Nachtröpfeln

Nachtröpfeln, also known as post-void dribbling, is the involuntary leakage of urine that occurs after a person has finished urinating. It is a common condition, particularly among men, and can range from a few drops to a more significant amount. The cause is often related to the weakening of the pelvic floor muscles or the muscles responsible for emptying the bladder completely. In men, the bulbospongiosus muscle, which surrounds the urethra, can play a role. After ejaculation or urination, this muscle may not fully contract, leading to residual urine remaining in the bulbous urethra that then leaks out.

Several factors can contribute to Nachtröpfeln. These include aging, which naturally leads to a decrease in muscle tone, prostate enlargement (benign prostatic hyperplasia or BPH) in men, which can obstruct the flow of urine and lead to incomplete bladder emptying, and nerve damage from conditions like diabetes or surgery. Obesity can also put extra pressure on the bladder and pelvic floor.

While Nachtröpfeln is often not a sign of a serious underlying medical issue, it can cause significant social embarrassment and impact quality of life. Treatment options are available and depend on the underlying cause. These may include pelvic floor muscle exercises (Kegels), lifestyle modifications such as fluid management, and in some cases, medical or surgical interventions to address issues like prostate enlargement. Consulting a healthcare professional is recommended for proper diagnosis and management.