Post-Void Dribbling: When to Seek Medical Help

Urinary incontinence

About two years ago, I started experiencing some residual urine after urinating, which would only flow out after I had put on my pants.
Initially, it was infrequent and the amount was small, so I didn't pay much attention to it.
However, recently it has been happening more often and the volume has increased.
I came across a book that mentioned this could be a sign of prostatitis.
I drink more than 3000cc of water daily, and I used to have smooth urination.
Can young people also have prostate-related issues? Should I seek medical attention?

Nianqingren, 20~29 year old female. Ask Date: 2005/11/19

Dr. Lin Wenxu reply Urology

Regarding the sensation of "urinary retention" or "incomplete bladder emptying," it is indeed more common among the male population, particularly in men aged 50 to 68, primarily due to benign prostatic hyperplasia (BPH).
In younger individuals, we typically do not consider BPH as a cause.
In fact, the male urethra is longer, so it is normal to have a slight amount of residual urine after urination; this is a physiological phenomenon.
However, sometimes involuntary contractions of the bladder can occur, and honestly, the exact reasons for this are not fully understood (there could be many potential causes, such as infections, stones, tumors, nerve damage, or pelvic floor inflammation).
In the past, patients with no identifiable cause were often attributed to what is termed "chronic prostatitis." If this sensation of urinary retention continues to be bothersome, it is advisable to visit a urology clinic for further evaluation and treatment.

Reply Date: 2005/11/19

More Info

Post-void dribbling, or the involuntary leakage of urine after urination, can be a frustrating and sometimes embarrassing condition. It is characterized by the sensation of having fully emptied the bladder, only to find that a small amount of urine leaks out afterward, often when one is getting dressed. While this issue can occur in individuals of any age, it is more commonly associated with older men due to conditions affecting the prostate, such as benign prostatic hyperplasia (BPH) or prostatitis. However, younger individuals can also experience urinary issues, including post-void dribbling.

In your case, the fact that this symptom has become more frequent and the volume of urine leakage has increased is a significant factor to consider. While it may initially seem minor, changes in urinary patterns can sometimes indicate underlying health issues that warrant further investigation. The prostate can indeed become inflamed or enlarged even in younger men, and conditions such as prostatitis can occur due to infections or other factors.

Given that you have been experiencing this symptom for about two years, and it has recently worsened, it is advisable to seek medical attention. A healthcare provider, particularly a urologist, can perform a thorough evaluation, which may include a physical examination, urinalysis, and possibly imaging studies or urodynamic testing to assess bladder function. These tests can help determine if there is an underlying condition affecting your urinary system.

In addition to prostate-related issues, other potential causes of post-void dribbling include:
1. Bladder Dysfunction: Conditions such as overactive bladder or bladder outlet obstruction can lead to incomplete emptying of the bladder, resulting in dribbling.

2. Neurological Conditions: Certain neurological disorders can affect bladder control and function, leading to urinary symptoms.

3. Infections: Urinary tract infections (UTIs) can cause irritation and inflammation, leading to changes in urination patterns.

4. Pelvic Floor Dysfunction: Weakness or dysfunction of the pelvic floor muscles can contribute to urinary incontinence, including post-void dribbling.

5. Medications: Some medications can affect bladder function and may lead to urinary symptoms.

In terms of lifestyle factors, drinking a significant amount of water (over 3000cc daily) is generally healthy, but it is essential to balance fluid intake with the body's needs and urinary output. If you find that your fluid intake is leading to increased frequency or urgency of urination, you may want to discuss this with your healthcare provider.

In summary, while post-void dribbling can sometimes be a benign issue, the increase in frequency and volume in your case suggests that it is prudent to seek medical evaluation. A urologist can provide a comprehensive assessment and recommend appropriate treatment options based on the underlying cause. Early intervention can help manage symptoms effectively and improve your quality of life. Don’t hesitate to reach out to a healthcare professional to address your concerns.

Similar Q&A

Understanding Post-Void Dribbling: When to Seek Medical Attention

Doctor, I would like to ask again, under what circumstances would it be considered serious? Because this situation seems to be something I haven't experienced before. Could it be a prostate issue? However, I do not have frequent urination or pain during urination.

Dr. Wu Jiyu reply Internal Medicine
Given your age, it is unlikely to be a prostate issue. It is recommended to consult a urologist to evaluate your condition in order to identify the cause. Changhua Hospital cares about you.

Understanding Post-Void Dribbling: Is It the Same as Incontinence?

I didn't used to have this issue, but recently after urinating, sometimes a few drops still come out after I put my pants on, even though I thought I was completely finished. Is dribbling and urinary incontinence the same problem?

Dr. Xu Weikai reply Urology
Hello, it can be said that it is autonomic nervous system dysregulation. It is recommended to exercise more, especially regular exercise, as it can help improve the condition. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answer...

Understanding Post-Void Dribbling: Causes and Solutions

Hello Dr. Lee, I would like to consult you on a few issues. I am 35 years old and I usually drink very little water. I engage in self-pleasure every two to three days. The problem is that for almost two months now, after I finish using the restroom, I have noticed that although ...

Dr. Li Minghui reply Urology
This condition is referred to as "post-void dribbling." The exact cause is not very clear at this time, but there are two possible explanations: one is insufficient muscle function surrounding the base of the penis and the urethra, which prevents the complete expulsion ...

Understanding Urinary Pain and Post-Void Dribbling: Causes and Remedies

I don't know why, but when I woke up today, I felt a sharp pain near the glans when moving, which I haven't experienced before. Additionally, I tend to have post-urination dribbling. Can this heal naturally, or do you have any recommended medications?

Dr. Du Shixi reply Urology
Hello: This platform cannot recommend medications. Please drink plenty of water, and if the urinary pain persists, seek medical attention. Dribbling urine is unrelated to this and is common in most individuals. Wishing you good health.