Can we stop and take a moment to give full credit to Dr. Malik who tackles the most awkward and secretive urological issues with such grace, composure and endearing competence?
No. That is what physicians are supposed to do. What we should be doing, and doing more often, is taking a moment to criticize those physicians seem unable or unwilling to tackle urogenital care without awkwardness, or embarrassment. They are out there, and they are a pain in the tuchas.
@@soilmanted Your response ties nicely into my initial question of bedside manner being taught and adopted, or being innate and developed. You were advised to READ "How to Make Friends and Influence People." Was the expectation that you would adopt the entire framework that Carnegie presented ("taught" your "bedside manner?") Or, would you look at the information and adopt it to what you already knew about the subject innately (innate and developed "bedside manner?") Thankfully, you have done the latter. You analyzed the incoming information against what you already knew, or experienced. Some people do not do this, or do it in different ways. Carl Jung mused, "“Until you make the unconscious conscious, it will direct your life and you will call it fate.” We all see the world through fundamentally different lenses and make different judgements based on what we "see" using differing criteria. For Carnegie, that was his "truth." It made sense to him, his cognition, and how he lived his life. Not to you. Not to others. Take a look into Jungian Analytical Psychology. I would not be surprised that you are an Introverted Thinking (Ti) lead based off of your posting and analysis. It may provide answers for you. Or it may not.
Way back when I was 18, I got my first serious job. I was a kid terrified of displeasing the new boss, about ten years older than I. A few days in, we stood at two urinals together. He said with English accent, "no matter how hard you shake it, the last drop always goes into the pants." Truly an icebreaker!
I'm 72 years old and I've been to several urologists in my time, but in the three videos by doctor Malik that I just watched, I learned more about urology than I have in my life. Kudos, doctor, and thank you.
I turn 60 this year and have experienced this often. One simple thing that has really helped. Just stay in the urinal longer. Even when you think you are finished wait for the straggler. They will come!!!
Just give it the "shake and fake" shake it when you're done, put it away, then immediately whoop it out and shake it again. It's a master strategy that works well for me haha
@@EatAPeach72 try the "shake delay fake" a similar tactic I devised in which you hesitate for a brief period of 1-3 seconds before the fake out. Sometimes the dribble is fashionably late
Either this problem is more common than I realize, or the YT algorithm is aware of my restroom habits. Both are equally frightening. Regardless, thanks for a great, informative video, Dr. Malik!
It’s even more deeper than that I dreamt last night about peeing which normally I wake up to wet underwear but didn’t which is crazy that I didn’t only to have wake up wanting to continue sleeping but realized just go pee already so I did. I thought wow I didn’t make a mess and it was a miracle what just happened I’m 50 by the way only to have this pop up hours later on the algorithm which blows my mind more
This is the reason why I never go to urinals and opt to use teh toilet. I have to use a toilet paper to release the capillaric tension for the final drops...
I used to have this problem. Changed my diet for other reasons. Don't drink soda, orange juice or any juice (it has lots of sugar). Reduced my sugar down to like one small sugary snack a day. (Take in less than 50g sugar a day). No fried foods, no donuts, no candy, etc. Lost 30 lbs in a month or so. No more dribble. No more chapped lips or split skin on fingers from the cold. Less skin problems.
i started sitting to pee at night around the late 80s ( i am 77 now). I would sit facing the tank, resting my arms and head on the tank lid to relax while i pee. This is long before troubles with dribbling. Got use to sitting and would always sit at home. The last ten years or more I'vc had the dribbling. Don't have any prostate enlargement. I have tried the massage way to finish the emptying It's difficult however I working on it. I hate this problem and I wear black shorts and underwear when possible to cover up and missed dribble. Anyhow absent any men's dribble issues I prefer to sit when confident the bowl and flow is clean. Sometimes i look at my phone to relax to help voiding. That's my story and i'm sticking to it. Thanks Doc Malik.
For me personally, I found out I just needed to stand at the toilet for just a little bit longer. I grew up always in a rush. Go to the toilet, urinate. Squeeze out what you can, shake and think I was done. One day, a few years ago I finished urinating and did all the things I mentioned earlier only this time I just stood there and relaxed my muscles for maybe 8 seconds. Suddenly I felt urine start to flow again. It was a small amount but enough to obviously make a mess in your underwear lol. Ever since I learned this I do it all the time. Let me know if you have gone through this and if you try this method out let me know how if it works for you.
Dr. Malik, i would like to thank you for giving a solution to my post void dribble ( which I had even when I was younger, and believe me there are lots of young guys who suffer from this condition). I used to think it was a sphincter problem at first, but when i came across this video, i tried the fingertip method behind the scrotum and I have stopped having post void dribble. I am now 52. Thank you again. God bless..
I have had this issue since I was kid and I'm 52 now. None of the doctors have been able to tell my why this has been going on. Nor have they given me any suggestions on how to deal with it because I showed non of the symptoms you mentioned. I have also had a very steady stream my entire life. People have always told me that I, "Piss like a race horse." However, I have always been a bit worried about this. But, other than being a little embarrassing at times. There hasn't been any adverse affects to my overall health. Thank you Dr. Malik for explaining another technique to evacuate the urine that I have left.
I watched this video about a month ago. It was life changing. No more dribble, just press a finger under the scrotum and no post pee dribble. Thank you so much. Please keep up the great work, you are a godsend.
When I was 26 years old I saw a Urologist for this problem. He gave me a sulfur-based medication, by the next day my life changed forever with this medication affecting the bacteria in my small intestine and resulting in Crohn's Disease. That was 23 years ago. CZcams videos and the creators are a great gift to us, thank you.
I think a point that is being missed here in the video is that the urethra is a passive tube similar to a water hose and does not contract like a muscle to expel every drop of urine. If you cut off the source, the bladder or faucet, there is still water or urine in the pipe. In the case of the urethra, it is even worse because when you urinate, there is a natural curve going up the scrotum and down the penis. This is a natural trap for urine to get stuck to work itself out later with movement and especially sitting down in a chair as this presses against the urethra behind the scrotum. Because of this natural curve or trap in the urethra a small drop or two of urine coming out is normal for all ages and can be remedied by pressing the urethra behind your scrotum wirh your hands after urinating. If you have other symptoms on top the dribble or excessive dribble, its best to see a urologist especially if you are a older male. I am not a doctor and had a drop or two of urine come out that i first noticed in my early 20s and this is the information i found with my own research and going to see a urologist in person.
Thank you for the technique here. I didn't think of it before and it really helps. The dribble was extremely annoying. The only issue now is when going through clothes and access is a little trickier, but I found applying pressure through the clothes to the area also works sometimes. I do agree with what others have said, I appreciate that you address the "do not talk about" topics that society catagorizes them as, yet they are very important and health progressing.
I have had increasing issues with dribble and wet underwear since about 24 years of age. I had all the symptoms you mentioned including stopping and starting and night emesis. Now i know why nothing seems to help it lol. Im 51. I need a urologist. Thank You 🙂
I had this issue in my early teens, and I believe it was merely due to the growing muscles, plus I have a seizure disorder. Once I turned 18, I no longer had the problem and I am now in my mid-50s.
What a great channel. A lot of men are uncomfortable talking about a lot of these problems but I find it easy to listen and learn from a woman Dr on the subjects. Thanks for helping most of us with your educated advice.
Excellent series...thank you! This one reminds me of the old rhyme "No matter how much you jump, or how much you dance...the last three-drops go down your pants".
For me I noticed it is heavily tied with stress, particularly relational stress. When I am stressed out i notice that my pelvic floor muscles tend to be stiff and dont respond well to stimulations from my brain to release urine. However with Yoga and pelvic floor stretching and relaxation, I have noticed a MASSIVE improvement. I used to get to that last little bit of urine in my bladder and i could feel it just not wanting to come out no matter how much i relaxed and some of it would come out when I sat down. Now it feels SOOO NICE for the little bit to come out and feel satisfied my bladder is completely empty. When I do that final little pinch the last little bit squirts out. Interestingly, I never found out about pelvic floor issues being tied to emotional stress until i did my own research. Even my urologist was like I have no idea what could be causing this.
