Through the numerous years of treating patients with pelvic floor dysfunction, one of the most common questions I receive is..."I didn't know you see men?" or "When you see men is it for a pelvic problem or something else?" and of course "wait...men have the same pelvic muscles?" Although, my all time favorite question came from a male patient, whom I had been treating for a while and asked if I see women too, as his wife also leaks urine and she was unsure where to go for help.
The muscles of the pelvic floor help to control urine, bowel and sexual function. We all have these functions, therefore, we can all have a dysfunction of any or all of those abilities; regardless of gender. Common diagnoses for men include: urinary incontinence, constipation, fecal incontinence and pelvic pain.
The most common reason a male patient would be sent my way is usually after a prostate is removed, due to prostate cancer. Without the support of the prostate and damage from surgery to muscle tissue, nerves and the urethra, patients can sometimes be left incontinent with no where to turn and often no one to talk to. Physical therapy treatment is here to help patients after prostatectomy understand how their pelvic floor muscles work, how to change bladder and bowel habits and how to strengthen the pelvic floor to help the body decrease symptoms of the prostatectomy. I would advise these patients to seek help from knowledgeable pelvic physical therapist.