Pelvic floor dysfunction affects men more often than people realize. At Pelvitone Physical Therapy in San Diego, we provide specialized male pelvic floor physical therapy to treat bladder, bowel, pain, and sexual health concerns.
The pelvic floor muscles support the bladder, bowel, and sexual function. When these muscles become weak, tight, or poorly coordinated, symptoms such as leakage, pain, or performance changes can occur.
Our treatment focuses on restoring strength, relaxation, and control so daily activities and exercise feel normal again.
Conditions We Treat
Post-Prostatectomy Rehabilitation
After prostate surgery, the pelvic floor muscles often lose strength and coordination.
We help with:
- Urinary leakage
- Post-void dribbling
- Decreased control during activity
- Return to exercise safely
Early pelvic floor rehabilitation significantly improves recovery and long-term bladder control.
Erectile Dysfunction
Pelvic floor muscles play an important role in blood flow and erection quality. Dysfunction may contribute to:
- Difficulty achieving or maintaining erection
- Reduced rigidity
- Performance-related muscle tension
Therapy focuses on improving coordination, circulation, and confidence.
Constipation
Men commonly experience pelvic floor coordination issues that interfere with bowel movements.
Symptoms include:
- Straining
- Incomplete emptying
- Prolonged bathroom time
Treatment teaches proper relaxation and abdominal coordination for easier elimination.
Penile or Testicular Pain
Pain may occur due to muscle tension, nerve irritation, or movement dysfunction.
We commonly address:
- Penile pain
- Testicular discomfort
- Pain after exercise or sitting
- Persistent groin tension
Retrograde Ejaculation
Pelvic floor coordination and pressure regulation can influence ejaculatory mechanics. Therapy focuses on improving muscle timing and control.
Rectal / Perineal Pain
Men may experience:
- Proctal (rectal) pain
- Pain with sitting
- Pelvic pressure
- Chronic pelvic pain syndrome symptoms
Treatment reduces muscle guarding and nerve sensitivity.
Our Treatment Approach
Care is always private and respectful. Your evaluation looks at breathing patterns, core coordination, pelvic floor function, and movement habits.
Treatment may include:
- Pelvic floor strengthening or relaxation training
- Manual therapy techniques
- Nerve mobility work
- Core stability training
- Bladder and bowel retraining
- Return-to-activity guidance
Our goal is restoring automatic function so symptoms no longer control daily life.
Frequently Asked Questions
Is pelvic floor therapy common for men?
Yes. Many bladder, bowel, and pain symptoms in men are related to pelvic floor function and respond well to therapy.
Will treatment involve internal work?
Not always. Many conditions improve with external techniques and movement training.
How long does recovery take?
Many patients notice early improvement within several visits, with continued progress over time.
When to Seek Help
You may benefit from male pelvic floor therapy if you experience:
- Urinary leakage
- Erectile changes
- Pelvic or genital pain
- Constipation
- Symptoms after prostate surgery