Men’s Health

What is Men’s Health?

Do men even have a pelvic floor? These are commonly asked questions as pelvic health has historically focused on female conditions. It is time to change that misconception and get the information out so men no longer have to suffer in silence. Many healthcare providers are unfamiliar with male pelvic floor conditions and are unaware of the many benefits that patients can experience with pelvic floor physical therapy (PFPT). Male pelvic therapy health continues to vastly grow across the globe as more research shows its effectiveness. We are seeing more male therapists enter the pelvic health field which allows patients a choice for a provider of the same gender.

Do you have?

  • urinary or fecal incontinence, or have urinary urgency/frequency?

  • dribble urine after taking a few steps away from the toilet?

  • are your erections not as rigid as you desire or do you experience premature ejaculation?

  • what about being tired of pre-planning when to take “the blue pill” to get that hard-on? or do you have a heart condition that doesn’t allow you to use PDE5i medications?

  • do you have pelvic pain “down there” that just won’t go away? or are you at a lost for what is going on?

We can help!

“Recognizing and preventing men’s health problems is not just a man’s issue. Because of its impact on wives, mothers, daughters, and sisters, men’s health is truly a family issue.” - Bill Richardson

How it works

The pelvic floor muscles have heightened involvement with maintaining urinary and bowel continence, and during sexual activity to provide increased penile rigidity, support, and ejaculatory function. These muscles can work too little or too much, becoming tight (shortened) affecting their optimal function and lead to dysfunction and problems.

Pelvic Floor Conditions

Sexual Health

Erectile dysfunction
Premature ejaculation
Painful ejaculation
Peyronie’s disease
Pain associated with sex
Hard flaccid syndrome
Penile fracture

Urinary/Bowel Function

Post-prostate surgery
Stress incontinence
Fecal incontinence
Urinary urgency/frequency
Interstitial cystitis
Overactive bladder
Post-void dribble
Pelvic floor muscle dyssynergia
Constipation

Pelvic Pain

Chronic pelvic pain syndrome
Pudendal neuralgia
Low back pain, groin pain, hip pain
Penile pain
Testicular/scrotal pain
Post vasectomy pain syndrome
Post hernia repair pain
Coccyx (tailbone) pain

References

1) Chang J.I., Lam V., Patel M.I. Preoperative pelvic floor muscle exercise and postprostatectomy incontinence: A systematic review and meta-analysis. Eur Urol. 2016; 69(3): 460-7.
2) Dorey, G., M. Speakman, R. Fenely, A. Swinkels, C. Dunn, and P. Ewings. Randomised controlled trial of pelvic floor muscles exercises and manometric biofeedback for erectile dysfunction. British Journal of General Practice. 2004; 54: 819-25.
3) Milios JE, Ackland TR, Green DJ. Peyronie’s disease and the role of therapeutic ultrasound: A randomized controlled trial. J Rehab Therapy. 2020; 2(2): 32-39.
4) Van Kampen, M., De Weerdt, W., Claes, H., Feys, H., De Maeyer, M., and Van Poppel, H. Treatment of erectile dysfunction by perineal exercise, electromyographic biofeedback, and electrical stimulation. Physical Therapy Journal. 2003; 83: 536–543.
5) Anderson, R.U., Harvey, R.H., Wise, D., Smith, J.N., Nathanson, B.H., & Sawyer, T. Chronic pelvic pain syndrome: Reduction of medication use after pelvic floor physical therapy with an internal myofascial trigger point wand. Applied Psychophysiology and Biofeedback. 2015; 40(1):45-52.
6)Pastore, A.L, Palleschi, G., Fuschi, A., et al. Pelvic floor muscle rehabilitation for patients with lifelong premature ejaculation: a novel therapeutic approach. Ther Adv Urol. 2014; 6(3): 83-88.
7) Yang, D.Y., Lee, W.K. A current perspective on post-micturition dribble in males. Investig Clin Urol. 2019; 60(3): 142-147.
8) Farrell, M.R., Dugan, S.A., Levine, L.A. Physical therapy for chronic scrotal content pain with associated pelvic floor pain on digital rectal exam. Can J Urol. 2016 Dec; 23(6): 8546-8550.
9) Cohen, D,, Gonzalez, J., Goldstein, I. The role of pelvic floor muscles in male sexual dysfunction and pelvic pain. Sex Med Rev. 2016 Jan; 4(1): 53-62.