@@KT-ed8hj look up stretches and yoga for erectile function. Our muscles down there really need to be stretched and relaxed cause they support your body wirgjt
From what I understand its actually not a prostate issue until it is a prostate issue. In other words, the muscles down there that aid in urination and ejaculation all become extremely tight or weak and tight. They are directly connected to our diaphragm and the stress on our gut ties into it.
Thank you so much. I have noticed that energy drinks exacerbate this issue, and sudden intense urges to urinate, which you have addressed separately. Your genuine empathy, while giving what I consider critical information, is wonderful. You bring what I need to hear alive, so-to-speak. As a man in my 60s, I am in a club where we are all undeniably older now. We see the world we left, every day, always. It is hard sometimes. How we manage our health, both mental and physical, determines how we can give back. Bless you, my dear
i was drinking 3 - 4 energy drinks a day, i have been thinking that it could cause the issue, however no data shows me that energy drinks cause it. i just quit energy drinks 5 days ago.
There can be a few reasons for this. But for the average person, once your muscle to your bladder closes, you still have urine in your urethra. In order to get most of this out, you don't just shake. Although you may get most of what is near the distal end of your urethra out, you are still missing what is more proximal. What you can do is give a little pressure upwards under your perineum. This will help move urine that is still stuck close to the bladder muscle further down the urethra. Then you start at the shaft and gentle 'milk' the urine out. Then give it one final shake. Other reasons maybe a very tight sphincter muscle(s) that don't allow the bladder to drain. You may also have an enlarged prostate that sits right under the bladder. As we age, ALL men's prostates enlarge. There are medications you can take to help with this. The most common one used is called 'Flomax.' Also, it is more difficult to empty the bladder after sex. When a male/man gets an erection, it helps prevent semen from entering the bladder. It basically holds the muscle of the bladder shut. Other men may have over active bladders. There are treatments for this with Botox being one of the more common. Using certain medication like narcotics can prevent the muscles from relaxing as well. You should avoid anal sex as it is not natural and you can not only get a severe UTI, STD's, but also cause severe anus and rectal issues. We have seen a lot of people who engage in this behavior in the OR. The rectum is a waste management system. Intended to get rid of waste. I cannot tell you how many tears we have fixed and resections from people sticking things up there that don't belong. In addition, you can cause potential cancer cells that might be in the bladder and/or prostate to spread by putting pressure on it from sticking things in the rectum. You can also damage your sphincter muscles as well.
Hello I have a question. Is it bad if I’m sticking something up my anus to help me pee? I found out that by inserting a stick up there it makes me want to poop and when I poop it allows me to pee. Thank you
The main cause of post void dribbling is the retention of urine in the urethra. The urethra is a passive tube, it does not have muscles to propel the urine out. It is analogous to a garden hose, you can close the tap (sphincter) but when you pick up the hose the water drips out. It is almost never related to a stricture and any urine in the prostatic urethra would not be cleared by milking of the urethra or Kegel exercises. It is not exclusive to old men, and happens to younger men and even women and children occasionally. And yes I am a urologist.
I have felt that in some cases there is a neurological component. Perhaps the autonomic system can influence the neurology in such a way as to affect voiding. Consider that essential hypertension can be caused by neurologic bias at ganglia proximal to the kidneys. Often times stress hormones exacerbate this condition. Maybe that same autonomic process - related to stress hormones - can effect voiding in the same way?
I just turned 43, and this started for me within the last year or two. I’m so happy I stumbled upon this video. Thank you so very much for your advice!
Great video Doctor Malik. Can't speak for others, but for me it seems particularly prevalent when I'm super bloated - IBS like feeling, or ascities symptoms. Basically, it inhibits my ability to push the residual urine out... Just super frustrating having to park at a urinal (especially if it's public), and swing it out for a few minutes. Who wants that sort of weird attention.
I had the condition in my early 30's. It turned out to be severe candida albicans overgrowth and cleared up with taking powdered nystatin mixed in water 4x daily for a month, in increasing (small doses). Likely caused by long-term use of Tetracycline (antibiotic) to treat acne which was commonly prescribed to teenagers in the mid 60's to mid-70's. It killed off all the good intestinal flora, let candida grow unabated and had to be eradicated in the gut and urinary tract with an antifungal treatment (nystatin). I also took a good course of probiotics. I'm 66 now, and there has been no recurrence.
Hey how did you find out if was a severe Candida albicans overgrowth? I had a yeast infection balanitis but it went away but still suffering from this post void. I am in my early 30S as well. Would you be kind enough to share more info about this?
@@edrodriguez4540 Please see my reply to UnlimitedOX. The complete workup by Dr. Wright included urine, stool and blood samples where they either found and cultured candida directly or found candida's markers. There may also have been some scrapings of the tongue where candida presents as thrush, or of the sinuses. There was another factor with me, concerning insufficient stomach acid, called hypochlorhydria for which Dr. Wright prescribed HCl with pepsin capsules taken with meals to better pre-digest food in the stomach. People with low HCl have something called intrinsic factor that impairs the ability to metabolize B12. Apparently an acid poor gut contributes to candida overgrowth. In the years since, I have not used Nystatin again. Though I have had candida flareups as often as I take broad spectrum antibiotics for an infection. The moment I've finished the antibiotics, I purchase a good anti-fungal and a probiotic acidophilis to take for a month. Cranberry juice helps too. For an anti-fungal, I've had good success with Enzymedica Candidase. I'm not choosy about the probiotic acidophilis. Presently I'm using one I get from Costco (like Sam's Club) by TruNature and I take one every morning which has virtually eliminated my GERD. God bless!
@@Unlimited0X My original reply was removed; I believe I understand why. The Nystatin treatment I was prescribed was probably off book and not safe. Turns out Nystatin comes in a powdered form for external use, and in pill or liquid form for internal use. My memory above is not faulty in the matter; I was instructed to mix nystatin powder in water and drink it 4x daily in increasing dosages for a month. But that was in 1986. Either it was a food grade / oral type of Nystatin I can no longer find, or the doctor had me take an external one internally while supervising me closely. Suffice to say it was not a pleasant experience between the nasty taste and the candida die-off. I looked at the doctor's web site and they no longer list nystatin on their treatment or pharmacy pages. Instead they sell OTC antifungal capsules. There are forms of Nystatin intended for oral/internal use in pill and liquid form. They require a prescription. Reviews say the pills are the nastiest tasting thing on God's earth as the pills are to be held in the mouth as long as it can be tolerated before swallowing. Search for "nystatin oral". I use Enzymedica Candidase for occasional candida flare ups. It seems to work as well as Nystatin did for me. God bless!
@ilblues Τhis is the answer,this is the key.I believe it. The classical medicine and "mainstream" knowledge have no idea about fungi... Thank you for sharing, God bless you.
Had this unpleasant problem for a while. I tried the push from behind the scrotum manoeuvre and I was amazed how well it works every time and also how much is expelled which it cannot be that healthy to leave there. Completely did the trick for me. Many thanks.
I’ve struggled with this issue and other RELATED issues, up to and including bed wetting, well into puberty. I’m sure this condition has affected my life in a few ways, primarily causing actual emotional and social difficulties throughout my entire life. I have selected jobs solely on the ability to have access to a bathroom so that embarrassment is hopefully reduced to manageable situations. Now in retirement I can control my environment in these situations. There are some helpful tips in this video. Thanks for sharing, already 1 tip has helped me …
Thank you CZcams and Dr. Malik - I never thought this topic could see a day of light where it is elaborated so well, especially when we know that this affects all the men of the world. "No matter how much you shake it, those last two drops still won't make it" - Probably someone somewhere.
I’m 81 and everything you mentioned here I’ve got. But the “real joy” comes with the use of a catheter. I’m glad I found your channel. Maybe you have, or will, talk about catheters. That seems to be the end point after the pills, the stinging nettle roots and the laser surgery have had their day. “Sorry sir, there’s nothing else we can do, unless of course, you want us to take out your prostate. But that has its own problems.” I, myself, haven’t quite reached this point yet, but each day is an interesting struggle and the box of catheters sits in my bedroom waiting….waiting. But that’s better than a desperate 911 call. I’m trying to be philosophical about this BPH thing. It’s better than cancer any day. .
