Male Pelvic Floor Physiotherapy: Understanding the Basics

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Male Pelvic Floor Physiotherapy: Understanding the Basics

Are you experiencing pain and discomfort in your penis, testicles, anus, or anywhere in between? Have you been struggling with increased urination, discomfort with sitting, or erectile dysfunction? These issues can be caused by weak and tight pelvic floor muscles, a problem that affects men just as much as women. Fortunately, pelvic floor physiotherapy can help.

What is Pelvic Floor Physiotherapy?

Pelvic floor physiotherapy is a specialized form of physiotherapy that focuses on treating the muscles of the pelvic floor. Treatment can help improve bladder and bowel control, reduce pain and discomfort, and even improve sexual function. During a session, a specially trained physiotherapist will work with you to identify the source of your symptoms and develop a plan to help you manage them .

So if you’re looking for a physiotherapist specializing in the male pelvic floor in Vancouver, look no further than Reformotiv Physio + Pilates. Our experienced physiotherapists have the knowledge and expertise to help you overcome the pelvic floor issues problems you have been experiencing. Don’t suffer in silence, schedule an appointment today and take the first step towards getting back to doing the things you love without worrying about the pain and discomfort “down there”.

What is the Male Pelvic Floor?

The male pelvic floor is a complex group of muscles, fascia, and connective tissues that provide support to the hips, scrotum, spine, abdomen, and bony pelvis. It plays a crucial role in the proper functioning of the bladder, bowel, and sexual organs. Below we will discuss the following aspects of the pelvic floor: anatomy, function, common disorders, factors affecting pelvic floor health, and signs and symptoms of pelvic floor dysfunction.

Anatomy of the Pelvic Floor

The pelvic floor muscles consist of three layers, namely superficial, intermediate, and deep. The superficial layer is responsible for support, the intermediate layer for stability, and the deep layer for strength. The pelvic floor muscles are connected to the pubic bone, tailbone, and hip bones and are responsible for maintaining the position of the pelvic organs.

Functions of the Pelvic Floor

The male pelvic floor performs several functions, including supporting the pelvic organs, controlling urination and bowel movements, and facilitating sexual function. 

Common Pelvic Floor Disorders in Men

Pelvic floor disorders such as urinary incontinence, constipation, sexual dysfunction, and pelvic pain are common in men. These disorders can be caused by weak and tight pelvic floor muscles. Furthermore, trauma to the pelvis whether from sport, or from diseases like prostate cancer can also cause problems with the pelvic floor.

Factors Affecting Pelvic Floor Health

There are many factors that can affect the health of the pelvic floor. These factors include: stress and anxiety, age, disease, chronic coughing, and a sedentary lifestyle. 

Signs and Symptoms of Dysfunction

Some signs and symptoms that the pelvic floor is not working properly are: urinary leakage and increased urinary frequency, constipation, painful intercourse, pain with sitting (sensation of sitting on a golf ball), and pain with bowel movements. These symptoms can greatly affect your quality of life and should be addressed promptly.

What does assessment and treatment look like?

Initial Assessment

Before beginning treatment, your physiotherapist will conduct an initial assessment to gather information about your symptoms and past medical history. Then an objective exam is performed which includes examining your posture and general mobility, as well as examining the mobility and strength of your pelvic floor. The pelvic floor exam may include an examination of your perineum (the area between your testicles and anus) as well as the use of real time ultrasound (an imaging tool) to assess muscle function. In some cases, an internal anal exam may be necessary as well. 

Treatment of the Male Pelvic Floor

Your treatment plan will be designed to address the problems identified in your initial assessment. Treatment will almost always include education on how your pelvic floor works and exercises to ensure that you can relax and contract those muscles correctly. Most importantly, treatment will be aimed at helping you become better connected to your pelvic floor and provide you with the tools to safely and comfortably manage your symptoms independently.


Pain and discomfort “down there” may be caused by problems with your pelvic floor. By meeting with a physiotherapist specially trained in treating the pelvic floor, you will learn how to regain the strength, control, and mobility of your pelvic floor muscles.

If you are experiencing pelvic floor issues, we encourage you to visit our physiotherapist at Reformotiv Physio + Pilates

How We Reviewed This Article:

This article was written and reviewed by Sean Lee, a physiotherapist specializing in male pelvic floor therapy here at Reformotiv. Our team is continually learning and monitoring the health and wellness industry to keep informed.