Why men have urinary dribble and what to do about it! | After Dribble

Tell me if this sounds familiar to you.  You finish peeing, you're at the urinal   you zip up and before you know it you got  some more urine dribbling out ah that is just   the worst and let me tell you you're not  alone I hear this complaint all the time.   I'm Dr. Rena Malik, urologist and pelvic  surgeon, and today we're going to talk about   that annoying urine dribble that  happens after you finish peeing. so what do we call this little bit of  urine that dribbles out right after you pee   that's called post void dribble and when you  look at the data there's a number of studies   that have been done to kind of assess how often  this happens and they range anywhere between   five percent of the population to almost 58 and  i bet it's much more common than five percent   based on my experience so there's a couple  theories as to why this happens the first   thought is that if you have some abnormality  in the p tube or the urethra that causes maybe   a narrowing then urine can get trapped behind  that narrowing and you'll pee out whatever you   can across that narrowing and then that urine  will come out later after you've completed   that stream and used all the strength that your  bladder has to push the urine past it the second   thought process that i think is probably more  common is prostatic urethral trapping and   what that is is that the prostate is a walnut  shaped organ that sits underneath the bladder   around the pee tube and over time as i've talked  about in many other videos specifically my recent   one on benign prosthetic hyperplasia it can get  larger and as it gets larger it can be harder to   pass urine across this area and then that urine  can get trapped and what happens when you pee   is they kind of really understand this is that  men have two sphincters one is at the bladder neck   which is right where the bladder connects to the  p tube and one is right underneath the prostate   and so when you finish peeing that bladder neck  closes but if you have not completely released the   urine through the prostate the external sphincter  can also close and then you get urine stuck there   and as soon as that external sphincter opens that  remaining urine will then dribble out and as i   mentioned in that last video bph is so common it  happens in up to 80 of men 70 years or older you   can imagine this is happening quite commonly and  lastly there's what we call idiopathic or we're   not really sure why this happens the thought  process is there's probably some neuromuscular   dysfunction of the muscles around the urethra or  the bubble cavanosis or ischiokavernosis muscles   and these muscles typically contract to help  propel urine forward and when they become   weaker which can happen with age or with certain  neurologic conditions it's going to be harder to   propel all the urine forward out to the tip of  the penis when you're trying to urinate so what   can you do about this super annoying problem well  if it's due to a narrowing of the urethra you may   also notice that your stream is kind of weak that  sometimes it doesn't come out very strong and you   have to strain or push or you might even notice  that your urine kind of comes out in a splayed   stream and goes out in different directions if  that's the case make sure you make an appointment   with the urologist so we can evaluate you for  the presence of a stricture and talk to you   about options for treatment you can watch my video  reacting to johnny knoxville who got a urethral   injury during one of his crazy stunts and i talked  a little bit about the treatment for that there   if you have an enlarged prostate there's a  lot of different symptoms you might notice   you might notice that you are going again having a  weak stream or having to strain or push to urinate   you might notice that you have to wait a  little bit for your urine stream to start   or it starts and stops also you might notice some  frequency like you got to go more often than usual   or urgency like gotta go gotta go and very  commonly you might notice that you're waking   up a lot at night to urinate and i've made  videos on a lot of these things including bph   as well as nocturia and so you can check  those out if you want to learn more about them   if you're having those symptoms make sure you see  a urologist and get treated and you will notice   that if you treat these problems a lot of the  times that post void dribble or that little bit   of dribbling gets better as well now if you don't  have any other problems besides this little bit   of dribble then you may fall into this category  where you're having some muscular dysfunction   and it's causing this dribble to happen so  what can you do the first thing that you can   do is very easy and you can do right after you  urinate so it's called bulbar urethral massage   and so what that is is you take your fingertips  about an inch behind the scrotum and you push   upwards towards the base of the penis and while  applying pressure and that'll help milk that   urine out and do that once or twice right after  you urinate to get that little bit of urine out   you can also stretch squeeze or shake the penis to  help get that urine out as well another thing is   doing pelvic floor muscle exercises or very simply  known as kegel exercises and i've made a video   about this before but i found that it's really  hard for men to do kegel exercises one because   no one really teaches you how to do them and two  it's actually kind of difficult to know if you're   doing them correctly so there's a couple things  i tell men one it's like the feeling of stopping   the urine flow when you're peeing but you don't  want to do them when you're actually peeing and   the other thing that i've heard people say is it's  like you're trying to lift your penis up without   touching it so you're trying to use your muscles  to help lift your penis up against gravity so when   you do these exercises you want to do them for  about five seconds squeezing and then five seconds   relaxing you really want to make sure to have that  relaxation because otherwise you can get really   really tense in those muscles and create more  problems if you have any sort of pelvic pain or   pain with ejaculation or testicular pain i don't  recommend you do any of these exercises without   talking to a urologist or a pelvic floor physical  therapist first well i hope you guys found this   educational and helpful let me know what else  you want to learn about i'm dr rena malek   urologist and pelvic surgeon and always remember  to take care of yourself because you're worth it

Channel: Rena Malik, M.D.

Views: 4,481,775

Keywords: Rena Malik MD, urology, urologist, Rena Malik, urinary leakage, overflow incontinence, after dribble, post micturition dribble, post micturition dribble male treatment, post micturition dribble exercises, post micturition incontinence, after dribble male, after dribble male treatment, after dribble treatment, dribble after urination, post urinary dribble, urinary dribble, urinary dribble male, post micturition male

Id: k9Uoniw9Byk

Length: 6min 0sec (360 seconds)

Published: Mon Sep 06 2021