Having strong pelvic floor muscles that are not coordinating well, or are simply too tight, can also be a problem as well. So ‘just doing kegels’ may seem ineffective, or could be making the issue worse…
You’ve already read all about WHY pelvic health is also important for men, now let’s dive into a case study!
Case Study – Male Pelvic Health
CT is a 43 year old male seeking help because he is having problems with leaking urine whenever he does physical activity. He has also been experiencing consistent sharp/burning pains around his rectal area. In the beginning he was leaking only a few drops of urine and feeling slight discomfort in his pelvic floor… but after a few months CT is leaking his full bladder and his pain has greatly increased. He is afraid to participate in golf, fishing, and jogging because this is when he leaks the most urine.
During the pelvic assessment it is found that CT has a weak pelvic floor (2/5 strength), and a lot of tension/tightness of his pelvic floor muscles. He is educated that he needs to strengthen his pelvic muscles in order to close his urethra (tube which pee comes out), so that he does not leak before he is able to get to the bathroom, or when participating in golf, fishing, and jogging. CT also requires training in relaxation exercises, and stretches for his pelvic floor, which will decrease the tightness and therefore stop the pain that he has been experiencing.
After the assessment CT is sent home with a breathing exercise, several pelvic floor stretches, and a muscle strengthening exercise.
At the next session CT reports having decreased episodes of leaking and reduced pain in his pelvic area. During a follow up evaluation CT now has 3/5 pelvic strength and a decrease in muscle tension. The therapist manually releases his pelvic muscles and he is once again sent home with progressed pelvic floor strengthening exercises and stretches.
After a few more weeks and 2 or 3 more sessions CT is no longer leaking and feels no more pain and discomfort in his pelvic floor. He is educated to keep up with his exercise program occasionally to maintain strength and proper length of his pelvic floor.
Not all pelvic health issues will present the exact same, and as such there is no one-size fits all program that will work for everyone. Need help with your pelvic health complaint? Don’t hesitate to contact us or book an appointment. Not sure if your issues can be helped by a physiotherapist? Give us a call, or send a message, we are happy to help you sort through it.
Pelvic floor dysfunction is not just a problem for women… after all, everyone has a pelvic floor!
A study by MacLennan et al, reported that 4.4% of men have self reported problems with urinary incontinence (inability to control urine) (1). If you take the population of Saskatoon, which in July of 2018 was reported at 278,500 and divide that in half you have approximately 139, 250 males (2). 4.4% of the Saskatoon population will give us 6, 127 men that have problems with leaking or controlling their bladder. Keep in mind that urinary incontinence is only one of many potential issues with the pelvic floor.
The crux of the issue is that pelvic floor health can be a big problem for both women and men.
There has always been a stigma around men seeking help for any issue, let alone their leaking bladder, erectile dysfunction, and pelvic pain. Men need to understand that they do not need to live with these stressful and often embarrassing problems.
Pelvic Health Therapists are specifically trained to help men and women with a vast majority of their pelvic floor dysfunctions. The pelvic floor is a bowl of muscle that surrounds the external openings, in men that is the urethra (the tube you pee out of) and the rectum.
The muscles are the same as any others in the human body and therefore they are treated similarly. In a good number of cases urinary incontinence is related to the lack of strength, coordination, and increased tension/tightness of the pelvic floor muscles that close the urethra. Then when the bladder is full, or someone has the urge to pee they cannot stop themselves. By simply teaching someone to relax, strengthen and coordinate their pelvic muscles, urinary incontinence problems can often be resolved.
If the pelvic muscles are too tense it may cause pain in the perineum, abdomen, low back or inner thigh. Relaxation exercises and manual therapy skills can be applied to achieve relief. Strengthening pelvic floor muscles and addressing other contributing factors can often lead to the resolution of erectile dysfunction and healthier sex lives (4). Men need to understand that the tools and resources are out there to help them with their pelvic floor dysfunction, part of which may be pelvic health physiotherapy assessment and treatments.
In short, we are asking that men take it upon themselves to seek out help for their pelvic floor dysfunction and in return understand that they will be treated with privacy, respect, and compassion. Waiting and suffering in silence doesn’t need to be the case; we are here to help you, help yourself.
Warman Physiotherapy & Wellness
105 Klassen Street
Warman, SK, Canada
2543 Dudley St
Saskatoon, SK, Canada
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