Contemporary practices in the assessment and management of climacturia: Results from an international survey

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dc.contributor.authorChierigo, Francescoen
dc.contributor.authorBucca, Brunoen
dc.contributor.authorMantica, Guglielmoen
dc.contributor.authorDrocchi, Giovannien
dc.contributor.authorMadec, François-Xavieren
dc.contributor.authorVerla, Wesleyen
dc.contributor.authorBiałek, Łukaszen
dc.contributor.authorAdamowicz, Janen
dc.contributor.authorCocci, Andreaen
dc.contributor.authorFrankiewicz, Mikołajen
dc.contributor.authorKlemm, Jakoben
dc.contributor.authorNeuville, Paulen
dc.contributor.authorOszczudłowski, Maciejen
dc.contributor.authorRedmond, Elaine J.en
dc.contributor.authorRosenbaum, Clemens M.en
dc.contributor.authorWaterloos, Marjanen
dc.contributor.authorCampos-Juanatey, Felixen
dc.contributor.authorRalph, Daviden
dc.contributor.authorFerro, Matteoen
dc.contributor.authorVetterlein, Malte W.en
dc.contributor.authorAbbasi, Behzaden
dc.contributor.authorKarapanos, Leonidasen
dc.contributor.authorRe, Mattia Loen
dc.contributor.authorScherñuk, Jordánen
dc.contributor.authorTinajero, Juan Diegoen
dc.contributor.authorAbalajon, Mark Josephen
dc.contributor.authorAlnajjar, Hussain M.en
dc.contributor.authorÁlvarez-Maestro, Marioen
dc.contributor.authorBettocchi, Carloen
dc.contributor.authorBozkurt, Ozanen
dc.contributor.authorCancrini, Fabianaen
dc.contributor.authorCarvajal, Luisana Castilloen
dc.contributor.authorÇeker, Gökhanen
dc.contributor.authorÇetinel, Bülenten
dc.contributor.authorCulha, Mehmet Gokhanen
dc.contributor.authorCillis, Sabrina Deen
dc.contributor.authorDeger, Muslim Doganen
dc.contributor.authorDjinovic, Radosen
dc.contributor.authorFalcone, Marcoen
dc.contributor.authorFreton, Lucasen
dc.contributor.authorGeretto, Paoloen
dc.contributor.authorGraziana, Jean-Pierreen
dc.contributor.authorGuillot-Tantay, Cyrilleen
dc.contributor.authorHervé, Francoisen
dc.contributor.authorKonstantinidis, Charalamposen
dc.contributor.authorManfredi, Celesteen
dc.contributor.authorMalde, Sachinen
dc.contributor.authorMedina-Polo, Joséen
dc.contributor.authorMicol, Lionel A.en
dc.contributor.authorMorozov, Andreyen
dc.contributor.authorNovák, Janen
dc.contributor.authorOrtega, Yaniraen
dc.contributor.authorPerrouin-Verbe, Marie-Aiméeen
dc.contributor.authorPeyrottes, Arthuren
dc.contributor.authorPrzydacz, Mikołajen
dc.contributor.authorRusso, Giorgio I.en
dc.contributor.authorvan Renterghem, Koenraaden
dc.contributor.authorde Vergie, Stephaneen
dc.contributor.authorVicini, Patrizioen
dc.contributor.authorWard, Samen
dc.contributor.authorYafi, Faysalen
dc.date.accessioned2026-10-16T09:42:48Z
dc.date.available2026-10-16T09:42:48Z
dc.date.issued2026-08en
dc.description.abstractBackground: Climacturia is a distressing but underrecognized complication following prostate cancer treatment. Despite increasing awareness, its assessment and management remain heterogeneous in clinical practice. Objective: To evaluate current diagnostic and therapeutic practices for climacturia among expert urologists and to propose a preliminary, practice-based Climacturia Assessment Tool. Design, setting, and participants: A 34-item survey was distributed to members of the Trauma and Reconstructive Urology Working Party of the European Association of Urology (EAU) Young Academic Urologists (YAU) and the European Association of Urology Section of Genitourinary Reconstructive Surgeons (ESGURS). Fifty-one urologists and eight doctors in training completed the questionnaire. Descriptive statistics were used to summarize the findings. Outcome measurements and statistical analysis: Survey responses were summarized using medians (interquartile ranges [IQRs]) and frequencies. Results and limitations: Among the participants, 86% correctly defined climacturia, but only 59% routinely assessed it. Approaches to severity assessment were highly variable. Estimated prevalence ranged from 5% to 30%, depending on timing and association with stress urinary incontinence (SUI) or erectile dysfunction. Across 24 clinical scenarios, conservative strategies predominated in mild cases, male slings in moderate SUI-associated scenarios, artificial urinary sphincters in severe SUIs, and the Mini-Jupette procedure when penile prosthesis was required. Conclusions: Current assessment and management of climacturia vary substantially among participants. These findings highlight unmet needs in standardization and support further validation of structured assessment tools.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleidS2666168326005021en
dc.identifier.citationChierigo, F. et al. (2026) “Contemporary Practices in the Assessment and Management of Climacturia: Results from an International Survey,” European Urology Open Science, 90, pp. 20–31. Available at: https://doi.org/10.1016/j.euros.2026.05.004.en
dc.identifier.doi10.1016/j.euros.2026.05.004en
dc.identifier.endpage31en
dc.identifier.issn2666-1683en
dc.identifier.journaltitleEuropean Urology Open Scienceen
dc.identifier.startpage20en
dc.identifier.urihttps://hdl.handle.net/10468/19449
dc.identifier.volume90en
dc.language.isoenen
dc.publisherElsevier BVen
dc.rights© 2026, authors. Published by Elsevier B.V. on behalf of European Association of Urology. This is an open access article under the CC BY licenseen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectClimacturiaen
dc.subjectOrgasm-associated incontinenceen
dc.subjectProstate canceren
dc.subjectProstatectomyen
dc.subjectRadiotherapyen
dc.subjectAdverse eventsen
dc.subjectSurveyen
dc.subject[Dental]en
dc.titleContemporary practices in the assessment and management of climacturia: Results from an international surveyen
dc.typeArticle (peer-reviewed)en
dc.typejournal-articleen
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