Pelvic Health physio for men
When we talk about pelvic health, most people tend to think of pregnancy, birth, or recovery after childbirth. But men have a pelvic floor too, and when things are not working well, it can have a significant impact on their quality of life.
As a pelvic health physiotherapist, I see a lot of men who have never even heard of the pelvic floor before their symptoms started. They might be experiencing bladder leakage after prostate surgery, pain when sitting or exercising, changes in bowel or sexual function, or chronic pelvic discomfort that just does not seem to go away.
These issues are common, but that does not mean they are normal, and the good news is, there is help available.
Understanding the Pelvic Floor
The pelvic floor is a group of muscles and connective tissues that support the bladder and bowel, help with urinary and bowel control, and contribute to sexual function. In men, these muscles also support the prostate and play a role in ejaculation.
Just like any muscle group, the pelvic floor can become weak, tight, or uncoordinated. And when that happens, symptoms can start to appear, sometimes gradually, sometimes all at once.
Some of the more common issues I see in men include:
- Urinary incontinence (particularly after prostate surgery)
- Frequent or urgent need to urinate
- Erectile dysfunction or pain with sexual activity
- Constipation or bowel control issues
- Pain or discomfort in the pelvic area, groin, or perineum
- Pudendal neuralgia and chronic prostatitis
Why Don’t We Talk About This More?
Men’s pelvic health is still a topic that does not get much attention. There is often a sense of embarrassment or hesitation to talk about these kinds of problems, which means many men delay getting help, or assume nothing can be done.
That can be a really isolating experience. But the reality is, pelvic floor issues are incredibly common, especially as men age or go through treatment for prostate conditions. And physiotherapy can play a really important role in recovery.
How Can Physiotherapy Help?
Pelvic health physiotherapy involves much more than just exercises. It starts with listening and understanding what has been going on and then working together to produce a plan that feels manageable and appropriate for your needs.
Some of the things we may focus on include:
- Pelvic floor muscle training : learning how to properly contract and relax the muscles that support bladder, bowel, and sexual function
- Support pre and post prostate surgery: especially in the early recovery phase when bladder control can be most affected
- Bladder and bowel retraining : to reduce urgency, improve control, and support healthy habits
- Pain management strategies: using movement, relaxation, education, and hands-on therapy where appropriate
- Guidance around exercise and daily activity: helping you return to the things you enjoy with more confidence and less discomfort
I work closely with urologists, both locally and in metro areas, to provide coordinated care, particularly when supporting men before and after prostate surgery. This team-based approach ensures we are all on the same page and helps provide the best outcomes for recovery and long-term health.
Every man’s experience is different, and so is the treatment. Some men are recovering from surgery, while others have been dealing with pelvic pain for years. Some want to get back to cycling or running, others just want to be able to get through the day without worrying about where the nearest toilet is.
Whatever your goal, physiotherapy offers a way forward. It is about more than symptoms—it is about supporting your body to function well and helping you feel more in control again.
A Word About My Practice
At Katie Stan-Bishop Physiotherapy, we offer evidence-based care for men with pelvic health concerns. I hold a Masters degree in Continence and Pelvic Health and am an APA titled Pelvic Health Physiotherapist. I have worked with many men navigating prostate recovery, pelvic floor dysfunction, and pain, both in hospital settings and in the community.
I know it can be confronting to talk about these things, especially if it is something you have been putting off. My approach is practical, respectful, and focused on your individual needs.
You do not need to “just live with it”, understand that there is assistance available. Do not be afraid to reach out and start the conversation with your healthcare provider.
