This solution worked for me!
Posted: Fri Mar 27, 2009 2:27 pm
What worked for me was no longer using any muscular clenching to eliminate the final drops of urine at the end of urination, ‘spurting’ at the end. It’s common for men to kind of spurt out the final few drops, in a way that uses muscles to effectively squeeze the urethra (tube from bladder to exterior) and the bladder sphincter. It occurred to me about six months ago that clenching those muscles around the urethra tube was developing and enlarging them. Those muscles were larger than they would be with no clenching, and then, when anxiety causes a general muscular tension, those already enlarged muscles around the urethra expand a bit, like all your muscles do when you’re tense, and that expansion is enough to cause tightening on the urethra and obstruction of flow.
So I stopped trying to spurt out those last drops at the end of urinating, and I had a massive improvement in just days. It takes a bit of concentration at first because old habits die hard, and it's almost like a kind of reflex to spurt, but you just have to make sure you stay relaxed at the end of urination. In a few seconds the final drops emerge on their own – the muscular spurting attempts never really worked that well anyway. The old saying ‘no matter how you shake and dance, the final drops go down your pants’ certainly apply when you do the clenching to spurt anyway, because squeezing on the urethra also pushes some urine back towards the bladder, and that urine comes out anyway after a minute or two anyway.
Within a couple of weeks I stopped using the BPH medication that my doctor had prescribed me. It was obvious after a few days that an enlarged prostate wasn't causing my urinary hesitancy, as the improvement from staying relaxed at the end of urinating was so dramatic that it completely blew away any small perceived improvement that I got from taking the medication. I’ve since gradually lost my anxiety around urinating in a whole range of situations. I expect I’ll be completely without urinary anxiety in months. I feel that I’ve eliminated the main cause of the problem, and now it’s just a matter of mopping up the remaining psychological effects, and that has been easy.
I always had a strong sense that there was a physical cause of the problem, and that it was exacerbated by anxiety. It’s not really surprising that spurting at the end would cause problems, when you consider that you’re basically squeezing on your urethra a few times at the end of each urination, making a likely total of 20 or more squeezes a day on that tube which you so want to remain unconstricted. I had a serious case – I ended up not being able to go at work and I was thirsty a lot of the time to avoid the need to go. It was affecting every aspect of my life. I’d had an ultrasound test to see if there was a problem, but that just showed my prostate to be only ‘marginally’ enlarged. Now I’m close to being normal, and expect to be normal.
A couple of things: Try to mostly stand to urinate if possible. Some sit because you can relax more seated, but the process of getting up can make it harder to ensure that the lower abdominal muscles remain relaxed when you're done, so it’s harder to prevent that almost reflexive spurt impulse. The aim is to reduce the size of the muscle tissue around the urethra, and the way to do that is to minimise as much as possible their use. Avoid sex for the first few days if you can, to maximise the results. You’ll find that if you have a lot of sex, say more than two ejaculations daily, the problems may return because the higher use of the muscles around the urethra during ejaculation will cause them to re-enlarge.
Try this if you’re not already doing it. It makes sense and it really worked for me. If you know you’re remaining relaxed at the end of urinating and still have issues, obviously the cause of your problems is something else. But I couldn’t remain silent about the benefits I’ve got from trying this. Post your results if you give it a go!
So I stopped trying to spurt out those last drops at the end of urinating, and I had a massive improvement in just days. It takes a bit of concentration at first because old habits die hard, and it's almost like a kind of reflex to spurt, but you just have to make sure you stay relaxed at the end of urination. In a few seconds the final drops emerge on their own – the muscular spurting attempts never really worked that well anyway. The old saying ‘no matter how you shake and dance, the final drops go down your pants’ certainly apply when you do the clenching to spurt anyway, because squeezing on the urethra also pushes some urine back towards the bladder, and that urine comes out anyway after a minute or two anyway.
Within a couple of weeks I stopped using the BPH medication that my doctor had prescribed me. It was obvious after a few days that an enlarged prostate wasn't causing my urinary hesitancy, as the improvement from staying relaxed at the end of urinating was so dramatic that it completely blew away any small perceived improvement that I got from taking the medication. I’ve since gradually lost my anxiety around urinating in a whole range of situations. I expect I’ll be completely without urinary anxiety in months. I feel that I’ve eliminated the main cause of the problem, and now it’s just a matter of mopping up the remaining psychological effects, and that has been easy.
I always had a strong sense that there was a physical cause of the problem, and that it was exacerbated by anxiety. It’s not really surprising that spurting at the end would cause problems, when you consider that you’re basically squeezing on your urethra a few times at the end of each urination, making a likely total of 20 or more squeezes a day on that tube which you so want to remain unconstricted. I had a serious case – I ended up not being able to go at work and I was thirsty a lot of the time to avoid the need to go. It was affecting every aspect of my life. I’d had an ultrasound test to see if there was a problem, but that just showed my prostate to be only ‘marginally’ enlarged. Now I’m close to being normal, and expect to be normal.
A couple of things: Try to mostly stand to urinate if possible. Some sit because you can relax more seated, but the process of getting up can make it harder to ensure that the lower abdominal muscles remain relaxed when you're done, so it’s harder to prevent that almost reflexive spurt impulse. The aim is to reduce the size of the muscle tissue around the urethra, and the way to do that is to minimise as much as possible their use. Avoid sex for the first few days if you can, to maximise the results. You’ll find that if you have a lot of sex, say more than two ejaculations daily, the problems may return because the higher use of the muscles around the urethra during ejaculation will cause them to re-enlarge.
Try this if you’re not already doing it. It makes sense and it really worked for me. If you know you’re remaining relaxed at the end of urinating and still have issues, obviously the cause of your problems is something else. But I couldn’t remain silent about the benefits I’ve got from trying this. Post your results if you give it a go!