Men's Pelvic Health

Men have a pelvic floor too

The male pelvic floor supports bladder and bowel control, helps sexual function, and contributes to core stability. When it is overactive, weak, or poorly coordinated, symptoms can affect work, exercise, sleep, and relationships.

The hips matter more than most people think. The pelvic floor doesn’t work in isolation, it shares connective tissue and coordination with key hip muscles (especially the deep hip rotators, like the obturator internus), as well as the glutes, hip flexors, and adductors. When the hips are stiff, weak, or overworking, the pelvic floor may compensate by gripping for stability, showing up as pain, urgency, or a feeling of tightness. That’s why your plan may include hip mobility work, targeted hip strengthening, and movement retraining (squat/hinge/lunge mechanics), not just pelvic-floor-specific exercises. For some men, dry needling to specific hip muscles can also reduce muscle tension when clinically appropriate, especially for those who aren’t comfortable with an internal exam.

Many men wait too long before seeking help. Early physiotherapy can shorten recovery, reduce stress, and get you back to normal daily life faster.

Conditions we treat in men

• Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS), this is a complex condition involving pelvic floor muscle tightness, trigger points, nervous system sensitization, and often significant impact on quality of life. It responds well to a combined manual therapy and nervous system approach. Read more →
• After prostate surgery incontinence, urinary leakage following prostate removal surgery is one of the most common and most successfully treated conditions in men's pelvic health. Physiotherapy before and after surgery significantly improves recovery.
• Erectile dysfunction (pelvic floor-related), the pelvic floor muscles contribute to erectile function. Muscle tightness, poor coordination, or weakness in these muscles can contribute to erectile difficulty or reduced sensation.
• Bowel dysfunction, constipation, urgency, leakage, or incomplete emptying. Treatment focuses on restoring timing and coordination, not just strength.
• Post-radiation pelvic floor changes, radiation for prostate or colorectal cancer can affect pelvic floor muscle and nerve function. Physiotherapy supports recovery and quality of life.
• Nerve pain in the pelvic region, pain in the distribution of the pudendal nerve, often involving the perineum, scrotum, or penis. Associated with pelvic floor muscle tightness and highly responsive to a specialized approach.