Urodynamic study of 15 patients with postmicturition dribble

Area of Science:

• Urology
• Lower Urinary Tract Symptoms

Background:

• Postmicturition dribbling is a common symptom affecting many men.
• The underlying causes can be diverse, leading to diagnostic challenges.

Purpose of the Study:

• To investigate the urodynamic findings in patients with postmicturition dribbling.
• To determine the efficacy of a simple manual maneuver for symptom management.

Main Methods:

• Fifteen patients with postmicturition dribbling underwent urodynamic evaluation.
• Patients were assessed for detrusor function, bulbar residue, and ability to milk back contrast.
• A manual perineal compression technique was employed for symptom relief.

Main Results:

• Seven patients showed no urodynamic abnormality but had significant bulbar residue.
• Five patients had normal detrusor function but failed to milk back contrast.
• Three patients had unstable detrusor function, bladder neck obstruction, or other findings.
• Manual compression provided symptomatic relief in almost all cases.

Conclusions:

• Postmicturition dribbling can result from various urodynamic mechanisms.
• A simple manual urethral milking technique is an effective and primary management strategy.
• Urodynamic studies are generally not indicated unless conservative management fails.