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Understanding Men’s Pelvic Floor Health: Symptoms and Treatment

Understanding Men’s Pelvic Floor Health: Symptoms and Treatment

Pelvic floor health is often associated with women, but men can also experience pelvic floor dysfunction. At Pelvic Path Physical Therapy, serving Marin and Sonoma Counties, we understand the importance of addressing pelvic floor health issues in men. In this blog, we’ll explore common symptoms of pelvic floor dysfunction in men and how pelvic physical therapy can help.

What is Pelvic Floor Dysfunction in Men?

The pelvic floor is a group of muscles that support the bladder, bowel, and prostate. In men, these muscles play a crucial role in urinary and bowel control, as well as sexual function. Pelvic floor dysfunction occurs when these muscles are weakened, overly tight, or otherwise impaired.

Common Symptoms of Pelvic Floor Dysfunction in Men

Men with pelvic floor dysfunction may experience a range of symptoms, including:

  • Urinary Issues: Frequent urination, urgency, incontinence, or a weak urine stream.
  • Bowel Problems: Constipation, straining during bowel movements, or fecal incontinence.
  • Pelvic Pain: Chronic pain in the lower abdomen, groin, or perineum.
  • Sexual Dysfunction: Erectile dysfunction, pain during or after ejaculation, or reduced sensation.

Causes of Pelvic Floor Dysfunction in Men

Pelvic floor dysfunction in men can be caused by various factors, including:

  • Prostate Surgery: Procedures such as prostatectomy can impact pelvic floor muscles.
  • Chronic Constipation: Straining can weaken or damage pelvic floor muscles.
  • Heavy Lifting: Frequent heavy lifting can strain pelvic floor muscles.
  • High-impact Sports: Activities that put pressure on the pelvic region can contribute to dysfunction.
  • Aging: Muscle tone naturally decreases with age.

How Pelvic Physical Therapy Helps

Pelvic Path Physical Therapy offers specialized treatment for men experiencing pelvic floor dysfunction. Here’s how pelvic physical therapy can help:

1. Assessment and Diagnosis

Our experienced therapists will conduct a thorough assessment to determine the cause and extent of your pelvic floor dysfunction. This may include a physical examination and a review of your medical history and symptoms.

2. Personalized Exercise Programs

Our therapists will create a personalized exercise program tailored to your specific needs. These exercises can help improve muscle strength, coordination, and endurance. Many people associate Pelvic Floor Physical therapy with the traditional exercise of “kegels”. However, your PT will determine IF it appropriate to do these, as in some cases it is not. They will also determine how to do them, prescribe an individualized plan, and check that they are being performed correctly.

3. Manual Therapy

Manual therapy techniques, such as myofascial release and trigger point therapy, can help alleviate pain and tension in the pelvic region. These hands-on techniques are aimed at improving muscle function and reducing discomfort. Our therapist often address the hip, spine, legs and neck as part of our whole body approach to rehabilitation.

4. Education and Lifestyle Modifications

Our therapists will provide education on pelvic floor health and lifestyle modifications that can help manage symptoms. This may include guidance on proper body mechanics, dietary changes to alleviate constipation, and techniques to reduce urinary urgency.

How Pelvic Path Physical Therapy Can Help

At Pelvic Path Physical Therapy, we specialize in treating pelvic floor dysfunction in men. Our dedicated team in Marin and Sonoma Counties is committed to helping you achieve optimal pelvic health through personalized, evidence-based treatments.


Pelvic floor health is a vital aspect of overall well-being for men, and here at Pelvic Path we are passionate about improving the lives of our male patients. If you’re experiencing symptoms of pelvic floor dysfunction, such as urinary issues, bowel problems, pelvic pain, or sexual dysfunction, pelvic physical therapy can offer effective relief and improve your quality of life. Contact Pelvic Path Physical Therapy today to learn more about our specialized programs for men’s pelvic health and take the first step towards better health.


Dr. Marci Silverberg

MPT, PPCES- Owner and Founder

We help people feel confident and strong so they can return to the activities they love without leaking, pain or heaviness

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