Men often suffer from urine leakage after removal of a cancerous prostate, or after a TURP procedure from an overgrown prostate. Physical therapy is very successful in teaching men how to strengthen the correct pelvic floor muscles, recruit their core muscles correctly, manage their incisional scars, and promote proper bladder habits. Pre-op visits with the physical therapist are also research proven to lead to faster recovery from urinary incontinence because the patient knows what exercises he can start immediately after surgery to encourage healing and promoting continence, and they now know how to do these exercises correctly.
Bladder problems can arise from many things; such as poor fluid intake, increased bladder irritant intake, frequent “just in case” voids, etc. A thorough evaluation by a specialty trained physical therapist will help determine if behavioral techniques and pelvic floor strengthening can help resolve these symptoms.
Often men have rectal pain that is diagnosed as an inflammation of their prostate, or “prostatitis”. Sometimes when this initial infection clears, men are left with the secondary problem of high tone (spasm) of their pelvic floor muscles. This muscle spasm can mimic the pain that started from an inflamed prostate. Resultant muscle spasms typically resolve well with physical therapy manual treatments.
Men can develop penile or testicular pain from a variety of reasons. Pelvic floor muscles spasm can bring on pain in this region, as well as nerve impingements in the torso from tight connective tissue or poor body mechanics for daily activities and work requirements (ie men who wear heavy belts such as military or contractors, can impinge their spinal nerves after those nerves leave the spine and travel through the torso to the part of the bodies that they innervate (give sensation or strength to). Muscle spasms and nerve impingements can be addressed successfully with PT biomechanical evaluations and treatments of the restricted tissues.
Constipation is one of the most common complaints for individuals when they go to see their primary care provider. Sometimes the GI tract moves slower than it should due to abdominal surgical adhesions, poor dietary habits, poor abdominal strength/compression, or improper breathing and movement patterns. Constipation can also impact urinary incontinence, organ prolapse and pelvic pain in a negative manner. By using manual techniques such as bowel massage and visceral mobilization, teaching proper toileting mechanics and discussing dietary impact, physical therapy can be very effective in improving or resolving constipation.
Fecal incontinence is the loss of fecal matter with either physical activities, or with a feeling of urgency and the inability to make it to the restroom on time. This can happen due to weak or damaged pelvic floor muscles (such as after hemorrhoidectomy or other anal surgeries) or also from poor bowel movement consistency. Physical therapy addresses core and pelvic floor strengthening, dietary habits and any co-existing bladder concerns with great success in resolving fecal incontinence issues.