Post-void dribbling

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Post-void dribbling
Other namesPost-micturition dribbling
Specialty Urology
CausesEnlarged prostate, urethral striction, neurological issues, none

Post-void dribbling, also known as post-micturition dribbling (PMD), occurs when urine remaining in the urethra after voiding the bladder dribbles out after urination has completed. A common and usually benign complaint, it may be a symptom of urethral diverticulum, prostatitis and other medical problems. [1] A distinction has been made between PMD and urine residue in the urethra that can be waited out or shaken off manually from the penis. [2] A study had found that all males, even those without PMD, pass some volume of urine after micturition. It has thus been suggested that PMD should be regarded as a normal occurrence in men, due to the inherent anatomy of the male urinary system, rather than a disease. [3]

It is a result of the accumulation of urine residue in either the bulbar or prostatic urethra, for various reasons. [4] One common cause is the failure of the bulbocavernosus muscle in pushing out urine that pools after micturition. [5] It may also be caused by urine being trapped when the external sphincter closes before the urine exits the prostatic urethra. This is subsequently released once the muscles relax. [6]

Some men who experience dribbling, especially after prostate cancer surgery, will choose to wear incontinence pads to stay dry. Also known as guards for men, these incontinence pads conform to the male body. Some of the most popular male guards are from TENA, Depend, and Prevail. [7] Simple ways to prevent dribbling include: strengthening pelvic muscles with Kegel exercises, changing position while urinating, or pressing on the perineum to evacuate the remaining urine from the urethra. [8] Sitting down while urinating is also shown to alleviate complaints: a meta-analysis on the effects of voiding position in elderly males with benign prostate hyperplasia found an improvement of urologic parameters in this position, while in healthy males no such influence was found. [9]

References

  1. ↑ Ahmed K; Dasgupta R; Vats A; Nagpal K; Ashrafian H; Kaj B; Athanasiou T; Dasgupta P; et al. (Aug 2009). Urethral diverticular carcinoma: an overview of current trends in diagnosis and management. Int Urol Nephrol
  2. ↑ "What can I do about urinary dribbling?". Harvard Health. 2020-03-01. Retrieved 2025-03-06.
  3. ↑ Bretterbauer, Katharina M.; Heidler, Stefan; Colleselli, Daniela; Huber, Erik R.; Remzi, Mesut; Eredics, Klaus; Madersbacher, Stephan; Hübner, Wilhelm A. (2019). "Postmicturition Dribble: A Physiological Phenomenon?". Urologia Internationalis. 102 (4): 487–491. doi:10.1159/000496801. ISSN   0042-1138. PMID   30731473.
  4. ↑ Yang, Dae Yul; Lee, Won Ki (2019). "A current perspective on post-micturition dribble in males". Investigative and Clinical Urology. 60 (3): 142. doi:10.4111/icu.2019.60.3.142. ISSN   2466-0493. PMID   31098420.
  5. ↑ Dorey, Grace (April 2002). "Prevalence, Aetiology and Treatment of Post-Micturition Dribble in Men". Physiotherapy. 88 (4): 225–234. doi:10.1016/S0031-9406(05)60414-2.
  6. ↑ "Is dribbling after peeing normal? | Michigan Medicine". www.michiganmedicine.org. 2024-11-04. Retrieved 2025-03-06.
  7. ↑ Mercer, Bryan. "Best Men's Incontinence Supplies for Prostate Surgery Recovery". National Incontinence. Retrieved 19 October 2012.
  8. ↑ "Urine Dribbling". Guide to Health. Archived from the original on 13 June 2013. Retrieved 19 June 2013.
  9. ↑ de Jong, Y; Pinckaers, JH; Ten Brinck, RM; Lycklama À Nijeholt, AA; Dekkers, OM (2014). "Urinating Standing versus Sitting: Position Is of Influence in Men with Prostate Enlargement. A Systematic Review and Meta-Analysis". PLOS ONE. 9 (7): e101320. Bibcode:2014PLoSO...9j1320D. doi: 10.1371/journal.pone.0101320 . PMC   4106761 . PMID   25051345.
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