Post-Micturition Dribbling in Young Men, What Do We Know?
<p id="p1">Post micturition dribbling (PMD) when defined as “incomplete emptying”, was seen in 11.8% in men and 8.5% in women. Using mailed questionnaires in 2217 men, the prevalence of PMD was 21%. PMD results from failure of Bulbospongiosus muscles to evacuate the bulbar urethra, causi...
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| Main Author: | |
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| Format: | Book Chapter |
| Language: | English |
| Published: |
IntechOpen
2024
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| Subjects: | |
| Online Access: | https://www.intechopen.com/chapters/88911 |
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| Summary: | <p id="p1">Post micturition dribbling (PMD) when defined as “incomplete emptying”, was seen in 11.8% in men and 8.5% in women. Using mailed questionnaires in 2217 men, the prevalence of PMD was 21%. PMD results from failure of Bulbospongiosus muscles to evacuate the bulbar urethra, causing pooling of urine, which later dribbles. A literature review was carried out to explore the magnitude of the condition, the possibly pathophysiological background and possible treatment. Then, during the period of November and December 2013, males attending OPD were screened for PMD. Men 18 to 45 years were examined, urinalysis, PVR, uroflow and I-PSS with an additional question on PMD. Those with PMD as major complaint were included if was willing to answer modified I-PSS, unremarkable clinical examination, Q max in free flow is >15 ml/s, PVR: <50 ml, urinalysis is free on microscopic examination (WBCs<5/HPF). Thirteen out of 383 screened attending OPD were diagnosed to have PMD as their primary complaint (prevalence of 3.4%) Those men were given a program of 6 week muscle training of the bulbospongiosus muscles. Conclusion: PMD is probably overestimated/misdiagnosed in the literature.</p> |
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| ISBN: | 978-0-85014-093-4 |
| DOI: | 10.5772/intechopen.114087 |