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About Arthur Goldstein, M.D.
Expertise
Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.
Experience
I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.
Organizations
American Medical Association, American Urological Association, American College of Surgeons
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You are here: Experts > Health/Fitness > Urology > Urology > Urine Leckage
Expert: Arthur Goldstein, M.D.
Date: 10/4/2008
Subject: Urine Leckage
Question
Hi I am 33 year old Male...For about 8 years I have had small about of Urine Leak out an hour or so after I use the restroom...I can take a shower and smell 2 hours latter...this is gross. I saw a Urologist and he said that Urine gets stuck in the toob from my bladder to my penis and that there is nothing that can be dune. Is this true? or are there any procedures that I could have to fix this problem. Can you Help me Please?
Answer
Andy, post voiding dribbling is a very common problem. It is due to trapping of some urine in the urethra which then leaks out after one has finished urinating. Minor leakage is common in most men. It is usually due to an obstruction such as from a swollen prostate, a narrowing of the urethra (stricture) or a narrowing at the penile opening (meatus). The most common causes are from a swollen prostate (either an inflammation, so called prostatitis or a benign enlargement of the prostate - BPH). In my experience, another frequent cause is in those men who remove their penis through the unzippered fly, void and then put the penis back. Often, the space is not adequate for total free flow as the lower (bottom) edge of the fly can actually push on the urethra causing urine to be trapped. This phenomenon can be totally avoided by dropping your trousers and then urinating in the standing or sitting position. Try the latter and if you are cured, no further evaluation is necessary. If the dribbling persists but is mild, get in the habit of "stripping" or milking the urethra from just behind the scrotum forward a couple times after voiding and then pat dry. If the problem persists or is more severe, you need to see a different urologist in consultation. In this case, some simple studies need to be done to determine if you have a urethral stricture or prostatitis. By the way, if you are not circumcised, pull your foreskin back before voiding, urinate, then strip the urethra of residual urine, and then pat the foreskin dry before returning it to its normal position. This may help decrease the odor you have been noting. If you are not circumcised and the odor persists, you may eventually need to be circumcised. Good luck!
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