The fact that urine and semen both travel through the penis is something that makes some sexually inexperienced women a little squeamish. When they are first becoming sexually active, some worry that perhaps leftover urine is also mixing with the semen. Fortunately, this is a fear which is usually dispelled fairly quickly. But sadly, there are times when a woman might need to be concerned about this very issue. Men who have undergone a radical prostatectomy may be at risk of developing certain ejaculation problems, including a condition known as climacturia, in which urine mixes with the semen.

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CLIMACTURIA DEFINED

Sometimes referred to as orgasm-associated incontinence, climacturia is defined as a man leaking urine at the same time that he ejaculates.[i] Most men do not experience it. However, an estimated 22% to 43% of men who have a radical prostatectomy – the removal of the prostate gland – do.

Although surgeons are as careful as possible when removing the prostate, it lies in an area surrounded by nerves and other delicate tissue that play a key role in both urinary and sexual function. If they are damaged during the surgical procedure, problems can occur. This is why some men experience erectile dysfunction after removal of the prostate – and also why they may develop climacturia. The degree of this problem depends upon which and how many of the nerves and tissues are damaged. In one study [ii], 68% of men with climacturia said the problem happened occasionally, while 21% said it happened often. Sometimes it may be just a few drops, sometimes considerably more.

WHAT TO DO

As one might guess, climacturia can cause embarrassment and distress, as well as affecting self-esteem and self-confidence. If a man is experiencing ejaculation problems, he is advised to consult with a urologist for strategies to deal with the problem.

Some solutions may include:

  • Urinating before sex. This is the simplest approach to the problem, and one that can be effective for many men. Emptying the bladder close to the time when sexual activity is about to begin often reduces the occurrence.
  • Condom usage. Wearing a condom does not prevent urine from mixing in with semen. However, it does help to contain moderate amounts of urine that may seep out during ejaculation.
  • Penile loop. Some men find considerable help from the use of a variable tension penile loop. Essentially a cord made of silicone, the loop goes over the penis and is adjusted for comfort. This can help compress the channel urine flows through and reduce leakage, as does reducing liquid intake in the hours before sex.
  • Medication changes. Some medications tend to make incontinence more likely. Switching to alternatives, if possible, can reduce the risk of climacturia
  • Strengthen the pelvic floor muscles. Engaging in exercises that target the pelvic floor muscles can help. These muscles help control the containment and release of urine.
  • Biofeedback and magnet treatment. Although still experimental, some doctors suggest using processes that employ biofeedback or magnets as a way of lessening ejaculation problems such as climacturia.

ONGOING CARE FOR BETTER PENILE HEALTH

Consulting with a urologist is the best thing to do if a man has climacturia. Whether he has ejaculation problems or not, a guy needs to keep his penis in prime shape. Regular use of an excellent penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin) can help. The most effective crèmes include a wide range of essential vitamins, including A, B5, C, D and E. Ideally, the crème should also include L-arginine, an amino acid which plays a role in helping blood vessels to dilate, which in turn allows for increased blood flow and easier access to oxygen and nutrients for healthy cell function.

Sources:

[i] http://www.issm.info/sexual-health-qa/what-is-climacturia/

[ii] http://www.mangoboss.com/Climacturia-CausesandTop7Remedies.html