From the Research
The recommended treatment for postvoid dribbling is pelvic floor exercises, as they have been shown to be effective in reducing urine leakage and improving quality of life, with a study published in 2023 finding that 94.20% of patients regained continence after 3 months of regular Kegel exercises 1.
Treatment Options
- Pelvic floor exercises (Kegel exercises) involve contracting the pelvic floor muscles for 5-10 seconds, then relaxing for an equal period, repeated 10-15 times, three times daily
- Double voiding—urinating, waiting a moment, then trying again—can help empty the bladder more completely
- Lifestyle modifications such as avoiding caffeine and alcohol, maintaining proper hydration, and scheduling regular bathroom breaks may reduce symptoms
Rationale
Postvoid dribbling occurs because urine remains in the urethra after voiding due to weakened pelvic floor muscles or enlarged prostate in men, and pelvic floor exercises help address the underlying mechanical issues without requiring medication in most cases 2, 3.
Additional Considerations
Other studies have found that superimposed mechanical stimulation with Kegel exercises can significantly reduce urinary leakage in women with stress urinary incontinence 4, and that abdominal and hip adductor exercises can be effective adjuncts to Kegel exercises in recruiting the pelvic floor muscles 5. However, the most recent and highest quality study suggests that pelvic floor exercises alone are an effective treatment for postvoid dribbling 1.