Hey this only happens to me when I am at public bathroom. I feel like some one is waiting there or watching me, I stop the urin quick, and when is time to zip up more urin continuous to drip. It not a condition, just pure shyness. The fear of some one rushes me to leave the bathroom early than I want to. You can nick name it premature finish urinating.
This has been a more recent thing for me and was wondering why, apart from age factor, mid 60's. I have an enlarged prostate and on the waiting list. So thank you for a clear explanation.
Yep, I turned 50 y.o. this year, and this happens about once a week. I wasn't aware this was a thing, thought I was just rushing to get finished. Upon putting it way, suddenly one last squirt hits my pant leg; for crap-sake! But now I know and can deal with it better. Thanks, Dr. Malik! 👍
59.6 and began at 32 years old, urologist never explained it as clearly as you and as a mechanical engineer, I appreciate it. It has worsened since developing hemorrhoids, hot seat on motorcycle apparently partially caused them, anti-inflammatory gel helps a lot and noticed reduced dribble when no flare up.
I always thought that was just me! I usually go out and walk my dog but i always try to avoid going for a wee before as i dont want to leak through my trousers before i go outside. Naturally when im midwalk i become painfull neededin the toilet which sucks so its nice to hear more about it from this bright young lady!
Heard this one when I was a wee one: You can shake it, you can pull it, you can beat it against the wall. Put it in your pants, and the last drop will always fall.
I was going to post something very similar. I heard the late comedian Jay Anthony Brown say, "You can shake it, you can squeeze it, and you can dance. But the last drop always ends up in your pants." ;)
I've had a bit of this problem for decades, since an inguinal hernia operation, which seems to have somewhat damaged the outer prostate valve or its nerve. But pressing on the prostate and a good shake is usually enough to keep it from being a real problem.
I cant express how helpful this presentation was for me.I have been treating with a local urologist for about four years but haven’t had improvement with reducing my 5-6 times night time peeing routine. In addition, I do occasionally have the dribble and splayed stream issues. I’m only 71 years old. You have been great explaining in easily understandable terms. Thanks a lot!
Dr. Malik, thank you for informative content. I just had the HoLEB procedure a month ago which has solved many of my problems. The one piece of advice you gave in this video that I can't stress enough is if you have urinary tract problems get a Urologist. If I had it to do over I wish I had seen the Urologist years ago.
Good day you Dr. Malik I’ve been watching your videos for a few months now & I am so inspired by you to take better care of myself. Thank you for your knowledge & professionalism. I am a 58 year old male & feel great since I’ve returned & changed the way to exercise at this age. Today I have subscribed to your channel & look forward to learning more about my body, especially at this age now. Thank you again Dr. Malik, & God bless you.
Haven't watched the video yet but I find that sitting helps, especially if you lean forward at the end of the stream. I got used to sitting as I lived in a an all female household and I find the above described method works.
@@gsesquire3441 sitting urinating keeps the urine splashes to a minimum ... Im not sure how often you clean your toilet a week, but if you stand pissing in a bowl you should at least clean it daily ... or have a urinal installed ... But standing in shared urinal is just gross for whoever comes after you ...
That's why I stand for quite some time shaking and yes, I use toilet paper. it helps absorb whatever is left inside so it doesn't end up showing through my pants.
Pelvic floor tension may be a reason for exercises to relax those muscles, but this tension of course has a cause. That should be addressed too imo. Sitting behind a desk in one and the same (tense) position (office work, gaming), supporting all your weight on the same spot in the lower back (where your bladder nerves are) may not be very helpful for a good pelvic floor and bladder condition. So prevention may deserve some attention too. Changing these these habits may save you visits to your medical doctor. More in general posture is a thing in this.
Thank you Doctor Malik for covering a subject I never thought I'd never see. In my case, every time I used a urinal, I had the dribble as soon as I put it back in and it relaxed. It didn't matter how long I stood there and shook it. Could it be the angle of attack when peeing? Could it be closing off the urinary tract as you lift it to pee in a urinal? No matter how long you try and shake it, it is always being closed off. If I had to pee in a bottle and it was relaxed, I didn't have the dribble after. Thanks again for bringing up the subject.
Dr. Malik ive learned more about my prostatic health in these few months of watching ur videos than the 20 years of visits to my uro here in Chicago, thank you. Im 65 and ive been having issues with my prostate since i was 32! Ive had prostate cancer for 4 years now. And im about to have 2nd green lite therapy procedure. Not looking forward to that one again, but its necassary. Hopefully this one will last a little longer than 3yrs like the previous one did. For you guys who are on alfazosin, if you discontinue use, ur ejaculate will return. Anyway, thanx, and stay safe!
sorry to hear that i have prostrate caner since 2017 i was told it was very small have to have a biopsy every 12 months and psa bloods every six months i live in ireland europe im 57 yers old
@@corkion Hi Con. You must have very low grade prostate cancer if they're happy to monitor you. Rest assured you're in good hands once you're in the system. I live in Dublin and finished treatment for prostate cancer in 2017. I was caught early and thankfully I'm doing great. I have PSA blood tests every 6 months. I cannot speak highly enough of the medical staff and the way they've looked after me. My best wishes to you.
@@bahoonies hi damien thnk you for the kind words ya they told my it was a gleason 6 score good to hear you are doing well im living in cork so being looked after here
@@corkionGleason 6 is very good news. I was Gleason 7 (3+4) so watching and waiting wasn't an option. I hope you never go beyond Gleason 6 but if you do need treatment in the future, you'll be fine.
Thank you for this video. I am turning 60 this year and I do not have any of the other symptoms mentioned in the video. I only have the issue of dribble after I thought I was done peeing. I'm going to try the massage technique recommended here and see if that takes care of the issue. Thanks again and Happy New Year!
Such helpful info that we learn so infrequently. Anyway, proof that men were designed at 4:30pm on a Friday before a long weekend - the prostate and the appendix.
When I was in my late thirties and in my forties, I was told my prostate is quite small but I might have problems with retention - that was the term. I was taught the exercises you mention, and I still do them, but a bit differently. I was taught to squeeze and relax about 10 times in succession - short duration. That has worked great for me, especially since I drink lots of water day and night. I am now 79.
Turning 70 in July...so I'm getting older. Also, I had external low radiation and internal (Brachy) high radiation treatments for Prostate cancer one year ago. I beat the cancer but now have a bit of a dribble and am using shields which, only recently, has been happening. I will put your info to use. Thank you.
Hey Mike that's my fathers name. Its age friend just shake and fake. Shake it, put it away, then whip it out again and shake the drips off. Shake and fake 👍
I had this problem and thanks to your video I discovered a way to avoid dribble. After I'm done I relax my prostate and let the rest of the urine slowly drain first. I also take Tamsulosin 0.4 mg at bedtime. The only side affect is dizziness because it lowers my blood pressure.
I sit now when I can. At 63 I've learned to deal with it. My doc never mentions anything but the latest prostrate test results. This was a nice presentation. Thanks Doc..
I've had trouble urinating and felt like I was sitting on a golf ball for about 7 years. Read somewhere that pumpkin seeds might help. I started buying pepitas (which are just shelled pumpkin seeds) and after about 2 weeks it was night and day difference for me. No more pain from urinating, testicles didn't feel like they were being crushed in a vice, I don't lay down to go to sleep and have to immediately get back up to release a thimble worth of urine. I eat a handful of pepitas each day and haven't had any problems for about a year now. Just something that might be worth trying if you're suffering.
I started taking a collagen peptide powder (20 grams per day, dissolved in water) and after about 90 days, my dribbling problems improved by 95% and have not come back. This has been such an improvement in the quality of my life that I cannot put it into words. I wish some serious scientific research could be done on the effects of collagen on the bladder and urethra.
@@christianpetti1114 The product is Vital Proteins Collagen Peptides Unflavored. I've found the best prices on eBay, My theory is it helped me by repairing the scar tissue in my urethra caused by two prostate surgeries. If you don't have any scar tissue, I don't know if it will help you.
