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Post Micturition Dribble

Patient Information
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Department of Urology
The aim of this leaflet is to give you information about your leakage and how you can help
reduce/avoid urinary leakage.
Lots of men have problems with urine dribbling after they think they have finished. Men often
find it difficult to talk about and suffer in silence.
What causes the problem?
After emptying the bladder, the pipe leading to the outside still has urine in it. This can drip
out after you zip up.
What can I do to help?
There are a few things you can do to help the pipe empty completely each time you pass
urine.


Make sure your clothes dont prevent you getting a downhill flow for the urine (pull
clothing/underwear down completely).

Be patient allow a little longer for the pipe to drain.

Use the fingertips of your other hand behind the scrotum and apply gentle pressure.
Gently but positively draw fingers forward towards the base of the penis under the scrotum
(Diagram 1).

By training the muscles around the back of the pipe (see How to exercise
the pelvic floor muscles).
Diagram 1

How can I reduce the problem in the future?


You may have noticed that when you cough or sneeze, the testicles lift up and the penis pulls
back. This is because the muscles of the pelvic floor contract and the muscle around the
back of the urine pipe squeezes at the same time. When you exercise one muscle, you
exercise the other.
How to exercise the pelvic floor muscles
Pelvic floor exercises can be performed in any position. They can be practised in front of a
mirror to observe a dip at the back of the penis (pull back) and a lift of the testicles.
You may find it helpful to find the correct muscles by trying to stop your urine mid-flow.
(Do this only once to find the muscles, as practising this may interfere with normal
bladder emptying).
(Diagram 2).
Tighten and lift your pelvic floor as hard as you can (as if you are trying to stop the flow of
urine or wind) then relax for the same number of seconds.
Repeat this as often as you can try to hold for up to 10 seconds.

Diagram 2

Note these down here:


Number of seconds held ___ Number of times ___
Now try quick fast contractions (no more than 10) _____times
This is your starting point
These exercises should be practised several times a day, including each time you visit the
toilet.
You should aim for 10 second holds x 10 times and 10 fast contractions.

If you require further advice contact:


Ninewells Hospital
Urology Nurses
Telephone: 01382 660111
Extension: 35138
or
Continence Advisory and Treatment Service
Angus 01307 468383
Dundee 01382 443528
Perth 01738 564258

Developed by Urology Team, Ninewells Hospital and Tayside Continence Group, with the
help of Urology patients.
Revised: 04/2015 Review: 04/2017 LN0283