Men's Pelvic Health
Men’s Pelvic Health Physiotherapy London | Specialist Male Pelvic Physio
Men’s pelvic health problems are common, but they are often under-discussed. Specialist physiotherapy can help men manage symptoms affecting bladder control, bowel control, pelvic pain, sexual function and recovery after prostate surgery.
Our Men’s Pelvic Health service provides discreet, evidence-informed assessment and treatment for men experiencing symptoms such as urinary leakage, post-urination dribble, urinary urgency, pelvic or perineal pain, bowel control difficulties, erectile dysfunction, hard-flaccid syndrome and changes following prostate surgery.
Our Men’s Pelvic Health service provides discreet, evidence-informed assessment and treatment for men experiencing symptoms such as urinary leakage, post-urination dribble, urinary urgency, pelvic or perineal pain, bowel control difficulties, erectile dysfunction, hard-flaccid syndrome and changes following prostate surgery.
Why Men's Pelvic Health Matters
NICE recommends supervised pelvic floor muscle training for men with stress urinary incontinence after prostatectomy, continuing for at least three months before considering other options.
Treatment is tailored to the individual. Your physiotherapist will assess how your pelvic floor, abdominal muscles, breathing, posture, hips, spine and lifestyle factors may be contributing to your symptoms. Pelvic floor muscles need both strength and the ability to fully relax; problems can arise when they are weak, overactive, poorly coordinated or under strain. NHS guidance notes that pelvic floor exercises can help improve bladder and bowel control, and should be performed correctly with both short and long contractions.
Treatment is tailored to the individual. Your physiotherapist will assess how your pelvic floor, abdominal muscles, breathing, posture, hips, spine and lifestyle factors may be contributing to your symptoms. Pelvic floor muscles need both strength and the ability to fully relax; problems can arise when they are weak, overactive, poorly coordinated or under strain. NHS guidance notes that pelvic floor exercises can help improve bladder and bowel control, and should be performed correctly with both short and long contractions.
What We Treat:
- Urinary leakage after prostate surgery
- Post-micturition dribble, or leaking after passing urine
- Urinary urgency or frequency
- Pelvic, groin, testicular, penile, rectal or perineal pain
- Chronic pelvic pain syndrome
- Constipation, straining or bowel control concerns
- Pelvic floor weakness or overactivity
- Erectile function concerns where pelvic floor rehabilitation may be appropriate
- Return to exercise, lifting, cycling, golf or running after pelvic surgery
Prostate Cancer UK notes that pelvic floor exercises may help some men with urinary leakage, bowel symptoms and erection quality after prostate cancer treatment.
Our Approach
Your first appointment will be confidential, respectful and focused on understanding your symptoms, goals and medical history. Depending on your needs, treatment may include pelvic floor muscle training, relaxation and down-training techniques, bladder and bowel advice, pain education, manual therapy, breathing retraining, exercise rehabilitation and a personalised home programme.
We work with men before and after prostate surgery, as well as those with long-standing pelvic pain, continence issues or bladder symptoms. Where needed, we can liaise with your GP, pelvic pain specialists, urologist or other consultants to support joined-up care.
We work with men before and after prostate surgery, as well as those with long-standing pelvic pain, continence issues or bladder symptoms. Where needed, we can liaise with your GP, pelvic pain specialists, urologist or other consultants to support joined-up care.
Book a Confidential Men’s Pelvic Health Appointment
Pelvic health symptoms can affect confidence, exercise, work, sleep and relationships — but support is available. Book a confidential appointment with us to discuss your symptoms and start a tailored recovery plan.
FAQ
Can physiotherapy help men with urinary leakage?
Yes. Specialist pelvic health physiotherapy can help men improve pelvic floor strength, coordination and bladder control. NICE recommends supervised pelvic floor muscle training for men with stress urinary incontinence after prostatectomy.
Is Men’s Pelvic Health Physiotherapy only for men after prostate surgery?
No. It can also help men with pelvic pain, urinary urgency, post-urination dribble, bowel control issues, constipation, erectile dysfunction, hard-flaccid syndrome, pelvic floor overactivity and return to exercise after pelvic surgery.
What happens during a Men’s Pelvic Health appointment?
Your physiotherapist will take a detailed history, discuss your symptoms and goals, and assess contributing factors such as pelvic floor function, breathing, posture, strength, mobility and lifestyle habits. Treatment is always explained clearly and tailored to your comfort level.
Can pelvic floor exercises help erectile function?
Some men may notice improvements in erectile function or erection quality with pelvic floor rehabilitation, particularly after prostate cancer treatment, although outcomes vary and depend on the cause of symptoms.
Is the appointment confidential?
Yes. Men’s pelvic health appointments are handled with discretion, professionalism and respect.