@@christianpetti1114 If you haven't had prostate surgery, you might end up having a TURP. If you do and I was your doctor, I would strongly recommend you take the collagen as soon as you get home from the hospital.
Was in a 5 star hotel in China - there was what looked like a hairdryer installed on the wall in the men's room - I mentioned this to my Chinese associate - he put me right - it was a pants dier for this dribble problem. So civilised the Chinese.
I also generally find a gravity assist helps. Hydration and going when you have a full bladder rather than at the tiniest urge to pee, and generally relaxing and taking your time when you do helps quite a bit. Obviously don't hold your urine for long periods of time, I'm talking about going and drinking some water and waiting ten minutes instead of going to the toilet straight away. Also Dr Malik is 100% right, having strength in your pelvic floor muscles helps a great deal. I have control over that valve in the bladder and can start or stop a stream at will. Don't be afraid to treat your pelvic muscles like any other muscle group, take care of them. Be familiar with your body. Massage the area if it's tense or sore and do exercises to improve control of those muscles, they are yours after all no sense in opting not to use them if you can.
Thank you. Where I live doctors don't feel that they have to explain anything. They are "sensei" and patients are obedient. Even just understanding what could be going on helps.
So far, the only symptom I've been experiencing is hesitancy, but I've had that problem for quite a while. For me, it's simply a matter of relaxing the involved muscles to prevent dribble afterward.
When I was about 15, my first job, I was having a leak at the urinal next to the personnel manager. He said those exact words to me. Never forgot it, still say it. Even though at 15, never had that problem then. I’m 75 now, and it rings true.
I do this ... I had a girlfriend that saw me do this... I explained it started when my diabetes was out of control... now my sugar is good ...but its just a habit now.
I think stress often causes this to happen. As you mention in the sit or stand to pee video. Wow I didn't realise there are two sphincters. You're videos are great. I can wait for ages for a little more to come out but it doesn't until I put things away when I relax!
I started sitting down on a toilet to urinate in my '30s. It is more relaxed, and easier to completely empty out all the plumbing than standing up. This was suggested by a woman who knew a lot about men. Public urinals can be very stressful.
Known as “the wet penny in the pocket.” Or the men’s room graffiti that goes: “No matter how much you shake, no matter how much you dance, the last two drops end up on your pants.”
You do such a great job providing so much education on so many issues and items. Thank you for sharing great health information (particularly men's health) in such a professional manner.
I think you nailed the question that I ended up not having to ask. Then you narrowed down the precise issue as it pertains to me. Thank you. Thank you. Thank you!
I have scar tissue in my utetha from a STD I had decades ago. Been dealing with dribble since. Also, I'm in my mid 50s so yeah... Prostate seems to be getting larger.
Can we stop and take a moment to give full credit to Dr. Malik who tackles the most awkward and secretive urological issues with such grace, composure and endearing competence?
No. That is what physicians are supposed to do. What we should be doing, and doing more often, is taking a moment to criticize those physicians seem unable or unwilling to tackle urogenital care without awkwardness, or embarrassment. They are out there, and they are a pain in the tuchas.
@@soilmanted Is bedside manner something that can be taught? Or is it innate talent that is just honed?
@@soilmanted Your response ties nicely into my initial question of bedside manner being taught and adopted, or being innate and developed.
You were advised to READ "How to Make Friends and Influence People." Was the expectation that you would adopt the entire framework that Carnegie presented ("taught" your "bedside manner?") Or, would you look at the information and adopt it to what you already knew about the subject innately (innate and developed "bedside manner?")
Thankfully, you have done the latter. You analyzed the incoming information against what you already knew, or experienced. Some people do not do this, or do it in different ways. Carl Jung mused, "“Until you make the unconscious conscious, it will direct your life and you will call it fate.” We all see the world through fundamentally different lenses and make different judgements based on what we "see" using differing criteria.
For Carnegie, that was his "truth." It made sense to him, his cognition, and how he lived his life. Not to you. Not to others. Take a look into Jungian Analytical Psychology. I would not be surprised that you are an Introverted Thinking (Ti) lead based off of your posting and analysis. It may provide answers for you. Or it may not.
I'm more impressed that she can use terminology like both "bulbocavernosus" and "pee tube" in the same presentation.
No I won't take a moment because you asked me to.
You sound like a patronising school captain....
Way back when I was 18, I got my first serious job. I was a kid terrified of displeasing the new boss, about ten years older than I. A few days in, we stood at two urinals together. He said with English accent, "no matter how hard you shake it, the last drop always goes into the pants." Truly an icebreaker!
The same happened to me when I was young... until I found out that if you rinse the head of your penis it takes the last dribble away
@@chapo335rinse? What…what are you rinsing with?
@stevendorries Pressure washer
The correct saying is " No matter how much you shake your peg, the last few drops run down your leg" 😅
@@stevendorries water or hand wash then water to make it smell nice
I'm 72 years old and I've been to several urologists in my time, but in the three videos by doctor Malik that I just watched, I learned more about urology than I have in my life. Kudos, doctor, and thank you.
I turn 60 this year and have experienced this often. One simple thing that has really helped. Just stay in the urinal longer. Even when you think you are finished wait for the straggler. They will come!!!
Just give it the "shake and fake" shake it when you're done, put it away, then immediately whoop it out and shake it again. It's a master strategy that works well for me haha
Doesnt work and I cant wear light colored pants as a result , lol
@@EatAPeach72 try the "shake delay fake" a similar tactic I devised in which you hesitate for a brief period of 1-3 seconds before the fake out. Sometimes the dribble is fashionably late
Y’all be tripping … you have to shake, fake, spin, shake again, and finally … oh crap someone is calling me, brb
Thanks Alex may I ask are you or other posters circumcised? Because I'm not so I thought this was my problem, I blamed my parents for it.
Soo there’s really nothing that can be done that you’re not already trying to do IMO😜
Either this problem is more common than I realize, or the YT algorithm is aware of my restroom habits. Both are equally frightening.
Regardless, thanks for a great, informative video, Dr. Malik!
👏🏾👏🏾👏🏾👏🏾👏🏾 felt the exact same way brother!!
This comment was the best thing about this video
Same here
It’s even more deeper than that I dreamt last night about peeing which normally I wake up to wet underwear but didn’t which is crazy that I didn’t only to have wake up wanting to continue sleeping but realized just go pee already so I did. I thought wow I didn’t make a mess and it was a miracle what just happened I’m 50 by the way only to have this pop up hours later on the algorithm which blows my mind more
This is the reason why I never go to urinals and opt to use teh toilet. I have to use a toilet paper to release the capillaric tension for the final drops...
I used to have this problem. Changed my diet for other reasons. Don't drink soda, orange juice or any juice (it has lots of sugar). Reduced my sugar down to like one small sugary snack a day. (Take in less than 50g sugar a day). No fried foods, no donuts, no candy, etc. Lost 30 lbs in a month or so. No more dribble. No more chapped lips or split skin on fingers from the cold. Less skin problems.
The fucking suggar is a real problem!
Dr. Berg has all the answers!
@@japlunkett6789 he really doesn’t. If you eat the amount of protein he advises you’ll wind up very sick. 24-35 grams a day is nowhere near enough.
@@Invictus13666 I like the way you think!
The chapped lips/split skin is generally from not enough water. Many people reduce water intake in winter due to the cold.
i started sitting to pee at night around the late 80s ( i am 77 now). I would sit facing the tank, resting my arms and head on the tank lid to relax while i pee. This is long before troubles with dribbling. Got use to sitting and would always sit at home. The last ten years or more I'vc had the dribbling. Don't have any prostate enlargement. I have tried the massage way to finish the emptying It's difficult however I working on it. I hate this problem and I wear black shorts and underwear when possible to cover up and missed dribble. Anyhow absent any men's dribble issues I prefer to sit when confident the bowl and flow is clean. Sometimes i look at my phone to relax to help voiding. That's my story and i'm sticking to it. Thanks Doc Malik.
