Background: Postmicturition dribble (PMD) is a common condition in the male population. Objectives: Despite its common occurrence, there are only a few studies on this topic so far. The aim of this study was to investigate possible physiological aspects of PMD. Method: Seventeen men complaining of PMD and 10 healthy subjects were assessed via uroflometry, IPSS questionnaire, IIEF-5 questionnaire, and an adapted visual analogue scale (VAS) for ejaculation force -(0–10) and the amount of bother concerning PMD (0–10) were completed. In addition to that, a retrograde urethrography at 40 and 60 cm water column as pressure unit to measure the width of the bulbar urethra was performed, and the amount of PMD was measured with an adjusted pad test. Results: The PMD group showed a significantly worse IPSS score, a lower Qmax rate in uroflowmetry, a worse IIEF-5 score, and a worse VAS score concerning ejaculation force. In both groups, worse IPSS levels correlated with a low bulbar urethral diameter at 40 and 60 cm water column. -Another correlation was found between a high maximum urine flow rate and a larger bulbar urethral diameter at 40 and 60 cm. Both groups showed urine loss after micturition, with no bother (VAS 0) in the control group, whereas the PMD group showed a VAS of 6. Conclusions: PMD should be regarded as a physiological occurrence in men rather than a disease by itself. Suffering is only to be expected in combination with other lower urinary tract symptoms.

1.
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al.; Standardisation Sub-committee of the International -Continence Society. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence -Society. Neurourol Urodyn. 2002; 21(2): 167–78.
2.
Temml C, Haidinger G, Schmidbauer J, Schatzl G, Madersbacher S. Urinary incontinence in both sexes: prevalence rates and impact on quality of life and sexual life.
Neurourol Urodyn
. 2000; 19(3): 259–71.
3.
Malmsten UG, Molander U, Peeker R, Irwin DE, Milsom I. Urinary incontinence, overactive bladder, and other lower urinary tract symptoms: a longitudinal population-based survey in men aged 45-103 years.
Eur Urol
. 2010 Jul; 58(1): 149–56.
4.
Dorey G, Speakman M, Feneley R, Swinkels A, Dunn C, Ewings P. Pelvic floor exercises for treating post-micturition dribble in men with erectile dysfunction: a randomized controlled trial.
Urol Nurs
. 2004 Dec; 24(6): 490–7.
5.
Maserejian NN, Kupelian V, McVary KT, Doshi M, Link CL, McKinlay JB. Prevalence of post-micturition symptoms in association with lower urinary tract symptoms and health-related quality of life in men and women.
BJU Int
. 2011 Nov; 108(9): 1452–8.
6.
Paterson J, Pinnock CB, Marshall VR. Pelvic floor exercises as a treatment for post-micturition dribble.
Br J Urol
. 1997 Jun; 79(6): 892–7.
7.
Corcoran M, Smith G, Chisholm GD. Indications for investigation of post-micturition dribble in young adults.
Br J Urol
. 1987 Mar; 59(3): 222–3.
8.
Stephenson TP, Farrar DJ. Urodynamic study of 15 patients with postmicturition dribble.
Urology
. 1977 Apr; 9(4): 404–6.
9.
Paquin JM, D’Amour M, Perreault JP, Faucher R, Mauffette F. Electromyographic study of bulbocavernosus muscle in 15 patients with postmicturition dribbling.
Urology
. 1985 Dec; 26(6): 603–5.
10.
Klingler HC, Heidler H, Madersbacher H, Primus G. Nocturia: an Austrian study on the multifactorial etiology of this symptom.
Neurourol Urodyn
. 2009; 28(5): 427–31.
11.
Feneley R.
Post micturition dribbling
. London: Croom Helm; 1986.
12.
Vereecken RL, Verduyn H. The electrical activity of the paraurethral and perineal muscles in normal and pathological conditions.
Br J Urol
. 1970 Aug; 42(4): 457–63.
13.
Dorey G, Feneley RC, Speakman MJ, Robinson JP, Paterson J. Pelvic floor muscle exercises and manometric biofeedback for erectile dysfunction and postmicturition dribble: three case studies.
J Wound Ostomy Continence Nurs
. 2003 Jan; 30(1): 44–51.
14.
Wille S, Mills RD, Studer UE. Absence of urethral post-void milking: an additional cause for incontinence after radical prostatectomy?
Eur Urol
. 2000 Jun; 37(6): 665–9.
15.
Bullock N. Initial investigation of choice should be urethral ultrasound.
Urology News.
2002; 6: 15.
16.
Allen D, Mishra V, Pepper W, Shah S, Motiwala H. A single-center experience of symptomatic male urethral diverticula.
Urology
. 2007 Oct; 70(4): 650–3.
17.
Berges R, Senge T.
Benignes Prostatasyndrom (BP-Syndrom). Berlin
. Heidelberg: Springer; 2006.
18.
Koskimäki J, Hakama M, Huhtala H, Tammela TL. Prevalence of lower urinary tract symptoms in Finnish men: a population-based study.
Br J Urol
. 1998 Mar; 81(3): 364–9.
19.
Furuya S, Ogura H, Tanaka M, Masumori N, Tsukamoto T. [Incidence of postmicturition dribble in adult males in their twenties through fifties].
Hinyokika Kiyo
. 1997 Jun; 43(6): 407–10.
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