In some instances, it may merely be rushing urination and not finishing the process properly. But, for others, it is a regular and embarrassing occurrence.
PMD is not the same as 'terminal dribble' which often occurs at the end of urination. Invariably, the problem tends to occur the moment your clothing has been rearranged and you are about to leave the toilet. Some men even report that gentle shaking to remove the drops is insufficient. A few drips of urine will still push themselves out of the urethra and wet your underwear or trousers.
Research has shown that it is not due to the exertion of redressing or to bladder dysfunction but is caused by a failure of the bulbocavernosus muscle to contract after micturition. This muscle partially surrounds the tube that takes urine away from the bladder (the urethra) and what is known as the urethrocavernosus reflex squeezes the urine out of that part of the urethra.
This failure to function properly means that a small amount of urine remains unvoided, waiting to leak out the moment you start moving. There are many reasons for this malfunction - prostate surgery, constipation, persistent coughing, weight problems, frequent heavy lifting, neurological conditions and a weakened pelvic floor.
The pelvic diaphragm (or Pubococcygeus muscle) runs like a sling between your legs from the base of the spine to the pubic bone and is just like any other muscle. It will weaken through lack of use if it is not exercised.
What the experts do agree on is that the most effective method of controlling post micturition drip is through improving the strength of the pelvic floor by regular kegel and pelvic floor exercises.
Notable improvements have been achieved by showing sufferers how to perform one or two strong pelvic floor contractions immediately after they have completed micturition. It is thought that this may help to expel the trapped urine from the bulbar urethra and, done regularly, will restore the urethrocavernosus reflex sufficiently to minimise the embarrassing symptoms of after-dribble.
To achieve the best results, in addition to tightening your pelvic floor after you have emptied your bladder, you need to incorporate a daily routine of strong contractions to improve muscle control. This will allow the pelvic floor to work quickly and effectively to prevent leakage if there is a sudden increase in intra-abdominal pressure, like sneezing. These muscles also need to be trained for endurance - to be able to hold on for some time without letting go so that you can get to the toilet without leaking. The latter can be achieved by tightening and gently lifting the pelvic floor slightly whilst walking.
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