For me personally, I found out I just needed to stand at the toilet for just a little bit longer. I grew up always in a rush. Go to the toilet, urinate. Squeeze out what you can, shake and think I was done. One day, a few years ago I finished urinating and did all the things I mentioned earlier only this time I just stood there and relaxed my muscles for maybe 8 seconds. Suddenly I felt urine start to flow again. It was a small amount but enough to obviously make a mess in your underwear lol. Ever since I learned this I do it all the time. Let me know if you have gone through this and if you try this method out let me know how if it works for you.
Yep, works for me too. I am 76 and it's all I have to do.
Doesn't work at a urinal, but squeezing out the hidden stash with toilet paper works too.
Right.
Sometime massage your ball smoothly . And it will helps
also the shutting off of the bladder door by anal flexing which runs the whole penal muscle system squirting out the last of it.
I love Rena she's so comfortable talking about uncomfortable situations.
Dr. Malik, i would like to thank you for giving a solution to my post void dribble ( which I had even when I was younger, and believe me there are lots of young guys who suffer from this condition). I used to think it was a sphincter problem at first, but when i came across this video, i tried the fingertip method behind the scrotum and I have stopped having post void dribble. I am now 52. Thank you again. God bless..
I have had this issue since I was kid and I'm 52 now. None of the doctors have been able to tell my why this has been going on. Nor have they given me any suggestions on how to deal with it because I showed non of the symptoms you mentioned. I have also had a very steady stream my entire life. People have always told me that I, "Piss like a race horse." However, I have always been a bit worried about this. But, other than being a little embarrassing at times. There hasn't been any adverse affects to my overall health. Thank you Dr. Malik for explaining another technique to evacuate the urine that I have left.
I watched this video about a month ago. It was life changing. No more dribble, just press a finger under the scrotum and no post pee dribble. Thank you so much. Please keep up the great work, you are a godsend.
I discovered this on my own, ha!
@@dsego84 HAHA. I had to have a girl tell me about it. :)
I found this out on my own🤣it helps😊
Scrotum
When I was 26 years old I saw a Urologist for this problem. He gave me a sulfur-based medication, by the next day my life changed forever with this medication affecting the bacteria in my small intestine and resulting in Crohn's Disease. That was 23 years ago. CZcams videos and the creators are a great gift to us, thank you.
The medication gave you chrohns' disease?
sheesh
I think a point that is being missed here in the video is that the urethra is a passive tube similar to a water hose and does not contract like a muscle to expel every drop of urine. If you cut off the source, the bladder or faucet, there is still water or urine in the pipe. In the case of the urethra, it is even worse because when you urinate, there is a natural curve going up the scrotum and down the penis. This is a natural trap for urine to get stuck to work itself out later with movement and especially sitting down in a chair as this presses against the urethra behind the scrotum. Because of this natural curve or trap in the urethra a small drop or two of urine coming out is normal for all ages and can be remedied by pressing the urethra behind your scrotum wirh your hands after urinating. If you have other symptoms on top the dribble or excessive dribble, its best to see a urologist especially if you are a older male. I am not a doctor and had a drop or two of urine come out that i first noticed in my early 20s and this is the information i found with my own research and going to see a urologist in person.
Thank you for the technique here. I didn't think of it before and it really helps. The dribble was extremely annoying. The only issue now is when going through clothes and access is a little trickier, but I found applying pressure through the clothes to the area also works sometimes.
I do agree with what others have said, I appreciate that you address the "do not talk about" topics that society catagorizes them as, yet they are very important and health progressing.
Thank you Dr Malik for tackling issues that don't get discussed on a regular basis!
You're literally answering every question I ever had in all your videos. Wonderful! Thank you
I have had increasing issues with dribble and wet underwear since about 24 years of age. I had all the symptoms you mentioned including stopping and starting and night emesis. Now i know why nothing seems to help it lol. Im 51. I need a urologist. Thank You 🙂
I had this issue in my early teens, and I believe it was merely due to the growing muscles, plus I have a seizure disorder. Once I turned 18, I no longer had the problem and I am now in my mid-50s.
I like the fact that your interested in men. I think you are positive towards men. I find this refreshing and I wish you well 👍👍👍
What a great channel. A lot of men are uncomfortable talking about a lot of these problems but I find it easy to listen and learn from a woman Dr on the subjects. Thanks for helping most of us with your educated advice.
Thank you Dr Malay, the instructions at 4:32 worked for me. No more embarrassing situations!!
Excellent series...thank you! This one reminds me of the old rhyme "No matter how much you jump, or how much you dance...the last three-drops go down your pants".
For me I noticed it is heavily tied with stress, particularly relational stress. When I am stressed out i notice that my pelvic floor muscles tend to be stiff and dont respond well to stimulations from my brain to release urine. However with Yoga and pelvic floor stretching and relaxation, I have noticed a MASSIVE improvement. I used to get to that last little bit of urine in my bladder and i could feel it just not wanting to come out no matter how much i relaxed and some of it would come out when I sat down. Now it feels SOOO NICE for the little bit to come out and feel satisfied my bladder is completely empty. When I do that final little pinch the last little bit squirts out. Interestingly, I never found out about pelvic floor issues being tied to emotional stress until i did my own research. Even my urologist was like I have no idea what could be causing this.
What exercises help the most? I keep hearing therapy works but doing kegels doesnt really do anything for me
@@KT-ed8hj look up stretches and yoga for erectile function. Our muscles down there really need to be stretched and relaxed cause they support your body wirgjt
I think you are right about stress. Since I took early retirement, I notice the problem much less than when I was working.
I think there's a connection between all sorts of prostate issues and stress. I read the book Teach Us to Sit Still and it was really eye opening.
From what I understand its actually not a prostate issue until it is a prostate issue. In other words, the muscles down there that aid in urination and ejaculation all become extremely tight or weak and tight. They are directly connected to our diaphragm and the stress on our gut ties into it.
Thank you so much. I have noticed that energy drinks exacerbate this issue, and sudden intense urges to urinate, which you have addressed separately. Your genuine empathy, while giving what I consider critical information, is wonderful. You bring what I need to hear alive, so-to-speak. As a man in my 60s, I am in a club where we are all undeniably older now. We see the world we left, every day, always. It is hard sometimes. How we manage our health, both mental and physical, determines how we can give back. Bless you, my dear
Makes you insulin resistant too. I stopped drinking them
i was drinking 3 - 4 energy drinks a day, i have been thinking that it could cause the issue, however no data shows me that energy drinks cause it. i just quit energy drinks 5 days ago.
There can be a few reasons for this. But for the average person, once your muscle to your bladder closes, you still have urine in your urethra. In order to get most of this out, you don't just shake. Although you may get most of what is near the distal end of your urethra out, you are still missing what is more proximal. What you can do is give a little pressure upwards under your perineum. This will help move urine that is still stuck close to the bladder muscle further down the urethra. Then you start at the shaft and gentle 'milk' the urine out. Then give it one final shake.
Other reasons maybe a very tight sphincter muscle(s) that don't allow the bladder to drain. You may also have an enlarged prostate that sits right under the bladder. As we age, ALL men's prostates enlarge. There are medications you can take to help with this. The most common one used is called 'Flomax.' Also, it is more difficult to empty the bladder after sex. When a male/man gets an erection, it helps prevent semen from entering the bladder. It basically holds the muscle of the bladder shut. Other men may have over active bladders. There are treatments for this with Botox being one of the more common. Using certain medication like narcotics can prevent the muscles from relaxing as well. You should avoid anal sex as it is not natural and you can not only get a severe UTI, STD's, but also cause severe anus and rectal issues. We have seen a lot of people who engage in this behavior in the OR. The rectum is a waste management system. Intended to get rid of waste. I cannot tell you how many tears we have fixed and resections from people sticking things up there that don't belong. In addition, you can cause potential cancer cells that might be in the bladder and/or prostate to spread by putting pressure on it from sticking things in the rectum. You can also damage your sphincter muscles as well.
