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

Dorey, Grace

Authors

Grace Dorey



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.

Citation

Dorey, G. (2002). Prevalence, aetiology and treatment of post-micturition dribble in men. Physiotherapy, 88(4), 225-234. https://doi.org/10.1016/S0031-9406%2805%2960414-2

Journal Article Type Article
Publication Date Jan 1, 2002
Journal Physiotherapy
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Peer Reviewed Not Peer Reviewed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

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