Helping Men Regain Control, Confidence, and Quality of Life
Although pelvic floor dysfunction is often associated with women, men can experience many of the same pelvic health conditions. Issues such as bladder leakage, urinary urgency, difficulty emptying the bladder, pelvic pain, constipation, and sexual dysfunction can all be related to the muscles, nerves, and connective tissues of the pelvic floor. These symptoms are common, but they are not something you simply have to live with. Pelvic floor physical therapy offers a personalized, evidence-based approach to help men reduce symptoms, improve function, and return to the activities that matter most.
Conditions We Treat
Urinary Incontinence
Leaking urine is common after prostate surgery but can also occur with aging, pelvic floor muscle dysfunction, or certain medical conditions. Many men notice leakage when coughing, laughing, lifting, exercising, or changing positions.
Pelvic floor physical therapy focuses on improving muscle coordination, strength, and bladder control while helping you safely return to work, exercise, and everyday activities. Treatment may also include bladder retraining and strategies to reduce leakage throughout the day.
Urinary Urgency, Frequency & Overactive Bladder
Needing to urinate frequently or feeling a sudden urge that is difficult to control can significantly affect work, travel, sleep, and daily life. While these symptoms are often associated with bladder conditions, pelvic floor muscle dysfunction can also play an important role.
Treatment may include bladder retraining, pelvic floor muscle relaxation or strengthening when appropriate, breathing strategies, and education to help reduce urgency and improve bladder control.
Difficulty Emptying the Bladder
Some men experience a weak urine stream, hesitancy, straining, or the sensation that the bladder never fully empties. While an enlarged prostate or other medical conditions may contribute, tight or poorly coordinated pelvic floor muscles can also interfere with normal urination.
Physical therapy focuses on improving pelvic floor muscle coordination, relaxation, breathing mechanics, and healthy voiding habits to promote more efficient bladder emptying.
Chronic Pelvic Pain
Persistent pain involving the pelvis, groin, tailbone, lower abdomen, penis, testicles, or perineum can have many contributing factors. Many men diagnosed with chronic prostatitis or chronic pelvic pain syndrome actually have pelvic floor muscle dysfunction that responds well to conservative treatment.
Treatment may include manual therapy, relaxation techniques, mobility exercises, nervous system down-training, and individualized exercises to decrease pain and improve function.
Pain with Sitting
If sitting for long periods causes pain in the pelvis, tailbone, or perineum, pelvic floor muscle tension or nerve irritation may be contributing to your symptoms.
Your therapist will evaluate movement patterns, muscle tension, posture, and sitting mechanics to identify contributing factors and develop an individualized treatment plan.
Constipation & Bowel Dysfunction
Difficulty having bowel movements, excessive straining, or a sensation of incomplete emptying may be related to pelvic floor muscles that do not relax appropriately during defecation.
Treatment focuses on improving coordination of the pelvic floor, breathing mechanics, toileting posture, and bowel habits to make bowel movements easier and more comfortable.
Erectile Dysfunction Related to Pelvic Floor Dysfunction
The pelvic floor muscles contribute to erectile function by supporting blood flow and muscular control. In some men, weakness, overactivity, pain, or poor coordination of these muscles may contribute to erectile dysfunction.
When pelvic floor dysfunction is identified as a contributing factor, physical therapy may include muscle training, relaxation techniques, breathing exercises, and education as part of a comprehensive treatment plan coordinated with your physician when appropriate.
Pain with Ejaculation
Pain before, during, or after ejaculation is not normal and may be associated with pelvic floor muscle tension or chronic pelvic pain conditions.
A thorough evaluation helps identify contributing factors so treatment can focus on reducing muscle tension, improving mobility, and restoring normal pelvic floor function.
Post-Prostatectomy Rehabilitation
Recovery after prostate surgery often involves more than healing the incision. Many men experience urinary leakage, decreased pelvic floor strength, reduced endurance, and changes in sexual function following surgery.
Pelvic floor physical therapy can begin before surgery to teach proper muscle activation and continue afterward to improve bladder control, restore strength, and help you return to your normal activities with confidence.
