Efficacy of Targeted Pelvic Floor Muscle Exercises for Treatment of Men With Primary Post Micturition Dribbling: a Randomized Controlled Trial.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Targeted pelvic floor muscle training, Non targeted pelvic floor muscle training.
- Who it may be relevant to
- Registry conditions: Post Micturition Dribble. Basic parameters: 18 years — 40 years · Male.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
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
- Behavioral Targeted 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. - 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
Primary outcome measures
- change in total The Hallym Post-Micturition Dribble Questionnaire score between the two groups at twelve weeks from baseline [Time frame: twelve weeks]
Secondary outcome measures (2)
- differences in each individual The Hallym Post-Micturition Dribble Questionnaire score question [Time frame: 12 weeks]
- Changes in Post Micturition Dribble volume between the two groups [Time frame: 12 weeks]
Eligibility criteria
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.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Urology and Nephrology center, Mansoura University — Al Mansurah
Identifiers
NCT: NCT07554300 · MD.24.05.859