Efficacy of Targeted Pelvic Floor Muscle Exercises for Treatment of Men With Primary Post Micturition Dribbling: a Randomized Controlled Trial. (PMD)

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)

Study Overview

• Status: Recruiting
• Conditions: Post Micturition Dribble
• Intervention / Treatment: Behavioral: Targeted pelvic floor muscle training; Behavioral: Non targeted pelvic floor muscle training

• Study Type: Interventional
• Enrollment (Estimated): 120
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Rawdy Talaat Ashour, MSc in Urology; Phone Number: 00201026400828; Email: rawdyashour@gmail.com

Study Locations

• Egypt
  • Eldakahliya
    • Al Mansurah, Eldakahliya, Egypt, 35516
      • Recruiting
      • Urology and Nephrology center, Mansoura University
      • Contact: Rawdy Talaat Ashour, MSc in Urology; Phone Number: 00201026400828; Email: rawdyashour@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

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.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group A (Targeted pelvic floor muscle training); Patients in this group will managed by pelvic floor muscle training.for 12 weeks period	Behavioral: Targeted pelvic floor muscle training; The following techniques could be used: Contraction of the anal sphincter muscle with relaxation of the abdominal wall muscles.; 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.
Active Comparator: GroupB (Non-targeted Pelvic floor muscle training); Patients in this group will be managed by non-targeted exercise. for 12 weeks period	Behavioral: Non targeted pelvic floor muscle training; The participants will be given instruction for pelvic floor muscle training to be performed independent from the investigator

What is the study measuring?

Primary Outcome Measures

Outcome 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 Outcome Measures

Outcome 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

Collaborators and Investigators

• Sponsor: Mansoura University
• Collaborators: urology and nephrology center mansoura university

Study record dates

Study Major Dates

• Study Start (Actual): July 1, 2024
• Primary Completion (Estimated): July 1, 2026
• Study Completion (Estimated): July 1, 2026

Study Registration Dates

• First Submitted: April 21, 2026
• First Submitted That Met QC Criteria: April 21, 2026
• First Posted (Actual): April 28, 2026

Study Record Updates

• Last Update Posted (Actual): April 28, 2026
• Last Update Submitted That Met QC Criteria: April 21, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Other Study ID Numbers: MD.24.05.859

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No