Men's Health Physiotherapy

Physiotherapy can help you learn how to use the pelvic floor muscles effectively.

About Men's Health

1 in 10 men may experience continence or pelvic floor issues during their lifetime.

Up to 70% of men suffer from urinary incontinence following prostatectomy surgery, which can be cured by strengthening the pelvic floor muscles correctly.

16% of males over 18 have overactive bladder.

Erectile dysfunction affects more than 20% of men under 40 years of age, more than 50% of men over 40 years of age and more than 66% of men over 70 years of age.

What can we treat?

Prostate cancer related issues
Pre-operative prostatectomy motor learning program
Post-operative prostatectomy rehabilitation program

Incontinence Issues
Stress, Frequency and Urgency
Bladder training for irritable bladder syndromes
Urinary urgency problems
Post Micturition DribbleErectile DysfunctionChronic Pelvic Pain Syndrome

 

 

How will it help you?

We offer full assessment and diagnoses of these conditions, and individualised advice and treatment including:

  • Progressive pelvic floor muscle re-training (using real-time ultrasound, EMG biofeedback, muscle stimulation when required).
  • Bladder training and acupuncture for overactive bladder.
  • Manual therapy for pelvic floor and coccyx pain.
  • Safe rehabilitation following prostate surgery or urology procedures.

 

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Why Us?

Quite simply, Stuart and his team are the leaders in Physiotherapy treatment of Mens Health problems. We provide highly qualified Physios and offer a discreet, professional and confidential service to help you get back on track.

We use the absolute latest, cutting edge technology and treatment to ensure the best possible outcome for you in the shortest possible timeframe.

Our Mens Health Physiotherapy staff are not only highly qualified, they are also incredibly personable and caring

These issues can be life changing and debilitating. However many tolerate these problems, often for years as they are too embarrassed to seek help or unaware that there are treatments available.

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Mens Health Treatment Information

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Prostate cancer is the most commonly diagnosed male cancer.  It has a higher prevalence in men than breast cancer does in women.
The prostate gland is a walnut sized gland, which is located at the very base of the bladder.

One of the treatment options for prostate cancer is radical prostatectomy, complete surgical removal of this gland. This is a very successful way of eradicating the cancer but it can lead to long-term issues of urinary incontinence and erectile dysfunction.

At Sydney Physiotherapy Solutions our focus has been on using real time ultrasound (RTUS) as a biofeedback tool to allow men to visualise the pelvic floor muscles (PFM) moving. In this way we can more accurately teach the ‘feel’ of a good quality pelvic floor muscle contraction. Repetition of a high quality technique is much more likely to produce better outcomes than repetition of a poor technique.  Once good technique has been perfected we develop a tailored progressive strength program that will develop the strength of the voluntary muscle system.

It is important that the two functions of the pelvic floor are trained in separate ways.

  1. Endurance - targets postural control and ability to contract for long periods of time
  2. Strength – developed via a progressive, guided strength program

Just like all strength programs you have to make sure you are being challenged up to, but not beyond, your capacity.

Again we utilise the ultrasound to objectively test how hard you are able to work so we get the optimal strength development outcomes for you.

Stuart and his team at Sydney Physio Solutions are producing ground-breaking research in this area, looking at new and innovative ways of optimising pelvic floor health.

The outcomes of this research will see significant clinical improvements in continence and erectile function following prostatectomy.

 

Incontinence issues (stress, frequency and urgency) and irritable bladders are dealt with in a similar fashion as above, ensuring that pelvic floor muscle tone is optimised.  But here we also focus on bladder retraining.  By utilising both physical, mental and cognitive behavioural strategies we aim to defer the urge to urinate, restore more normal urinary function and settle bladder irritability.

Post micturition dribble is what can happens when, after you have finished urinating and have zipped up, a small amount of urine drips out of your penis.  The volume of urine leaking out can vary from very small and insignificant to quite volumous and disabling.

Although the mainstay here is also pelvic floor muscle training there are other strategies we can educate you about to assist with management of this embarrassing issue.

Erectile dysfunction (ED) is a complex medical condition and will often need to be assessed in a multimodal fashion by specialist mens health physicians, clinical psychologists and urologists as well as by physiotherapists.

There is considerable data to suggest that PFM strengthening is effective for some people with erectile dysfunction and it can do no harm to optimise pelvic floor muscle health to improve ED outcomes.

Chronic pelvic pain is persistent pain located in and around the pelvic floor (perineal) region.  It is thought it may be due to excessive tightness in muscular tissue and can cause significant pain and disability.

Treatment involves a thorough examination of the muscular and ligamentous tissue in and around the pelvis and targeted release of localised myofascial trigger points. (hyperexcitable regions within the muscle fibres).

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