Men’s Pelvic Health

Pelvic health concerns can affect men of all ages and can impact urination, bowel function, sexual health, exercise, and everyday activities. These symptoms are common, but they are not something you simply have to live with.

At Core Pelvic Health & Wellness, I provide confidential, individualized pelvic health physical therapy to help men better understand their symptoms, identify contributing factors, and work toward improved function and quality of life.

What is men’s pelvic health?

The pelvic floor is a group of muscles that supports the pelvic organs and plays an important role in bladder and bowel control, sexual function, core stability, and pressure management.

When these muscles are weak, overly tense, painful, or poorly coordinated, they can contribute to a variety of symptoms.

Pelvic health physical therapy looks beyond the pelvic floor alone. The hips, pelvis, low back, abdomen, breathing, posture, nerves, and overall movement system can all influence pelvic health.

What can men’s pelvic floor PT help with?

You may benefit from pelvic health physical therapy if you experience:

Urinary symptoms

  • Urinary leakage

  • Urinary urgency

  • Urinary frequency

  • Difficulty starting urination

  • Difficulty emptying your bladder

  • Post-void dribbling

  • Urinary symptoms following prostate surgery

Pelvic pain

  • Pelvic pain

  • Perineal pain

  • Penile pain

  • Testicular or scrotal pain

  • Groin pain

  • Tailbone pain

  • Pain with sitting

  • Low-back or hip pain associated with pelvic symptoms

Sexual health concerns

  • Pain with sexual activity

  • Pain with ejaculation

  • Pain after ejaculation

  • Erectile dysfunction when musculoskeletal or pelvic floor factors may contribute

  • Difficulty coordinating pelvic floor muscles during sexual activity

Bowel symptoms

  • Constipation

  • Difficulty emptying the bowels

  • Excessive straining

  • Fecal urgency

  • Bowel leakage

Common conditions

Men’s pelvic health physical therapy may be appropriate for:

  • Chronic pelvic pain

  • Chronic pelvic pain syndrome

  • Prostatitis/chronic prostatitis

  • Pelvic floor muscle dysfunction

  • Pelvic floor muscle overactivity

  • Urinary incontinence

  • Urinary urgency and frequency

  • Post-prostatectomy urinary incontinence

  • Erectile dysfunction when pelvic floor or musculoskeletal factors may contribute

  • Painful ejaculation

  • Testicular/scrotal pain

  • Penile pain

  • Pudendal neuralgia

  • Coccyx/tailbone pain

  • Constipation and defecatory dysfunction

  • Fecal incontinence

Prostate surgery & prostate cancer recovery

Preparing for and recovering from prostate surgery

Pelvic health physical therapy can be an important part of recovery following prostate surgery. Treatment may address urinary leakage, pelvic floor muscle coordination, breathing, core function, and return to daily activities.

Before surgery

If you are preparing for prostate surgery, a preoperative pelvic floor evaluation can help you understand your pelvic floor and learn how to properly contract and relax these muscles before surgery.

After surgery

Treatment may include:

  • Pelvic floor muscle training

  • Coordination and relaxation

  • Bladder control strategies

  • Pressure management

  • Core rehabilitation

  • Return to exercise

  • Functional movement

  • Education regarding recovery

Chronic pelvic pain in men

Pelvic pain doesn't always come from the prostate.

Men with chronic pelvic pain may experience symptoms in the pelvis, perineum, penis, testicles, abdomen, hips, tailbone, or low back. Pain may also be associated with urination, bowel movements, sitting, exercise, or sexual activity.

The pelvic floor muscles can become tense or overactive in response to pain, stress, injury, or other conditions. This can sometimes create a cycle of muscle tension and ongoing symptoms.

Treatment focuses on identifying the factors contributing to your symptoms rather than simply treating the location of your pain.

Sexual health

Pelvic health and sexual function are connected.

The pelvic floor muscles contribute to sexual function, including erection, ejaculation, orgasm, and control of pelvic pressure. Pelvic floor muscle tension, weakness, pain, or poor coordination may contribute to sexual symptoms in some men.

Physical therapy may address:

  • Pelvic floor muscle coordination

  • Pelvic floor relaxation

  • Pelvic pain

  • Pain with ejaculation

  • Pain following ejaculation

  • Musculoskeletal contributors to erectile dysfunction

  • Hip and pelvic mobility

  • Breathing and pressure management

  • Core and pelvic floor coordination

Sexual health concerns can have many causes. Pelvic health physical therapy may be one component of a comprehensive approach and may be coordinated with medical care when appropriate.

My whole-body approach

The pelvic floor doesn't work in isolation.

Your pelvic floor works together with your abdomen, diaphragm, spine, hips, and pelvis. Problems in one area can influence another.

My orthopedic background allows me to look at the entire movement system rather than focusing exclusively on the pelvic floor.

Breathing ↔ Core ↔ Pelvic Floor ↔ Hips ↔ Spine ↔ Movement

What happens during your evaluation?

A confidential conversation

I begin by discussing your symptoms, medical history, activity level, goals, and concerns. I understand that talking about urinary, bowel, or sexual health can feel uncomfortable, and I strive to create a respectful, judgment-free environment.

A comprehensive evaluation

Depending on your symptoms, I may assess:

  • Posture

  • Breathing

  • Spine

  • Hips

  • Pelvis

  • Abdominal wall

  • Core function

  • Strength

  • Mobility

  • Pelvic floor function

Will I need an internal examination?

Not necessarily. An internal pelvic floor examination is not automatically required. Depending on your symptoms and goals, an external assessment may provide useful information.

If an internal examination is recommended, I will explain why it may be helpful and discuss it with you beforehand. You are always in control of your care.

Schedule Now!