Pelvic floor physical therapy isn't just for women. Yes, men also have a pelvic floor. And just like women, men can experience situations that can be treated by physical therapy. Luckily, we have a therapist who can help!
There are an array of conditions that cause pelvic floor dysfunctions for men. Unfortunately, men are less likely than women to seek medical attention, especially for pelvic floor issues as they may feel vulnerable and deny any issues are present. A pelvic floor physical therapist will provide a safe space for open discussion and encouragement for men to seek help with their pelvic floor concerns. Education and understanding of the conditions are the first and foremost objective in therapy. A thorough assessment will be conducted, and appropriate, individualized treatment will take place.
Men may present to pelvic floor PT with concerns of prostate issues, urinary and/or bowel incontinence, urinary urgency, sexual dysfunction, erectile dysfunction, muscular tightness or weakness, hemorrhoids, and testicular or penile pain to name a few.
According to research, 80% of men will develop benign prostate enlargement (BPE) with 1/3 of those experiencing urinary issues as a result. 1 in 8 men will be diagnosed with prostate cancer during their lifetime with 100% survival rate 5 years after diagnosis. Medical diagnosis and treatment, including surgical interventions, have progressed extremely well for men with prostate issues. Pre-surgical pelvic floor PT for prostate interventions has also proven successful and helpful for improving muscle strength prior to surgical interventions with reduced urinary issues following surgery.
Urinary and bowel concerns are treated with appropriate strengthening exercises and stretches, depending on symptoms and assessment. Pelvic floor muscle tightness, including testicular and penile pain, can be addressed with stretches tailored for patient concerns and symptoms. Manual techniques and home techniques are also beneficial for reducing muscle, tendon, fascial restrictions around male anatomy as well as abdomen, back, and hips.
Pelvic floor physical therapy is a safe and appropriate place for men to seek medical attention regarding symptoms associated around genitalia, abdomen, back, and hips. If you or someone you know is needing to address their male pelvic health concerns, please contact your pelvic floor physical therapist!
-Angeline Petersen, PT, DPT
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