Hello I have a question. Is it bad if I’m sticking something up my anus to help me pee? I found out that by inserting a stick up there it makes me want to poop and when I poop it allows me to pee. Thank you
I have a urethral stricture due to trauma. It has been operated on twice but has never gone away... I just live with it...
The main cause of post void dribbling is the retention of urine in the urethra. The urethra is a passive tube, it does not have muscles to propel the urine out. It is analogous to a garden hose, you can close the tap (sphincter) but when you pick up the hose the water drips out. It is almost never related to a stricture and any urine in the prostatic urethra would not be cleared by milking of the urethra or Kegel exercises. It is not exclusive to old men, and happens to younger men and even women and children occasionally. And yes I am a urologist.
Thanks.
I am not a doctor, but was gonna say the same thing.
Dr. Kell ty very much for even more information 🙏🏿
I never had this problem till I had hernia surgery. You illustrated the problem very well. Do you have a suggested remedy?
I have felt that in some cases there is a neurological component. Perhaps the autonomic system can influence the neurology in such a way as to affect voiding.
Consider that essential hypertension can be caused by neurologic bias at ganglia proximal to the kidneys. Often times stress hormones exacerbate this condition. Maybe that same autonomic process - related to stress hormones - can effect voiding in the same way?
@@markhuntermd thank you Doc💯never thought of it that way🙏🏿
I just turned 43, and this started for me within the last year or two.
I’m so happy I stumbled upon this video.
Thank you so very much for your advice!
yeah, I'm 53 having this issue too.
I have the post drip-drip - very annoying. I am 49, guess it started a few years ago.
Happens to me and I just turned 40.
It started when I was 44 now I'm 47
I’ve had it for as long as I can remember.
Great video Doctor Malik. Can't speak for others, but for me it seems particularly prevalent when I'm super bloated - IBS like feeling, or ascities symptoms. Basically, it inhibits my ability to push the residual urine out... Just super frustrating having to park at a urinal (especially if it's public), and swing it out for a few minutes. Who wants that sort of weird attention.
Never searched the subject but Dr. Malik cleared up my concerns with that a bit. Thanks!
I had the condition in my early 30's. It turned out to be severe candida albicans overgrowth and cleared up with taking powdered nystatin mixed in water 4x daily for a month, in increasing (small doses). Likely caused by long-term use of Tetracycline (antibiotic) to treat acne which was commonly prescribed to teenagers in the mid 60's to mid-70's. It killed off all the good intestinal flora, let candida grow unabated and had to be eradicated in the gut and urinary tract with an antifungal treatment (nystatin). I also took a good course of probiotics. I'm 66 now, and there has been no recurrence.
What brand of nystatin and is it safe to consume??
Hey how did you find out if was a severe Candida albicans overgrowth? I had a yeast infection balanitis but it went away but still suffering from this post void. I am in my early 30S as well. Would you be kind enough to share more info about this?
@@edrodriguez4540 Please see my reply to UnlimitedOX. The complete workup by Dr. Wright included urine, stool and blood samples where they either found and cultured candida directly or found candida's markers. There may also have been some scrapings of the tongue where candida presents as thrush, or of the sinuses. There was another factor with me, concerning insufficient stomach acid, called hypochlorhydria for which Dr. Wright prescribed HCl with pepsin capsules taken with meals to better pre-digest food in the stomach. People with low HCl have something called intrinsic factor that impairs the ability to metabolize B12. Apparently an acid poor gut contributes to candida overgrowth.
In the years since, I have not used Nystatin again. Though I have had candida flareups as often as I take broad spectrum antibiotics for an infection. The moment I've finished the antibiotics, I purchase a good anti-fungal and a probiotic acidophilis to take for a month. Cranberry juice helps too. For an anti-fungal, I've had good success with Enzymedica Candidase. I'm not choosy about the probiotic acidophilis. Presently I'm using one I get from Costco (like Sam's Club) by TruNature and I take one every morning which has virtually eliminated my GERD. God bless!
@@Unlimited0X My original reply was removed; I believe I understand why. The Nystatin treatment I was prescribed was probably off book and not safe. Turns out Nystatin comes in a powdered form for external use, and in pill or liquid form for internal use. My memory above is not faulty in the matter; I was instructed to mix nystatin powder in water and drink it 4x daily in increasing dosages for a month. But that was in 1986. Either it was a food grade / oral type of Nystatin I can no longer find, or the doctor had me take an external one internally while supervising me closely. Suffice to say it was not a pleasant experience between the nasty taste and the candida die-off. I looked at the doctor's web site and they no longer list nystatin on their treatment or pharmacy pages. Instead they sell OTC antifungal capsules. There are forms of Nystatin intended for oral/internal use in pill and liquid form. They require a prescription. Reviews say the pills are the nastiest tasting thing on God's earth as the pills are to be held in the mouth as long as it can be tolerated before swallowing. Search for "nystatin oral". I use Enzymedica Candidase for occasional candida flare ups. It seems to work as well as Nystatin did for me. God bless!
@ilblues Τhis is the answer,this is the key.I believe it.
The classical medicine and "mainstream" knowledge have no idea about fungi...
Thank you for sharing, God bless you.
Had this unpleasant problem for a while.
I tried the push from behind the scrotum manoeuvre and I was amazed how well it works every time and also how much is expelled which it cannot be that healthy to leave there. Completely did the trick for me. Many thanks.
Just rinse with water to get rid of the few urine drops and rub hand wash over the penis to make it smell nice then wash the hand wash away
Yes it's a goot tip!
Just push up behind scrotum towards base of penis?
I’ve struggled with this issue and other RELATED issues, up to and including bed wetting, well into puberty. I’m sure this condition has affected my life in a few ways, primarily causing actual emotional and social difficulties throughout my entire life. I have selected jobs solely on the ability to have access to a bathroom so that embarrassment is hopefully reduced to manageable situations. Now in retirement I can control my environment in these situations. There are some helpful tips in this video. Thanks for sharing, already 1 tip has helped me …
Imagine wetting your bed
Imagine being mature
Thank you for sharing your experience. I've struggled with similar problems and it was comforting to know I am not alone.
I had this issue but it is not an issue after I started doing regular exercises like squats and fast walking
Thank you CZcams and Dr. Malik - I never thought this topic could see a day of light where it is elaborated so well, especially when we know that this affects all the men of the world. "No matter how much you shake it, those last two drops still won't make it" - Probably someone somewhere.
No matter how hard you shake the peg, a wee drop always runs down the leg.
I’m 81 and everything you mentioned here I’ve got. But the “real joy” comes with the use of a catheter. I’m glad I found your channel. Maybe you have, or will, talk about catheters. That seems to be the end point after the pills, the stinging nettle roots and the laser surgery have had their day. “Sorry sir, there’s nothing else we can do, unless of course, you want us to take out your prostate. But that has its own problems.” I, myself, haven’t quite reached this point yet, but each day is an interesting struggle and the box of catheters sits in my bedroom waiting….waiting. But that’s better than a desperate 911 call. I’m trying to be philosophical about this BPH thing. It’s better than cancer any day.
.
Have you tried sawtooth palmetto? its a herb.With me it worked perfectly.
Really. I was 33 when it started
@@Dakingsnake Don't know how old you are now... but I was 50 and after 3 weeks of this herb no more problems.
Hey this only happens to me when I am at public bathroom. I feel like some one is waiting there or watching me, I stop the urin quick, and when is time to zip up more urin continuous to drip. It not a condition, just pure shyness. The fear of some one rushes me to leave the bathroom early than I want to. You can nick name it premature finish urinating.
@@martinuso7446 dude that thing you are saying is for prosatitis
Thanks sister rena malik
Been experiencing these issues for years now. But have been too embarrassed to do anything about it until now
This has been a more recent thing for me and was wondering why, apart from age factor, mid 60's. I have an enlarged prostate and on the waiting list. So thank you for a clear explanation.
We're ALL on the waitlist, whether we know it or not! ☹️☹️🤣
Yep, I turned 50 y.o. this year, and this happens about once a week. I wasn't aware this was a thing, thought I was just rushing to get finished. Upon putting it way, suddenly one last squirt hits my pant leg; for crap-sake! But now I know and can deal with it better. Thanks, Dr. Malik! 👍
Shoot this has happened every time I pee all my life.
lol welcome to the club.
