radical prostatectomy: a systematic review and meta-analysis","volume":"11","author":"Goh","year":"2022","journal-title":"Transl Androl Urol"},{"issue":"7","key":"2026100119551550300_ref56","doi-asserted-by":"publisher","first-page":"634","DOI":"10.1038\/s41443-023-00714-4","article-title":"Climacturia: what treatment options do we offer to those with and without concomitant erectile dysfunction?","volume":"35","author":"Chew","year":"2023","journal-title":"Int J Impot Res"},{"issue":"7","key":"2026100119551550300_ref57","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1007\/s11934-024-01205-9","article-title":"Pharmacotherapy in stress urinary incontinence; a literature review","volume":"25","author":"Tabei","year":"2024","journal-title":"Curr Urol Rep"},{"issue":"2","key":"2026100119551550300_ref58","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1097\/ju.0000000000000314","article-title":"Incontinence after prostate treatment: AUA\/SUFU guideline","volume":"202","author":"Sandhu","year":"2019","journal-title":"J Urol"},{"issue":"1","key":"2026100119551550300_ref59","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1038\/s41443-020-0253-5","article-title":"Synchronous surgery for the combined treatment of post-radical prostatectomy erectile dysfunction and stress urinary incontinence: a lucrative evolution or an unnecessary complexity?","volume":"33","author":"Mykoniatis","year":"2021","journal-title":"Int J Impot Res"},{"issue":"1","key":"2026100119551550300_ref60","doi-asserted-by":"publisher","first-page":"S21","DOI":"10.1016\/j.jsxm.2016.11.048","article-title":"047 non-surgical salvage of failed Climacturia treatment in post-radical prostatectomy treated men","volume":"14","author":"Fitzpatrick","year":"2017","journal-title":"J Sex Med"},{"issue":"3","key":"2026100119551550300_ref61","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1038\/s41443-020-0263-3","article-title":"\"Doc, if it were you, what would you do?\": a survey of Men's health specialists' personal preferences regarding treatment modalities","volume":"33","author":"Towe","year":"2021","journal-title":"Int J Impot Res"},{"issue":"12","key":"2026100119551550300_ref62","doi-asserted-by":"publisher","first-page":"1193","DOI":"10.1093\/jsxmed\/qdae130","article-title":"The effect of puboperiurethral suspension stitch placement on climacturia after robot-assisted laparoscopic radical prostatectomy","volume":"21","author":"Unal","year":"2024","journal-title":"J Sex Med"},{"issue":"3","key":"2026100119551550300_ref63","doi-asserted-by":"publisher","first-page":"1021","DOI":"10.1016\/j.juro.2006.10.062","article-title":"13 years of experience with artificial urinary sphincter implantation at Baylor College of Medicine","volume":"177","author":"Lai","year":"2007","journal-title":"J Urol"},{"issue":"8","key":"2026100119551550300_ref64","doi-asserted-by":"publisher","first-page":"1208","DOI":"10.1111\/j.1464-410X.2011.10506.x","article-title":"The effect of surgical intervention for stress urinary incontinence (UI) on post-prostatectomy UI during sexual activity","volume":"109","author":"Jain","year":"2012","journal-title":"BJU Int"},{"issue":"5","key":"2026100119551550300_ref65","doi-asserted-by":"publisher","first-page":"1046","DOI":"10.1016\/j.urology.2012.08.003","article-title":"Surgical implantation of artificial urinary device and penile prosthesis through trans-scrotal incision for postprostatectomy urinary incontinence and erectile dysfunction: synchronous or delayed procedure?","volume":"80","author":"Rolle","year":"2012","journal-title":"Urology"},{"issue":"6","key":"2026100119551550300_ref66","doi-asserted-by":"publisher","first-page":"2183","DOI":"10.1016\/j.juro.2013.06.084","article-title":"Combined inflatable penile prosthesis-artificial urinary sphincter implantation: no increased risk of adverse events compared to single or staged device implantation","volume":"190","author":"Segal","year":"2013","journal-title":"J Urol"},{"issue":"2","key":"2026100119551550300_ref67","doi-asserted-by":"publisher","first-page":"e4","DOI":"10.1016\/j.jsxm.2016.12.021","article-title":"008 transcorporal artificial urinary sphincter placement in patients with prior inflatable penile prosthesis utilizing 6-ply acellular graft: a novel technique with resolution of climacturia","volume":"14","author":"Mendez","year":"2017","journal-title":"J Sex Med"},{"issue":"1","key":"2026100119551550300_ref68","doi-asserted-by":"publisher","first-page":"3","DOI":"10.4111\/icu.2016.57.1.3","article-title":"The artificial urinary sphincter and male sling for postprostatectomy incontinence: which patient should get which procedure?","volume":"57","author":"Comiter","year":"2016","journal-title":"Investig Clin Urol"},{"issue":"suppl 4","key":"2026100119551550300_ref69","doi-asserted-by":"publisher","first-page":"e490","DOI":"10.1016\/j.juro.2010.02.823","article-title":"Simultaneous placement of an inflatable penile prosthesis and advance male sling for erectile dysfunction and incontinence: robust efficacy and safety data at 2 year follow-up","volume":"183","author":"Christine","year":"2010","journal-title":"J