Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Dec 11:15:17562872231215180.
doi: 10.1177/17562872231215180. eCollection 2023 Jan-Dec.

The 'Mini-Jupette' technique for climacturia: a systematic review

Mykoniatis Ioannis  1 , Tsiakaras Stavros  2 , Savvides Eliophotos  3 , Langas Georgios  1 , Anastasiadis Anastasios  1 , Koenraad van Renterghem  4   5 , Andrianne Robert  6
Affiliations
Review

The 'Mini-Jupette' technique for climacturia: a systematic review

Mykoniatis Ioannis et al. Ther Adv Urol. .

Abstract

Background: The leakage of urine during sexual arousal, known as climacturia, is an under-recognized clinical condition often overshadowed by erectile dysfunction in men who have undergone radical prostatectomy.

Objectives: This study aims to determine and evaluate the role of the Mini-Jupette technique and its alternatives in the treatment of climacturia.

Data sources and methods: We conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews. We searched Medline via PubMed, Scopus, and the Cochrane Library databases until October 2022.

Results: We included seven studies involving 120 patients with climacturia. Different types of grafts were used, ranging from synthetic mesh to autologous grafts. In all seven studies, the use of the Adrianne Mini-Jupette (AMJ) and its alternatives showed a high percentage of improvement in climacturia, with reported complete resolution ranging from 65% to 93%. Regarding postoperative complications, one study reported the highest sling explantation rate at 11% (4/38), while other studies reported complications ranging from subjective symptoms such as dysuria and perineal pain to the need for subsequent artificial urinary sphincter placement.

Conclusion: The AMJ sling and its variations are low-cost, time-efficient, and relatively safe procedures with high patient satisfaction rates among those treated for climacturia.

Keywords: Mini-Jupette; climacturia; erectile dysfunction; penile prosthesis; radical prostatectomy; stress urinary incontinence.

PubMed Disclaimer

Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

Figure 1.
Figure 1.
Flow diagram of the study selection process. Source: Page et al. For more information, visit: http://www.prisma-statement.org/
Figure 2.
Figure 2.
Urethral compression after inflation of the IPP. IPP, inflatable penile prosthesis.
Figure 3.
Figure 3.
Graft placement and fixation on the inner borders of the corporotomies.
See this image and copyright information in PMC

References

    1. Sung H, Ferlay J, Siegel RL, et al.. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2021; 71: 209–249. - PubMed
    1. Ficarra V, Novara G, Ahlering TE, et al.. Systematic review and meta-analysis of studies reporting potency rates after robot-assisted radical prostatectomy. Eur Urol 2012; 62: 418–430. - PubMed
    1. Cancer Statistics Review, 1975–2018 - SEER Statistics, https://seer.cancer.gov/archive/csr/1975_2018/ (2013-2019, accessed 30 October 2022).
    1. Lima TFN, Bitran J, Frech FS, et al.. Prevalence of post-prostatectomy erectile dysfunction and a review of the recommended therapeutic modalities. Int J Impot Res 2021; 33: 401–409. - PubMed
    1. Mykoniatis I, van Renterghem K, Sokolakis I, et al.. Climacturia: a comprehensive review assessing pathophysiology, prevalence, impact, and treatment options regarding the ‘leak of pleasure’. Int J Impot Res 2021; 33: 259–270. - PubMed

LinkOut - more resources