Nah your just a dirty guy that is all. Dirty people
@@Animal-Reaction-Clips
Shhhhhhhhh!!! You're weird
@@EatAPeach72 your weird since u like urine and feaces on your clothes
59.6 and began at 32 years old, urologist never explained it as clearly as you and as a mechanical engineer, I appreciate it. It has worsened since developing hemorrhoids, hot seat on motorcycle apparently partially caused them, anti-inflammatory gel helps a lot and noticed reduced dribble when no flare up.
Vitamin c complex. For hemorrhoids. Kale salad 🥗 wouldn't hurt
Thank You. I was able to help a worried friend by sharing this video. You are the best.
I always thought that was just me! I usually go out and walk my dog but i always try to avoid going for a wee before as i dont want to leak through my trousers before i go outside. Naturally when im midwalk i become painfull neededin the toilet which sucks so its nice to hear more about it from this bright young lady!
My Pop told me about this when I was a tadpole. "No matter how much you shake, wiggle, or dance, the last few drops go in your pants".
Nae how much ye shake yer peg, the last wee drops goo doon yer leg!
I never had this problem until I hit 53 years old.
@@soilmanted Me too. (53)I though it might be becouse I put on a few extra pounds so my stomach is putting pressure on something?
@@marcwalsh4665 Mine coincided with my PSA increasing and my prostate nodules becoming larger.
Heard this one when I was a wee one:
You can shake it, you can pull it, you can beat it against the wall. Put it in your pants, and the last drop will always fall.
No matter how much you wiggle and dance, the last drop always ends up in your pants.
Not if you get a tissue and squeeze that out
LooooooL 😂😂😂
I was going to post something very similar. I heard the late comedian Jay Anthony Brown say, "You can shake it, you can squeeze it, and you can dance. But the last drop always ends up in your pants." ;)
My wife looking at me when I'm still shaking 🙄
@@TrollinOn22s any more than 3 shakes is a wank !
I'm turning 100 years old next month, never had any problems, thing is hard as a rock.
Thanks Rena - very informative. I have had these same symptoms - not dilatative but irritating. I will take your suggestions.
I've had a bit of this problem for decades, since an inguinal hernia operation, which seems to have somewhat damaged the outer prostate valve or its nerve. But pressing on the prostate and a good shake is usually enough to keep it from being a real problem.
same here, finally someone in a similar situation.
I cant express how helpful this presentation was for me.I have been treating with a local urologist for about four years but haven’t had improvement with reducing my 5-6 times night time peeing routine. In addition, I do occasionally have the dribble and splayed stream issues. I’m only 71 years old. You have been great explaining in easily understandable terms. Thanks a lot!
I have been taking stinging nettle root, once before bed and once when I wake. this helps me to only go once or twice at night.
Only 71 years old? 🤣
Same here amigo at age 66 . Going to a urologist in a few days .
Only 71. You sir are a hero!
Yeah urologist like to keep you coming back. They could care less about your quality of life. Keep researching on your own.
Dr. Malik, thank you for informative content. I just had the HoLEB procedure a month ago which has solved many of my problems. The one piece of advice you gave in this video that I can't stress enough is if you have urinary tract problems get a Urologist. If I had it to do over I wish I had seen the Urologist years ago.
What a great stream of information
Good day you Dr. Malik I’ve been watching your videos for a few months now & I am so inspired by you to take better care of myself. Thank you for your knowledge & professionalism. I am a 58 year old male & feel great since I’ve returned & changed the way to exercise at this age. Today I have subscribed to your channel & look forward to learning more about my body, especially at this age now. Thank you again Dr. Malik, & God bless you.
The pull and squeeze method several times, then wait. Repeat as necessary. Usually two to three times should do the trick.
I've got more information from this video, than seeing urologists 6 times. Good job.
Thank u for talking about this topic Dr. Malik. I have problems with this. And it can def be a pain.
Haven't watched the video yet but I find that sitting helps, especially if you lean forward at the end of the stream. I got used to sitting as I lived in a an all female household and I find the above described method works.
This is true and it works for me as well. It also helps with issues starting a stream.
@@gsesquire3441 sitting urinating keeps the urine splashes to a minimum ... Im not sure how often you clean your toilet a week, but if you stand pissing in a bowl you should at least clean it daily ... or have a urinal installed ... But standing in shared urinal is just gross for whoever comes after you ...
@@gsesquire3441 couldnt have said it better myself someone get that guy some manpons
@@gsesquire3441 you're just simple man ... You do you ... Whatever gives you your identity ... Enjoy your urine splatters ...
@@gsesquire3441bro how prideful do you have to be to complain about people changing their pissing position? Sounds like fragile masculinity.
That's why I stand for quite some time shaking and yes, I use toilet paper. it helps absorb whatever is left inside so it doesn't end up showing through my pants.
Pelvic floor tension may be a reason for exercises to relax those muscles, but this tension of course has a cause. That should be addressed too imo. Sitting behind a desk in one and the same (tense) position (office work, gaming), supporting all your weight on the same spot in the lower back (where your bladder nerves are) may not be very helpful for a good pelvic floor and bladder condition. So prevention may deserve some attention too. Changing these these habits may save you visits to your medical doctor. More in general posture is a thing in this.
Did CZcams finally add a badge of sorts to verify and let you know this is a real and certified Dr.?!
Thank you Doctor Malik for covering a subject I never thought I'd never see. In my case, every time I used a urinal, I had the dribble as soon as I put it back in and it relaxed. It didn't matter how long I stood there and shook it. Could it be the angle of attack when peeing? Could it be closing off the urinary tract as you lift it to pee in a urinal? No matter how long you try and shake it, it is always being closed off. If I had to pee in a bottle and it was relaxed, I didn't have the dribble after. Thanks again for bringing up the subject.
Dr. Malik ive learned more about my prostatic health in these few months of watching ur videos than the 20 years of visits to my uro here in Chicago, thank you. Im 65 and ive been having issues with my prostate since i was 32! Ive had prostate cancer for 4 years now. And im about to have 2nd green lite therapy procedure. Not looking forward to that one again, but its necassary. Hopefully this one will last a little longer than 3yrs like the previous one did. For you guys who are on alfazosin, if you discontinue use, ur ejaculate will return. Anyway, thanx, and stay safe!
Eddy Jimenez , my dad had seeds injected into the prostate he is cancer free it was over 2 years but it can be beat best of luck god bless .
sorry to hear that i have prostrate caner since 2017 i was told it was very small have to have a biopsy every 12 months and psa bloods every six months i live in ireland europe im 57 yers old
@@corkion Hi Con. You must have very low grade prostate cancer if they're happy to monitor you. Rest assured you're in good hands once you're in the system. I live in Dublin and finished treatment for prostate cancer in 2017. I was caught early and thankfully I'm doing great. I have PSA blood tests every 6 months. I cannot speak highly enough of the medical staff and the way they've looked after me. My best wishes to you.
@@bahoonies hi damien thnk you for the kind words ya they told my it was a gleason 6 score good to hear you are doing well im living in cork so being looked after here
@@corkionGleason 6 is very good news. I was Gleason 7 (3+4) so watching and waiting wasn't an option. I hope you never go beyond Gleason 6 but if you do need treatment in the future, you'll be fine.
Thank you for this video. I am turning 60 this year and I do not have any of the other symptoms mentioned in the video. I only have the issue of dribble after I thought I was done peeing. I'm going to try the massage technique recommended here and see if that takes care of the issue.
Thanks again and Happy New Year!
Such helpful info that we learn so infrequently. Anyway, proof that men were designed at 4:30pm on a Friday before a long weekend - the prostate and the appendix.
When I was in my late thirties and in my forties, I was told my prostate is quite small but I might have problems with retention - that was the term. I was taught the exercises you mention, and I still do them, but a bit differently. I was taught to squeeze and relax about 10 times in succession - short duration. That has worked great for me, especially since I drink lots of water day and night. I am now 79.
What u do to squeeze?
