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Male Pelvic Floor Therapy

Services Category

Restore Strength. Improve Control. Regain Confidence.

We offer Male Pelvic Floor Therapy to help men experiencing pelvic pain, urinary or bowel issues, or sexual dysfunction. Our trained physiotherapist provide private, one-on-one sessions focused on restoring pelvic floor muscle function, improving control, and enhancing overall quality of life.

Understanding the Male Pelvic Floor

The pelvic floor is a group of muscles that support the bladder, bowel, and reproductive organs.
When these muscles become weak, tight, or uncoordinated, they can lead to a range of symptoms, including:

  • Pelvic or groin pain
  • Urinary frequency, urgency, or leakage
  • Post-prostate surgery incontinence
  • Erectile dysfunction or painful intercourse
  • Lower back, hip, or abdominal discomfort
  • Difficulty starting or maintaining urine flow

Pelvic floor dysfunction can affect men of all ages — and it’s both common and treatable with the right therapy.

What conditions can benefit from Pelvic Floor Therapy?
  • Urinary incontinence, urgency, or frequency
  • Urinary retention or incomplete emptying
  • Pain with urination 
  • Fecal incontinence, urgency, or frequency
  • Constipation
  • Pelvic floor Dysfunction – overactive/ underactive
  • Diastasis recti abdominis 
  • Sexual pain and dysfunction
  • Pain in and around the prostate 
  • Low back, hip, pelvic, sacroiliac joint, or groin pain 
  • Prostatectomy-related pelvic health symptoms
  • Pre and post-surgical care 
  • Chronic Nonbacterial Prostatitis/ Chronic Pelvic Pain Syndrome (CPPS)
Our Treatment Approach

Professional, evidence-based, and discreet approach to men’s pelvic health. Your treatment begins with a comprehensive assessment to understand your symptoms, medical history, and muscle function.

Your personalized plan may include:

  • Pelvic floor muscle retraining and strengthening
  • Manual therapy to release muscle tension and improve mobility
  • Bladder and bowel retraining techniques
  • Post-surgical rehabilitation (e.g., after prostate surgery)
  • Breathing and core stabilization exercises
  • Education on posture, body mechanics, and lifestyle strategies

All sessions are conducted in a private and supportive environment, ensuring comfort and confidentiality throughout your care.

Benefits of Male Pelvic Floor Therapy
  • Improved bladder and bowel control
  • Reduced pelvic pain and tension
  • Enhanced sexual function and confidence
  • Faster recovery after prostate or abdominal surgery
  • Improved core stability and posture
  • Greater quality of life and daily comfort
What to Expect During the Assessment & Treatment Session

Here is a typical flow of what you might expect at your first visit, and what treatment sessions may include.

Initial Assessment (First Visit)

1 Medical History & Symptom Discussion

The therapist will ask detailed questions about your symptoms: urinary habits (incontinence, urgency, frequency), bowel habits (constipation, straining, leakage), sexual function (erections, ejaculation, pain), pain in the pelvic, perineal, rectal, testicular or lower-back/hip region. 

They’ll ask about surgeries (especially prostate surgery or radiation), trauma, lifestyle factors (heavy lifting, sitting time, exercise), posture/breathing patterns, hip/spine/back problems and other contributing factors. 

The therapist will explain what pelvic floor physiotherapy is, how it works, what to expect, your rights (consent, comfort, decline internal exam) and answer any questions you have. 

2 Physical/Orthopaedic Screening

The therapist will assess your posture, how you move (walking, squatting, lifting), hip/back/spine range of motion, strength of surrounding muscles (glutes, hips, abdomen, back). Dysfunction in these areas often contributes to pelvic floor problems. 

They may assess breathing pattern (diaphragm function), core activation and how your body handles pressure (e.g., when you cough or lift).

They may examine external pelvic region (perineum, testicular/testes area, external anal area) for muscle tightness, trigger points, tenderness, tone. 

3 Pelvic Floor Muscle Assessment

With your informed consent, an internal rectal (in men) pelvic floor muscle assessment may be offered. This helps assess muscle resting tone, contractile ability, coordination (can you both contract and release?), pain or trigger points in the muscles. 

The therapist explains exactly how it will happen, what you need to do (e.g., lie on side or stomach, cover yourself, they leave the room while you change) and you can decline or defer the internal exam. 

The internal exam may include asking you to contract (like stopping urine/gas) and to bear down (push like a bowel motion) to assess muscle control both ways (strength & relaxation). 

