Men's Pelvic Floor Therapy
Most men don't know pelvic floor therapy exists for them. Many who find it have already spent years looking for answers everywhere else. Whatever brought you here: pain, leaking, sexual dysfunction, a surgery you're preparing for or recovering from, it's treatable, it's worth addressing, and you don't have to keep working around it.
Men’s Pelvic Floor Conditions We Treat
Pelvic floor issues in men are common, frequently misdiagnosed, and almost always treatable. Whether you're dealing with chronic pain, recovering from surgery, or navigating something you haven't been able to name yet, the right whole-body approach changes things.
Pelvic, & Testicular Pain
Pain with sitting, exercise, or in the groin, tailbone, penis, scrotum, perineum, or anus frequently points to the pelvic floor.
Prostatitis & Chronic Pelvic Pain Syndrome
Chronic prostatitis is one of the most over-diagnosed and undertreated conditions in men's health. Pelvic floor therapy addresses the tension and dysfunction driving your symptoms. Most patients with a long history of failed prostatitis treatment see meaningful improvement once the root cause is properly identified.
We treat chronic prostatitis, chronic pelvic pain syndrome (CPPS), pelvic floor dysfunction, post-ejaculatory pain
Prostatectomy Recovery
Starting pelvic floor therapy before prostate removal gives you a stronger foundation for recovery, and helps regain urinary control and sexual function.
Erectile Dysfunction & Sexual Health
Erectile dysfunction has a pelvic floor component that most treatment plans never address. When the muscles responsible for blood flow and nerve function aren't working properly, sexual performance is directly affected, regardless of other contributing factors. For men who've tried medication without satisfying results, pelvic floor therapy is frequently the piece that was missing.
Bladder & Urinary Dysfunction
We treat urinary urgency and frequency, urinary hesitancy, urinary leakage, interstitial cystitis, painful bladder syndrome
Bowel & Anorectal Dysfunction
Constipation, bowel urgency, and anorectal pain are rarely discussed, but they're common presentations of pelvic floor dysfunction in men. Proctalgia fugax, a condition that causes sudden, severe rectal pain, and irritable bowel syndrome with a pelvic component can both be significantly improved with targeted pelvic floor treatment.
We treat constipation, irritable bowel syndrome (IBS), proctalgia fugax, anorectal pain, and bowel dysfunction
Frequently Asked Questions for Pelvic Therapy for Men
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More than most people expect. Pelvic floor therapy for men addresses a wide range of conditions — chronic pelvic pain, prostatitis, incontinence, erectile dysfunction, testicular pain, post-prostatectomy recovery, and more. If it involves your pelvic region and hasn't responded to other treatment, there's a good chance it's worth exploring.
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The approach is the same — thorough assessment, whole-body perspective, one-on-one care — but the anatomy and conditions are different, and they're treated accordingly. Male patients are seen regularly and the specific presentations men bring in are well understood and well treated.
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Internal rectal assessment is sometimes used to evaluate the pelvic floor in male patients, but it is always optional and never required. Hartley will walk you through what a first visit can involve when you schedule, and nothing happens without your full consent. A great deal can be accomplished with external assessment, and the pace is always yours to set.
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Ideally, before surgery. Starting pelvic floor therapy before your prostatectomy — sometimes called prehabilitation — gives you a stronger baseline to recover from and has been shown to improve outcomes for urinary control postoperatively. If you're already past surgery, it's not too late. Reach out and the right approach for where you are will be figured out together.
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Quite possibly, yes. Unexplained testicular pain with no identifiable structural cause is a common referral pattern from the pelvic floor muscles and nerves. If a full urological workup hasn't turned up a clear answer, a pelvic floor assessment is a logical and often overlooked next step.
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No referral needed. You can reach out directly and Hartley will walk you through everything to get you scheduled. If you're post-prostatectomy and want your surgical team in the loop, coordination with them is always welcome.
Book Your Pelvic Floor Therapy Appointment
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