Turning 70 in July...so I'm getting older. Also, I had external low radiation and internal (Brachy) high radiation treatments for Prostate cancer one year ago. I beat the cancer but now have a bit of a dribble and am using shields which, only recently, has been happening. I will put your info to use. Thank you.
Hey Mike that's my fathers name. Its age friend just shake and fake. Shake it, put it away, then whip it out again and shake the drips off. Shake and fake 👍
I'm glad you sent cancer the cancer packing by the way
How long does it take to have bladder control after prostate has been removed?
I had this problem and thanks to your video I discovered a way to avoid dribble. After I'm done I relax my prostate and let the rest of the urine slowly drain first. I also take Tamsulosin 0.4 mg at bedtime. The only side affect is dizziness because it lowers my blood pressure.
Thank you, it is really intresting and userfull context. I also learn English when I lissening your lessons.
I sit now when I can. At 63 I've learned to deal with it. My doc never mentions anything but the latest prostrate test results. This was a nice presentation. Thanks Doc..
Mine just wants to know what pills I want .
I've had trouble urinating and felt like I was sitting on a golf ball for about 7 years. Read somewhere that pumpkin seeds might help. I started buying pepitas (which are just shelled pumpkin seeds) and after about 2 weeks it was night and day difference for me. No more pain from urinating, testicles didn't feel like they were being crushed in a vice, I don't lay down to go to sleep and have to immediately get back up to release a thimble worth of urine. I eat a handful of pepitas each day and haven't had any problems for about a year now. Just something that might be worth trying if you're suffering.
Hmmm...those are good too. I'll have to get some.
Ms. Malik you’re absolutely beautiful and smart not a combination that comes along everyday!
I had this same problem for many years until I stopped drinking alcohol. Been dribble free ever since and that was over a decade ago.
I started taking a collagen peptide powder (20 grams per day, dissolved in water) and after about 90 days, my dribbling problems improved by 95% and have not come back. This has been such an improvement in the quality of my life that I cannot put it into words. I wish some serious scientific research could be done on the effects of collagen on the bladder and urethra.
Exactly what kind if you may tell me? I want to order some and check it out. I am 23 and really need this ! Please help
@@christianpetti1114 The product is Vital Proteins Collagen Peptides Unflavored. I've found the best prices on eBay, My theory is it helped me by repairing the scar tissue in my urethra caused by two prostate surgeries. If you don't have any scar tissue, I don't know if it will help you.
@@christianpetti1114 If you haven't had prostate surgery, you might end up having a TURP. If you do and I was your doctor, I would strongly recommend you take the collagen as soon as you get home from the hospital.
I never thought I’d be doing my kegels, but I’ve discovered that one or two immediately after urinating is enough to stop the dribbling. Thank you.
Was in a 5 star hotel in China - there was what looked like a hairdryer installed on the wall in the men's room - I mentioned this to my Chinese associate - he put me right - it was a pants dier for this dribble problem. So civilised the Chinese.
I also generally find a gravity assist helps. Hydration and going when you have a full bladder rather than at the tiniest urge to pee, and generally relaxing and taking your time when you do helps quite a bit. Obviously don't hold your urine for long periods of time, I'm talking about going and drinking some water and waiting ten minutes instead of going to the toilet straight away.
Also Dr Malik is 100% right, having strength in your pelvic floor muscles helps a great deal. I have control over that valve in the bladder and can start or stop a stream at will. Don't be afraid to treat your pelvic muscles like any other muscle group, take care of them. Be familiar with your body. Massage the area if it's tense or sore and do exercises to improve control of those muscles, they are yours after all no sense in opting not to use them if you can.
@@dogbreaththe3rd851
hahaha no, you're bladder already points down.
Thank you. Where I live doctors don't feel that they have to explain anything. They are "sensei" and patients are obedient. Even just understanding what could be going on helps.
So far, the only symptom I've been experiencing is hesitancy, but I've had that problem for quite a while. For me, it's simply a matter of relaxing the involved muscles to prevent dribble afterward.
Wait that’s a symptom?
I've found that abstaining from sodas, sweets and excessive sugary stuff helps immensely.
Might make sense I drink Coke from time to time
There’s an old rhyme that says ‘no matter how you shake your peg the last three drops go down your leg’.
When I was about 15, my first job, I was having a leak at the urinal next to the personnel manager. He said those exact words to me. Never forgot it, still say it. Even though at 15, never had that problem then. I’m 75 now, and it rings true.
Another thing is to wipe the two drips left there. They won't come out unless a fabric absorbs them so make it TP rather than Undies.
I find it useful to do this as well.
This is difficult if you are using a urinal. It's personally why I prefer to use the toilet in a public location as opposed to the urinal.
I do this ... I had a girlfriend that saw me do this... I explained it started when my diabetes was out of control... now my sugar is good ...but its just a habit now.
When I was teenager I heard a saying, "No matter how much you shake and dance, the last few drops stay in your pants."
Thanks I had seen my doctor for this and had a prostate exam, but I believe it is in the muscles and will try the exercises.
@ 5 : 00 Using the ' Elevator ' muscle = raising a crane boom . 🥳🤠👍 🍾 🎉🌋. . . . 🎊
"No matter how much you shake and dance, the last drop lands in your pants."
I learned that expression from MAD magazine. Good times.
Warmer and colder environmental temperature also plays a part, The colder it gets the more chance there is of it happening.
I think stress often causes this to happen. As you mention in the sit or stand to pee video. Wow I didn't realise there are two sphincters. You're videos are great.
I can wait for ages for a little more to come out but it doesn't until I put things away when I relax!
This is one of the best and most helpful channels!
I started sitting down on a toilet to urinate in my '30s. It is more relaxed, and easier to completely empty out all the plumbing than standing up. This was suggested by a woman who knew a lot about men. Public urinals can be very stressful.
I sit most of the time as well, mostly since I clean my own toilets though…
Are u guys women sitting down to piss
That's how it starts. First your sitting down to pee. Next thing you know you are driving a Prius and recording the WNBA playoffs.
@@activeyt1510 - Old age brings on a lot of weirdness.
@@andrewbates6840 🤣
Known as “the wet penny in the pocket.” Or the men’s room graffiti that goes: “No matter how much you shake, no matter how much you dance, the last two drops end up on your pants.”
"You can shake it, you can break it, you can bang it against the wall' but it is inside of your pants that the last drop will fall." Author unknown
Hi Doctor, i definitely have this problem, i will make a plan to see a doctor. Thanks for all the good advice. 😊
I love how we all come to this lovely woman to learn more about our man bodies 😂 she legit knows more about a man's body than 90% of men.
this lady is called as an expert with a reason apparently lol
I mean, she did study it for just about under a decade
You do such a great job providing so much education on so many issues and items. Thank you for sharing great health information (particularly men's health) in such a professional manner.
I think you nailed the question that I ended up not having to ask. Then you narrowed down the precise issue as it pertains to me. Thank you. Thank you. Thank you!
Truly thought it was just a small percentage of us. Really glad it’s more common than that.
Old saying... "No matter how you prance and dance, the last drop always wets your pants."
Where I grew up the saying was "No matter how much you jump about the last drop always ends up your pants."
No matter how much you jiggle and shake, the last few drops always stay in your snake.
No matter how hard you shake your peg, the last drop always goes down your leg.
I've only heard "Twice is okay, at three you're playing with yourself"
@@showingugly5186 I always heard that as "Shake it more than twice and you're playing with it".
It's like using a hose, when you turn it off the water still in the hose will dribble out.
No, it's like a hose with a bend in it which just allows dribbles to continue to sneak out.
not if you have good seals and a gay plumber
@@hightonesdrifterkent6600 LMFAO
This is why you're supposed to shake the snake before putting the reptile away 😂
Yes and the longer the hose the more to worry about. And if you dont have a penis and you're trying to explain this, you're just guessing!
i love when this woman talks to me ab my genital areas..... really
I have scar tissue in my utetha from a STD I had decades ago. Been dealing with dribble since. Also, I'm in my mid 50s so yeah... Prostate seems to be getting larger.