Leaking With Arousal: the Post-Prostatectomy Gush
A frank, clinical look at a man eight months post-prostatectomy who leaks urine at orgasm, what he calls a hose....
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.