Pelvic Solutions
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men's health


supporting men back to full control

The pelvic floor muscles stretch from the pubic bone to the tail bone to support the pelvis.  They have an important role in men for continence of bladder and bowel, core stability and sexual function. Improving and maintaining the strength and flexibility of your pelvic floor muscles and core can restore control and balance. 


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Urinary symptoms in Men

Around 40% of men over the age of 45 have bladder issues, and they tend to worsen with age. 

Flow symptoms:

  • Slow starting the flow of urine: common with aging or prostate issues.  But 30% of men who can pass urine in private can have trouble passing in public situations due to feeling shy.

  • Weak stream: flow may stop and start and slow down to a trickle as the bladder empties.

  • Discharge of urine after the flow stops and clothes are put back on.

  • Feeling of incomplete emptying of the bladder.

Storage symptoms of Overactive Bladder:

  • Increased frequency of bladder emptying in the day and night.

  • Urgency to pass urine with or without urge incontinence: the feeling of an urgent need to empty the bladder when not on the toilet.  Leaking may result before reaching a toilet. 

  • Stress urinary incontinence:  leakage of urine on coughing, straining or exertion such as lifting or gardening.

Do not put up with leaking of urine, no matter your age.  Our Pelvic Floor Physiotherapist has the skills and knowledge to help you regain control and confidence through exercise, education and having healthy bladder and bowel habits.

Blood in the urine: you should always see a doctor for investigations if you notice blood in the urine.

Prostate surgery

The prostate is a male reproductive organ which sits at the bottom of the bladder.  The prostate helps to maintain continence by supporting the bladder and the urethra.

Some men are required to have surgery to remove part or all of their prostate to treat cancer or enlargement of the prostate. Some men have problems with urine leakage after the surgery. Leaking can occur during a cough, a sneeze, laughing, lifting or effortful activities such as standing up from sitting, gardening, exercise or chopping wood. Urinary urgency and frequency can also be a problem.

Incontinence will usually improve with time, but you can regain control faster by improving the strength of your pelvic floor muscles.  If you do not strengthen the muscles, leakage may continue. 

Our Pelvic Floor Physiotherapist can assist to regain control of the bladder by helping you identify and strengthen the pelvic floor muscles effectively, and by designing you an effective rehabilitation program to regain stability and strength. Assistance can be provided to address bladder irritability and constipation, eat a high fibre diet, exercise safely, and practice good toilet habits. 

Photo credit:  Ian Munro Photography

Photo credit: Ian Munro Photography

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erectile dysfunction

Some men have difficulty with sexual activity and penetrative sex due to being unable to sustain an erection. Commonly this is caused by prostate surgery, smoking, psychological factors, pelvic floor muscle weakness and vascular disease. 

Our Pelvic Floor Physiotherapist can help rehabilitate this problem with an individualised and specific program for pelvic floor strengthening exercise and the use of vacuum assisted devices if necessary. 


pelvic pain

The pelvis should not hurt.  Some men feel pain around the penis, scrotum, testes, perineum, anus or lower abdominals.  Causes can include pelvic floor muscle tension, nerve injury or problems, prostate or bladder infection, or pelvic trauma.

Seek help so that this problem does not become more chronic and harder to treat. Treatment addresses the pelvic floor function and tension and may include full body relaxation techniques. 


Photo credit:  Ian Munro Photography

Photo credit: Ian Munro Photography