Orgasmic Dysfunction After Robot-assisted Versus Open Radical Prostatectomy

Paolo Capogrosso, Eugenio Ventimiglia, Alessandro Serino, Armando Stabile, Luca Boeri, Giorgio Gandaglia, Federico Dehò, Alberto Briganti, Francesco Montorsi, Andrea Salonia

Research output: Contribution to journalArticlepeer-review


Several alterations of orgasmic function that occur after radical prostatectomy (RP) have never been assessed in robot-assisted RP (RARP) series. We sought to assess the prevalence and predictors of recovery from orgasm-associated incontinence (climacturia) and painful orgasm (PO) after RARP and open RP (ORP). Following surgery, sexually active patients who had undergone either RARP or ORP prospectively completed a 28-item questionnaire including sensitive issues regarding sexual function (eg, climacturia and PO). Rates of postoperative climacturia and PO were compared for RARP and ORP patients. Kaplan-Meier analysis was applied to assess estimated rates of recovery from either climacturia or PO after both procedures. Cox regression models tested predictors of recovery from those conditions. Overall, 221 (29.5%) of 749 patients reported climacturia, without differences between RARP and ORP. Conversely, PO was significantly more frequently reported after ORP than after RARP (46 [11.6%] vs 25 [7.1%] patients, respectively; p = 0.04). At Kaplan-Meier analysis, recovery from climacturia over time was faster and greater after RARP than after ORP (8.5% vs 5%, respectively, at 24-mo assessment and 48% vs 15%, respectively, at 84-mo assessment; p

Original languageEnglish
JournalEuropean Urology
Publication statusAccepted/In press - 2015


  • Climacturia
  • Orgasmic dysfunction
  • Painful orgasm
  • Robot-assisted radical prostatectomy

ASJC Scopus subject areas

  • Urology


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