I started to experience Climacturia and Arousal Leakage a few months after my prostatectomy. I first noticed it when I was still working on controlling urine leakage and thus quite conscious of anything which would trigger a spurt. On occasion when I would hug my wife, I felt the start of a little leakage! We would be having a full-body, prolonged squeeze and out would come a bit of pee. It was NOT due to pressure on the bladder, but rather associated with a warm feeling of love. Then I noticed it when trying to masturbate to orgasm, which I had begun as part of my penile rehabilitation. Simultaneously, I heard about climacturia on “The Penis Project”, a podcast from Australia about recovering bladder and sexual function from radical prostatectomy. Here are a couple of links I found:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705983/ (Their literature review showed an estimated 30% prevalence after RP.)
Six months ago, I bought a Firm Tech, the more expensive model with an internal sensor designed to detect nocturnal erections. I was interested in whether my penile rehab was working to help me regain the natural blood flow which they provide. (I’m happy to say they have returned.) The key point here is that the Firm Tech is NOT like other cock rings in that it can be worn for extended periods of time, e.g., all night. It is softer, more pliable than other rings.
Now, why might the Firm Tech help with climacturia? What follows is my own speculation – I have no data or scientific studies to verify this theory. Why does climacturia happen? And why doesn’t it happen with the prostate in place? During orgasm, the sperm are ejected through the tubes which carry them from the testes eventually to the urethra and out of the penis, along with the prostatic and seminal fluid in which they are suspended. That happens because of smooth muscle contractions in vessels like the urethra, seminal vesicles, vas deferens, and prostate. With a prostate, urine as kept nicely in the bladder, and only the urethra might have a few drops in it, which would not be noticeable along with semen. But after RP, the bladder can more easily leak urine into the urethra, and with the automatic orgasmic contractions still occurring, out it comes. The Firm Tech is “firm” enough to squeeze off the urethra (which runs on the underside of the penis), so it theoretically can stop *most* of the orgasmic urine loss.
I’ve found that not only emptying the bladder, but milking the penis afterwards to get out those last few drops, helps greatly reduce or even eliminate the climacturia.