Post-void dribbling question

[bb]

I wanted to start out by thanking everyone on this forum...I'm here reading/researching all the time, and the information is invaluable. Hopefully I'll be able to give something back some day!!

I have what is hopefully a quick question: most of my initial symptoms seem to have quieted down for the moment, but the one that remains is some dripping/dribbling after urination. I'd consider it to be a small amount...maybe 6 or 8 drops occurring over the couple of minutes after I urinate (and usually coaxed out by walking, sitting down, etc.). In fact, if I were to press up behind my scrotum and "milk" the urethra forward, I'd probably eliminate about half the drops, leaving a few that I can't seem to get rid of on my own (not doing the milking at present because I'm suspicious that it actually irritates my urethra in the process, so it isn't worth it!).

Just curious for those of you that have dribbling, what amount is typical? And is it common to have only dribbling as a symptom? My assumption is that my prostate is still inflamed, and is the cause of this problem. However, the pain/discomfort that I'd been feeling has stopped, so I'm wondering if this could be something else?

Thanks!!

[carld]

Post voiding drips I would think is common. Fill a glass with water and poor it out and get a few drips after. Or as Webslave once said to me, take a garden hose, and pinch it near the spout and watch the flow change up, or something to that effect. Same principle in dripping I would think. Now if after you are done, an inflamed prostate will cause you to drip more than a few drops per say. I suspect your prostate is still in a sensitive state, but at least you don't have the common discomfort. I would think that pressing the perineum after you void gently to remove the rest of your urine would be better then using the muscles to remove it like most Men do. That can irritate. I'm not a doctor Regards...

[lookouth]

I'm not sure I understand the assumption that an inflamed prostate would obviously lead to dribbling, to me it seems to be explained much easier in connection with weak, spasming, or otherwise dsyfunctional muscles around the urethra/controlling urine flow. That being said one quick-fix is to place a few sheets of toilet paper in your underwear after you finish urinating, that will absorb them.

[carld]

I'm not sure I understand the assumption that an inflamed prostate would obviously lead to dribbling, to me it seems to be explained much easier in connection with weak, spasming, or otherwise dsyfunctional muscles around the urethra/controlling urine flow. That being said one quick-fix is to place a few sheets of toilet paper in your underwear after you finish urinating, that will absorb them.

Ya I agree and would think that the symptoms of LUTS are connected to dysfunction and weak spasms of the muscles and can include an inflamed prostate which can act similar to BPH symptoms on the LUTS end where you would get weak flows, split streams, frequent urination, a sense of not emptying the bladder after passing urine and post dripping because of the possible constriction of the prostatic urethra from an inflamed prostate. There is no assumption because I'm not a doctor and I don't know bb's history. I'm conveying my experience with an inflamed prostate and the many times I have had post voiding drips and still have them. Regards...

[webslave]

one quick-fix is to place a few sheets of toilet paper in your underwear after you finish urinating, that will absorb them.

Only to have them appear at the end of your pants and drag along next to your shoes, eh? Lots of fun, the post micturition dribbling, aka "after-dribble"!

The best solution is probably the Quest Male Urine Guard



Then there is the similar Coloplast Manhood Absorbent Pouch.

If you try either of these, please report back on which is best.

----------

A general comment: it's a very common problem and many men without chronic prostatitis / chronic pelvic pain syndrome have it too. In our case it's mainly caused by a narrowing of the prostatic urethra. For example, if you run water through a straw and then stop, the water will run right out of the straw and afterwards the straw will be empty, now run water through a straw with a pinched area. After the flow stops, you'll notice that there is still some water trapped near the kink.

It was once called the Shilling sign because the wet spot on your pants was about the same size and shape of a shilling. These days it would be called the Euro sign. Whatever the name, it is very common and is caused by the retention of a small amount of urine in a wider part of the urethra (the pipe inside the penis). After you have finished, given it a good shake, slap the sides of the urinal to impress the guy next to you, squeeze the base of the underside of the penis just where it joins the abdomen. This will force out that last drop.

Another description of this technique is as follows:

• After passing urine, wait for a few seconds to allow the bladder to empty.
• Place the fingertips of the left hand three finger-breadths behind the scrotum and apply gentle pressure.
• Keeping the pressure in the midline, gently but positively draw the fingers forwards towards the base of the penis under the scrotum.
• This pushes the urine forward into the penile urethra from where it can be emptied by shaking or squeezing in the usual way.
• Before leaving the toilet, repeat the manoeuvre twice to ensure that the urethra is completely empty.

[GARYS]

Would an alpha blocker help this, or something to increase your flow? I have some dribbling, but I get the split stream and some feeling of something pinching around the urethra sometimes.