Urol"},{"issue":"2","key":"2026100119551550300_ref70","doi-asserted-by":"publisher","first-page":"e47","DOI":"10.1016\/j.jsxm.2016.12.108","article-title":"121 climacturia following radical prostatectomy: the time is now to query and treat","volume":"14","author":"Christine","year":"2017","journal-title":"J Sex Med"},{"issue":"6","key":"2026100119551550300_ref71","doi-asserted-by":"publisher","first-page":"1203","DOI":"10.1016\/j.jsxm.2020.03.001","article-title":"Use of the urethral sling to treat symptoms of Climacturia in men after radical prostatectomy","volume":"17","author":"Nolan","year":"2020","journal-title":"J Sex Med"},{"issue":"4","key":"2026100119551550300_ref72","doi-asserted-by":"publisher","first-page":"100529","DOI":"10.1016\/j.esxm.2022.100529","article-title":"The AdVance sling and male sexual function: a prospective analysis on the impact of pelvic mesh on erectile and orgasmic domains in sexually active men with postprostatectomy stress urinary incontinence","volume":"10","author":"Chung","year":"2022","journal-title":"Sex Med"},{"issue":"8-9","key":"2026100119551550300_ref73","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1016\/j.purol.2019.05.003","article-title":"The ``Mini-Jupette'' sling at the time of inflatable penile prosthesis implantation: adequate treatment for erectile dysfunction with mild incontinence and\/or climacturia after radical prostatectomy","volume":"29","author":"Andrianne","year":"2019","journal-title":"Prog Urol"},{"issue":"5","key":"2026100119551550300_ref74","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1038\/s41443-020-0308-7","article-title":"A new male sling for minimal to moderate incontinence and climacturia","volume":"33","author":"Yafi","year":"2021","journal-title":"Int J Impot Res"},{"issue":"5","key":"2026100119551550300_ref75","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1016\/j.jsxm.2018.01.015","article-title":"Andrianne mini-Jupette graft at the time of inflatable penile prosthesis placement for the management of post-prostatectomy Climacturia and minimal urinary incontinence","volume":"15","author":"Yafi","year":"2018","journal-title":"J Sex Med"},{"issue":"5","key":"2026100119551550300_ref76","doi-asserted-by":"publisher","first-page":"S208","DOI":"10.1016\/j.jsxm.2022.03.474","article-title":"Using mini-jupette slings to treat post radical prostatectomy urinary incontinence: foreplay incontinence, climacturia, and stress incontinence","volume":"19","author":"Brady","year":"2022","journal-title":"J Sex Med"},{"issue":"8","key":"2026100119551550300_ref77","doi-asserted-by":"publisher","first-page":"1310","DOI":"10.1016\/j.jsxm.2019.04.009","article-title":"Preliminary outcomes of the male urethral \"mini-sling\": a modified approach to the Andrianne mini-Jupette procedure with penile prosthesis placement for Climacturia and mild stress urinary incontinence","volume":"16","author":"Valenzuela","year":"2019","journal-title":"J Sex Med"},{"issue":"5","key":"2026100119551550300_ref78","doi-asserted-by":"publisher","first-page":"859","DOI":"10.21037\/tau-22-661","article-title":"Long-term assessment of the safety and effectivity of the mini-jupette sling: 5-year follow-up of the original series","volume":"12","author":"Hammad","year":"2023","journal-title":"Transl Androl Urol"},{"key":"2026100119551550300_ref79","doi-asserted-by":"publisher","DOI":"10.1093\/jsxmed\/qdaf329","article-title":"Lateral thinking: the Carrion modified mini-jupette sling","volume":"23","author":"Guan","year":"2026","journal-title":"J Sex Med"},{"key":"2026100119551550300_ref80","doi-asserted-by":"publisher","first-page":"17562872231215180","DOI":"10.1177\/17562872231215180","article-title":"The 'Mini-Jupette' technique for climacturia: a systematic review","volume":"15","author":"Ioannis","year":"2023","journal-title":"Ther Adv Urol"},{"issue":"4","key":"2026100119551550300_ref81","doi-asserted-by":"publisher","first-page":"782","DOI":"10.1016\/j.sxmr.2022.08.003","article-title":"Synchronous surgical Management of Erectile Dysfunction and Stress Urinary Incontinence: a systematic review and meta-analysis of reoperation rates. Sex","volume":"10","author":"Pyrgidis","year":"2022","journal-title":"Med Rev"}],"container-title":["Sexual Medicine Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/smr\/article-pdf\/14\/4\/qeag077\/71562265\/qeag077.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/smr\/article-pdf\/14\/4\/qeag077\/71562265\/qeag077.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:55:23Z","timestamp":1790898923000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/smr\/article\/doi\/10.1093\/sxmrev\/qeag077\/8859357"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":81,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,9,30]]}},"URL":"https:\/\/doi.org\/10.1093\/sxmrev\/qeag077","relation":{},"ISSN":["2050-0513","2050-0521"],"issn-type":[{"value":"2050-0513","type":"print"},{"value":"2050-0521","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,10]]},"published":{"date-parts":[[2026,9,30]]},"article-number":"qeag077"}}