4 Feedback & Initial Treatment Plan

After the assessment, the therapist explains their findings: what seems to be contributing, what your goals are, what the treatment plan might look like (sessions frequency, home-exercise requirements, expected timeline). 

In many cases, treatment begins immediately: manual therapy for muscle tightness, introduction to breathing and core exercises, posture correction, early home-program.

Ongoing Treatment Sessions
  • Manual therapy: soft-tissue release, trigger point work, internal and/or external pelvic floor muscle release or mobilisation. 
  • Pelvic floor muscle training: Strengthening (if muscles are weak) and/or relaxation/mobility (if muscles are over-active/tight). The approach is guided by your assessment. For example, you may need to learn to relax the pelvic floor rather than simply contract more. 
  • Core, breathing and posture retraining: Teaching diaphragmatic breathing, core activation, coordinating breath–pelvic floor–abdominal muscles, posture/hip/spine alignment. 
  • Functional re-integration: Applying what you’ve learnt to everyday activities — getting up from a chair, lifting, sitting for long periods, bowel/bladder habits, sexual/ejaculatory function.
  • Home-exercise program & lifestyle modification: Daily or frequent at-home tasks: stretches, relaxation drills, pelvic floor exercises, breathing drills, posture/hip mobility work; advice on fluid/diet/constipation, sitting/standing habits, sexual positions if relevant.
  • Progress monitoring: Reassessing muscle tone/strength, pain, symptoms and adjusting the plan as you improve.
What to Expect for Recovery Timeline

Recovery varies widely depending on the individual, the severity and duration of the problem, whether there are underlying surgical/nerve issues, and how consistent you are with home-programming. Here’s a general guide:

  • Initial improvement phase: Within the first few sessions (2-4) you may begin to notice improvements in awareness (of pelvic floor, breathing, posture), a slight reduction in symptoms (pain, urgency, frequency).
  • Functional improvement phase: After roughly 4-8 weeks (or ~4-8 sessions) you may see more noticeable changes: fewer leaks, less pain, improved sexual or bowel/bladder control, better core/pelvic coordination.
  • Reintegration & long-term stability: Over 8-12+ sessions (or more depending on complexity) you work toward normalising activity, reducing session frequency, maintaining gains with home-program. For men post-prostate surgery or with chronic pelvic pain, it may take several months. 
  • It’s emphasised that “one session alone” won’t usually solve the issues—consistency, participation in home-program and addressing all contributing factors (hips/back, posture, breathing, lifestyle) matter.
Reasons Why It May Not Work or Take Longer

While many men benefit significantly from pelvic floor physiotherapy, there are reasons why progress may be slower or outcomes may be limited:

  • Inconsistent attendance & poor adherence: If you don’t consistently come to sessions, or you don’t regularly perform your home-exercise and lifestyle tasks, improvement is likely to be slower.
  • Underlying surgical/nerve damage: For example after prostatectomy or radiation therapy, there may be nerve injury or tissue changes that complicate recovery. 
  • Other contributing factors not managed: Things like hip or back dysfunction, chronic sitting, heavy lifting, posture/breathing issues, constipation/straining, lifestyle stress—all need to be addressed. If they remain, they may keep triggering pelvic floor dysfunction. 
  • Late presentation or long-standing condition: The longer the dysfunction has been present, the more entrenched the changes (muscle/tissue/adaptive patterns) and the more time it may take.
  • Unrealistic expectations: Some men expect a “quick fix” and may feel discouraged if improvement is gradual. Understanding it’s a process helps.
  • Emotional/psychological factors: Pelvic floor dysfunction can be influenced by psychological stress, trauma, fear, shame (especially around urinary, bowel or sexual issues). If these are untreated, they may slow recovery.
Key Takeaway

Male pelvic floor physiotherapy is a safe, evidenced-based, and increasingly recognised treatment pathway for men experiencing bladder, bowel, sexual or pelvic pain issues. With a comprehensive assessment, skilled treatment, and your commitment to the home-program and lifestyle change, many men experience meaningful improvement. The journey may require patience, but you are in control of your healing process — and you deserve to reclaim comfort, function and confidence.

Why Choose Nexus Therapeutics?
  • Physiotherapists specially trained in male pelvic health
  • Private, respectful, and confidential one-on-one sessions
  • Integration of physiotherapy and massage therapy for holistic care
  • Collaborative care and reporting to doctors. 
  • Evidence-based, results-focused treatment
  • Supportive, patient-centered approach to men’s health
Confidential Care. Real Results.