Prevalence, aetiology and treatment of post-micturition dribble in men

Dorey, Grace

Abstract

This literature review of post-micturition dribble in men revealed only eight papers. Three papers identified the prevalence while one described the action of the bulbocavernosus muscle. Two randomised controlled trials and one non-randomised controlled trial were found which explored the effect of pelvic floor muscle exercises on post-micturition dribble and one study investigated the effect of post-micturition dribble on sexual dysfunction. Results suggested that the cause of post-micturition dribble is failure of the bulbocavernosus muscle to perform a normal reflex post-void milking mechanism or urethrocavernosus reflex. Suggested treatment consisted of bulbar urethral massage for immediate self-help and pelvic floor exercises targeted at the bulbocavernosus and ischiocavernosus muscles for an improvement or alleviation of the condition. Men may also benefit from a functional post-void muscle contraction termed 'squeeze-out' to help develop the normal post-void milking mechanism. Further good quality multicentre trials are necessary to provide evidence on which to base practice.

• Journal Article Type: Article
• Publication Date: Jan 1, 2002
• Journal: Physiotherapy
• Electronic ISSN: 1230-8323
• Publisher: Elsevier
• Peer Reviewed: Not Peer Reviewed
• Volume: 88
• Issue: 4
• Pages: 225-234
• DOI: https://doi.org/10.1016/S0031-9406%2805%2960414-2
• Keywords: post-micturition dribble, men, pelvic floor muscle exercises, bulbocavernosus muscle
• Public URL: https://uwe-repository.worktribe.com/output/1080490
• Publisher URL: http://dx.doi.org/10.1016/S0031-9406(05)60414-2