ArticleWorld journal of urology2026
Voiding posture as an associated factor of postmicturition dribble: insights from a nationwide epidemiological survey in Japanese men.
Article in World journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo investigate factors associated with postmicturition dribble (PMD) across a wide age range, with emphasis on behavioral and functional factors beyond conventional mechanisms related to lower urinary tract symptoms (LUTS).
methodsThis was a subanalysis of a nationwide web-based epidemiological survey conducted by the Japanese Continence Society. Overall, 3,122 men aged 20-99 years were included. PMD was assessed using a questionnaire, and demographic, clinical, lifestyle, and LUTS-related variables, including voiding posture and erectile dysfunction, were analyzed. Multivariable logistic regression analysis was performed to identify factors associated with PMD in the overall cohort and in men aged ≤ 50 years.
resultsPMD was reported by 467 men (15.0%). Among 1,450 men aged ≤ 50 years, PMD was present in 12.8%, despite low prevalences of self-reported history of benign prostatic hyperplasia (2.3%) and overactive bladder (7.1%). In the overall cohort, erectile dysfunction (adjusted odds ratio [OR]: 1.35, 95% confidence interval [CI]: 1.04-1.76) and frailty (adjusted OR: 1.75, 95% CI: 1.11-2.75) were independently associated with PMD, together with LUTS-related factors including overactive bladder, weak urinary stream, intermittent urinary stream, and abdominal straining at the end of voiding. In men aged ≤ 50 years, sitting voiding posture was independently associated with PMD (adjusted OR: 1.55, 95% CI: 1.02-2.36), along with LUTS-related factors.
conclusionsPMD is a common multifactorial condition affecting men across age groups. Beyond LUTS-related factors, exploratory age-stratified analyses identified sitting voiding posture as associated with PMD in men aged ≤ 50 years, although no significant age interaction was observed.
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