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  • Writer's pictureAriela Liberman

Pelvic Floor Dysfunction in Men: Causes & Physical Therapy Treatments

When it comes to health concerns, pelvic floor dysfunction is often associated with women. However, men can also experience issues related to their pelvic floor, which can significantly impact their overall well-being. In this blog, we will shed light on the signs of pelvic floor dysfunction in men, explore the potential causes behind it, and discuss the benefits of pelvic floor therapy tailored specifically for men.

man clutching his abdomen in pain

Understanding Pelvic Floor Dysfunction

The pelvic floor is a complex network of muscles, ligaments, and tissues that support the organs within the pelvic region, including the bladder, rectum, and prostate. When the pelvic floor muscles become weakened, tight, or imbalanced, it can lead to pelvic floor dysfunction in men. Some common signs and symptoms of pelvic floor dysfunction include:

  1. Urinary Issues: Frequent urination, urgency, weak urine stream, difficulty starting or stopping urination, or involuntary leakage.

  2. Bowel Problems: Constipation, straining during bowel movements, incomplete bowel emptying, or fecal incontinence.

  3. Sexual Dysfunction: Erectile dysfunction, premature ejaculation, pain during sexual intercourse, or reduced sexual satisfaction.

  4. Pelvic Pain: Discomfort, pressure, or pain in the pelvic region, groin, or lower back.

  5. Muscle Tension: Tightness or spasms in the pelvic muscles, often referred to as pelvic floor hypertonicity.

Causes of Pelvic Floor Dysfunction in Men

Several factors can contribute to pelvic floor dysfunction in men. Some of the common causes include:

  1. Sedentary Lifestyle: Prolonged sitting, lack of exercise, and poor posture can weaken the pelvic floor muscles.

  2. Chronic Constipation: Straining during bowel movements due to constipation can place excessive pressure on the pelvic floor muscles.

  3. Prostate Problems: Conditions such as prostatitis or prostate surgery can affect the pelvic floor muscles.

  4. Pelvic Trauma: Injuries to the pelvic area, such as a fall or accident, can damage or strain the pelvic floor muscles.

  5. Chronic Pelvic Pain Syndrome: Conditions like chronic prostatitis or interstitial cystitis can lead to pelvic floor dysfunction.

Pelvic Floor Therapy for Men

Pelvic floor therapy, also known as pelvic rehabilitation or men's health physical therapy, is a specialized treatment approach aimed at addressing pelvic floor dysfunction in men. It involves a comprehensive evaluation, education, and a personalized treatment plan designed to improve pelvic floor muscle function and alleviate symptoms.

  1. Assessment and Evaluation: A pelvic floor therapist will conduct a thorough assessment to understand the specific concerns, medical history, and symptoms experienced by the individual. This may involve internal or external examinations, depending on the needs and comfort of the patient.

  2. Education and Lifestyle Modifications: Understanding the pelvic floor and its role is crucial. Therapists will educate patients about the anatomy and function of the pelvic floor, as well as provide guidance on healthy lifestyle modifications. This may include recommendations for diet, fluid intake, exercise, and posture correction.

  3. Pelvic Floor Exercises: Pelvic floor muscle exercises are a fundamental component of pelvic floor therapy. A therapist will guide men on how to properly perform these exercises to strengthen and relax the pelvic floor muscles.

  4. Manual Techniques: Depending on the individual's needs, the therapist may use hands-on techniques such as myofascial release, trigger point release, or soft tissue mobilization to relieve muscle tension and improve blood flow in the pelvic region.

  5. Relaxation Techniques: Stress and tension can contribute to pelvic floor dysfunction. Therapists may teach relaxation techniques, such as diaphragmatic breathing or mindfulness exercises, to help manage stress and promote relaxation of the pelvic floor muscles.

We Are Here to Help

Pelvic health issues can be challenging and can impact many aspects of an individual's life. Pelvic floor therapy treatments can be helpful in addressing some of the physical and emotional challenges associated with pelvic floor issues. If you are struggling, don't hesitate to reach out to us to schedule a pelvic health appointment.


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Ariela Liberman is a Marketing Associate and a staff writer for Rehab United, with a Bachelor of Arts in Media Studies. Born and raised in San Diego, she is a Southern California native with a passion for writing, digital marketing, health, and wellness.

Medically Reviewed By: Whitney Landis, PT, DPT, FAFS, a physical therapist, Director of Pelvic Health, and Fellow of Applied Functional Science. Whitney graduated with her Doctorate in Physical Therapy from Chapman University in 2010 and has taken numerous continuing education courses pertaining to Women’s/Pelvic Health through Herman and Wallace Pelvic Rehabilitation Institute and Pelvic Guru. She has also completed the Gray Institute of Functional Transformation (GIFT) Fellowship in 2015.

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