Post Micturition Dribble
Conditions
Brief summary
The goal of this clinical trial is to evaluate the effect of pelvic floor muscle exercises on primary post-micturition dribbling (PMD) in male patients aged 18 to 40 years. The main questions it aims to answer are: 1. Does pelvic floor muscle training reduce the severity and frequency of PMD as measured by the Hallym Post-Micturition Dribble Questionnaire (HPMDQ)? 2. Does pelvic floor muscle training reduce the amount of post-void residual urine as measured by a post-voiding pad test? Researchers will compare patients undergoing pelvic floor muscle training (Group A) with those performing non-targeted exercises (Group B) to see if targeted pelvic floor training is more effective in managing PMD symptoms and reducing urine leakage. Participants will: * Undergo random assignment to either pelvic floor muscle training or non-targeted exercise for 12 weeks * Complete baseline and follow-up assessments including: * Medical history and physical exam * Urine analysis and post-void residual measurement * International Prostate Symptom Score (IPSS) * Post-voiding pad test * Hallym Post-Micturition Dribble Questionnaire (HPMDQ)
Interventions
BEHAVIORALTargeted pelvic floor muscle training
The following techniques could be used: 1. Contraction of the anal sphincter muscle with relaxation of the abdominal wall muscles. 2. Contraction of the BS muscles i.e. tightening of the perineum. This helps restoring the function of this muscle. The patient might assume Crook lying position which enables the patient to visualize the "penile dip" or the "scrotal lift" This is the surest sign that the patient is actually contracting the proper muscle.
BEHAVIORALNon targeted pelvic floor muscle training
The participants will be given instruction for pelvic floor muscle training to be performed independent from the investigator
Sponsors
Mansoura University
urology and nephrology center mansoura university
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
MALE
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Primary post micturition dribbling
Exclusion criteria
* Patients with secondary post micturition dribbling (BPH, urethral stricture, urethral diverticulum). * Patients with urethral or penile malformations, neurological or chronic major systemic disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| change in total The Hallym Post-Micturition Dribble Questionnaire score between the two groups at twelve weeks from baseline | twelve weeks |
Secondary
| Measure | Time frame |
|---|---|
| differences in each individual The Hallym Post-Micturition Dribble Questionnaire score question | 12 weeks |
| Changes in Post Micturition Dribble volume between the two groups | 12 weeks |
Countries
Egypt
Contacts
CONTACTRawdy Talaat Ashour, MSc in Urology
Outcome results
None listed