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Leakage During Sex: Devices, Positions, and the Power of a Support Group

20 minJune 2026

Steven reads Rick's question on leakage during sex, the part of recovery post-prostatectomy men are never warned about....

Evidence behind this episode

  • Kannady 2020

    Climacturia (orgasm-associated urine leak) after radical prostatectomy is attributed to LOSS of the internal urethral sphincter + external- sphincter relaxation; prevalence ~30% (range 20-93% across studies). Internal-sphincter loss is the LEADING hypothesis, not settled fact, host stays confident-not-absolute; pelvic-floor management stays Steven's.

  • Clavell-Hernandez 2020

    Climacturia (orgasm-associated urine leak) after radical prostatectomy is attributed to LOSS of the internal urethral sphincter + external- sphincter relaxation; prevalence ~30% (range 20-93% across studies). Internal-sphincter loss is the LEADING hypothesis, not settled fact, host stays confident-not-absolute; pelvic-floor management stays Steven's.