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Post-Micturition Dribble refers to a state where men experience the loss of few drops of urine after the main flow has finished. This may affect a man at any age. Post-Micturition Dribble (PMD) is the involuntary loss of urine immediately after urination. It is classified as a post-micturition symptom and is more common in males.

Why does this happen?

After passing urine, the urethra (the tube from the bladder to the tip of the penis) doesn’t get completely emptied by the muscles surrounding it. The muscles that help to empty the urethra are called pelvic floor muscles. These muscles form a broad sling running from the pubic bone at the front to the tail bone at the back. As the name suggests they form the floor of your pelvis. This sling of muscles supports the abdomen and plays an essential role in bladder and bowel control. The pelvic floor muscles can be weakened by.

• Prostate surgery
• Continual straining to empty bowels
• Chronic cough
• Being overweight
• Neurological damage
• Persistent heavy weight lifting

Techniques: There are two techniques that may help and are as follows. 

1. Pelvic floor tightening
2. Bulbar urethral massage
3. Pelvic floor tightening: How to identify the pelvic floor muscles? Imagine you are trying to stop yourself passing wind by tightening the muscle at your back passage (anus). At the same time imagine you are trying to stop the flow of urine. Try not to squeeze your buttocks or tighten your thighs or tummy muscles. Don’t hold your breath. You can check you are doing the exercises properly by placing your fingertips just behind your scrotum and feeling the lift as you tighten. To help with your post-micturition dribble, wait a few seconds at the end of your flow then do a strong pelvic floor tightening. This will help squeeze any remaining urine down the urethra. Repeat the technique to make sure the urethra is completely empty. This is a basic pelvic floor contraction. Your continence physiotherapist may teach you a set of exercises to strengthen the muscle if your pelvic floor is weak.
4. Bulbar urethral massage: It can be defined as.

• Wait a few seconds at the end of your flow to allow the bladder to empty.
• Place your fingers behind your scrotum and apply gentle pressure.
• Maintaining this pressure brings your fingers forwards towards the base of your penis under the scrotum. This helps to push the urine forwards. You can pass the urine by shaking or squeezing the penis. Repeat the technique twice to make sure the urethra is completely empty.

If post-micturition dribble is associated with other urinary symptoms- for example, delay or difficulty in emptying the bladder, frequency of passing urine or the inability to hold on then you may look for the medical assistance.

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