[bb]

Thanks to all for the responses.

Actually, at the moment I'm putting a couple of pieces of toilet paper in my underwear for 5 minutes or so after urinating, just to catch those last couple of drops. After a few minutes I pull them out (theoretically while no one is looking ) and throw them away.

I'd also been doing the "three fingers behind the bladder" approach, and it helped to some extent. But the "milking" action seems to further irritate my urethra, causing my discomfort to return. So for the time being I'll just deal with the few extra drops until I completely eliminate all discomfort.

GARYS, I'm actually already on Uroxatral (an alpha blocker). Why? I don't know, because thus far I haven't had any other flow problems (no difficulty starting, good flow, etc.). It's just those few extra drops that are hanging around. The urologist went the absolute standard anti-biotic and alpha blocker route, though, so I'm sticking with it. AB's have been done for a week now, and since then I've been taking any accredited quercetin product as well.

[carld]

BB if you have not ever had any flow problems or starting your urination, why take the Uroxatral? Unless you are having spasms in your smooth muscle around your bladder neck and prostate? Not sure why you are on what can be a powerful drug? Talk to your urologist about that?

[bb]

BB if you have not ever had any flow problems or starting your urination, why take the Uroxatral? Unless you are having spasms in your smooth muscle around your bladder neck and prostate? Not sure why you are on what can be a powerful drug? Talk to your urologist about that?

Wish I knew...it was the urologist who put me on it, and wants me to take it for 3 months! His comment was that there might be some tension in the muscles around the bladder neck, and this would take care of it. He did no tests to confirm that, though.

I had a checkup with my GP recently, and he was asking the same question. I've considered stopping, but at the same time my discomfort after urinating is pretty much gone right now, so I hate to mess with anything...

The urologist came up with his diagnosis and just threw antibiotics and Uroxatral at it. I doubt very much that they've helped at all. Maybe at some point here I'll stop and see if things get any worse.

[carld]

Well BB, I think this is an other example of a urologist that simply does not know what the F**K He is doing when it come to CP/CPPS. I do want to say that my opinion is only that an opinion and I'm not in any way qualified to make any of the above statements in this thread. Please ask your Urologist and regular doctor. But MAN!!! if you don't have any flow problem, it sure seems to me that it was and is an Oh no! a prostatitis patient! give Him this and that with out any further testing. I don't remember what your whole Uro visit was and if you even got a DRE on your prostate. Digital rectal exam. Digit for finger. Or an EPS done to see if you have any inflammation. Sounds like an in and out deal with lots of speculation and move on so I can see some real cash cow sorry saps. Like my Uro told me who is a great one who actually researches CP/CPPS. "Cancer is sexy, prostatitis isn't" I had asked why has there not been a lot of research in this common Male urological problem. That was His honest answer. I really appreciated it and He still is my urologist. I'm not a doctor, just a dude with CP...

[bb]

Hi Carl, thanks for the input. The urologist did do a DRE. It was a bit painful for me and felt warm/burned when he pressed on my prostate. He said it also felt a little inflamed, which is how he concluded prostatitis (in his words, "a very very mild case of prostatitis). He also checked my scrotum, testicles, etc., so at least he attempted to be a little bit thorough.

This was actually much better than the first urologist I saw, who listened to my symptoms, called it non-specific urethritis, threw a prescription for 8 days of Levaquin at me, and sent me on my way. Which is how I ended up with the 2nd urologist.

Gotta ask...what is OH? I haven't managed to figure it out....

Thanks!

[carld]

Sorry for the confusion, I meant "Oh no! The Urologist gasping because He's seing another no money making prostatitis patient...

[bb]

Geez, I'm an idiot....!!! I got it now....

[carld]

Well either way, you are on the right track. Mild or not, CP can be very disruptive. Take care...

[inflamed]

Just wondering about this symptom, I have improved somewhat ;>

Still get a feeling of compression to the right of my prostate and sometimes have drip after urinating but always have a drip after how can I put it...after a poo

webslave wrote

In our case it's mainly caused by a narrowing of the prostatic urethra. For example, if you run water through a straw and then stop, the water will run right out of the straw and afterwards the straw will be empty, now run water through a straw with a pinched area. After the flow stops, you'll notice that there is still some water trapped near the kink

I assume you are saying here that the urethra is narrower because of the inflamed prostate and this may improve or are you saying that because of the condition the prostatic urethra may have become narrowed full stop.

My symptoms wax and wane but this symptom has been constant ever since I was lucky and had ureteritis along with my chronic prostatitis / chronic pelvic pain syndrome so am just curious as to peoples thoughts as urologists dont talk english to me lol