Men’s Pelvic Health

Men’s pelvic health is often a personal area to discuss and treat. We have had extensive training and experience in this area and provide you with many different options to explore for assessment and management of these conditions.


Men’s pelvic health conditions are quite common, and it is estimated that 10% of Australian men will experience urinary incontinence, and up to 6% may experience faecal incontinence, (1). Additionally, men who undergo treatment for prostate cancer have significantly higher rates of urinary incontinence, particularly in the first 6 to 12 months following surgery (2). Pelvic pain presentations are also common.


Unfortunately, these conditions are not widely spoken about in the community and it is often hard to know where to turn to for help. A pelvic floor physiotherapist is a great place to start. There are many treatment options available to assist with these symptoms. 


We can assist with the following conditions (please note this list is not exhaustive)

Prostate Cancer
  • Preparation for and recovery from prostate surgery – it is best practice to see patients PRIOR to their surgeries (the earlier the better!) to begin a pelvic floor exercise program and provide recovery advice.
  • Recovery from prostate surgery – ideally, we like to see patients approximately 2 weeks after the removal of their catheter to guide them through their recovery and assist in the management of symptoms.
  • Urinary Incontinence following surgery or radiation treatments.
  • Bowel continence issues following radiation treatments.
Urinary Incontinence & Bladder Dysfunction
  • Stress Urinary Incontinence (leaking at times of increased abdominal pressure, such as coughing, sneezing, lifting)
  • Urge Urinary Incontinence (leaking with the urge to urinate; not quite making the toilet on time)
  • Overactive Bladder (urgency to urinate, with or without leakage)
  • Urinary Urgency and Frequency (urgency to urinate and going to the toilet more often than normal, particularly to the point it is impacting on your life – often we define “abnormal” as more than 7-8 times a day, but this depends on your individual circumstances)
  • Voiding dysfunction (difficult urination, feeling of incomplete emptying, post void dribble)
Bowel Dysfunction
  • Faecal incontinence (leaking from the back passage, any volume or at any time)
  • Difficulty controlling wind
  • Difficult/obstructed defecation and constipation
Pelvic & Genital Pain
  • Penile and/or testicular pain
  • Pudendal Neuralgia
  • Painful bladder syndrome and interstitial cystitis
  • Lumbar/Hip/SIJ/Coccyx pain that hasn’t responded to other musculoskeletal treatments.
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References

 

(1) Continence Foundation of Australia, Key Statistics on Incontinence; Key statistics on incontinence | Continence Foundation of Australia

 

(2) Prostate Cancer Foundation of Australia, Understanding Urinary & Bowel Issues Booklet; pcf13463-06-understanding-urinary-and-bowel-issues-booklet_4.pdf (prostate.org.au)