Men’s Pelvic Floor Physical Therapy

Pelvic floor dysfunction isn’t just a women’s issue — and it’s far more common in men than most people realize. From urinary leakage and chronic pelvic pain to post-prostatectomy recovery and sexual dysfunction, pelvic floor problems can significantly impact a man’s quality of life. At Aquacare Physical Therapy, our specially trained therapists provide evidence-based, confidential care to help men of all ages regain control, reduce pain, and get back to doing what they love.

What Is the Pelvic Floor?

The pelvic floor is a group of muscles, ligaments, and connective tissues that form a supportive base at the bottom of your pelvis. Think of it as a net that holds your bladder, prostate, seminal vesicles, intestines, and rectum in place. These muscles are responsible for:

Supporting the bladder, prostate, and rectum
Controlling bladder and bowel function
Stabilizing the spine and hips
Contributing to sexual health and function, including erections

When the pelvic floor is too weak, too tight, or not coordinating properly, problems like urinary leakage, chronic pain, or erectile difficulties often follow.

Common Men’s Pelvic Health Conditions We Treat

Pelvic floor physical therapy addresses a wide range of conditions affecting men, including:

Urinary incontinence (stress, urge, or post-prostatectomy leakage)
Fecal incontinence and bowel control difficulties
Constipation and irritable bowel syndrome (IBS)
Bladder pressure or pain (interstitial cystitis)
Chronic pelvic pain syndrome / prostatitis
Erectile dysfunction related to pelvic floor dysfunction
Pelvic floor muscle dysfunction
Pelvic inflammatory disease
Post-surgical rehabilitation (prostatectomy, abdominal surgery)
Low back, hip, and core weakness linked to pelvic instability

Because pelvic floor dysfunction in men frequently overlaps with urological and orthopedic conditions, treatment at Aquacare is always highly individualized.

What Does the Research Say?

Pelvic floor physical therapy has a strong evidence base for men:

Research published in European Urology demonstrates that pelvic floor physical therapy significantly reduces urinary incontinence following prostatectomy.
Studies show pelvic floor therapy is highly effective for chronic pelvic pain syndrome, often reducing symptoms better than medication alone.
Clinical evidence supports pelvic floor rehabilitation for erectile dysfunction caused by pelvic floor muscle tightness or post-surgical changes.

Roughly 80% of men experience urinary incontinence or voiding difficulties following a prostatectomy — pelvic floor therapy is a proven path to recovery.

What to Expect at Aquacare

Many men feel uncertain or hesitant about starting pelvic floor therapy. Our licensed therapists provide professional, discreet, and compassionate care. Here’s what a typical course of treatment looks like:

Initial Evaluation

Your therapist will review your medical history, discuss your symptoms, and assess posture, breathing, core strength, and hip alignment. In some cases, a gentle internal examination may be performed to evaluate muscle tone and function. Your comfort and consent are always our top priority.

Your Personalized Treatment Plan

Based on your goals, your therapist designs an individualized program that may include:

Pelvic floor strengthening or relaxation exercises (it’s much more than just Kegels)
EMG biofeedback to retrain muscle control and coordination
Manual therapy for tight muscles, trigger points, and scar tissue
Breathing and core-stability techniques
Postural re-education
Education on bladder and bowel habits, activity modification, and daily strategies

Progress Over Time

Most patients notice meaningful improvement within a few weeks to a few months, depending on the severity of their symptoms and consistency with their home exercise program.

Why Choose Pelvic Floor Physical Therapy?

Non-invasive — address the root cause before considering medications or surgery
One-on-one care from licensed therapists trained in men’s pelvic health
Whole-body approach, since pelvic health is connected to the spine, hips, and core
Long-term results — you’ll leave with tools to manage your health for life

Explore Men’s Pelvic Health Topics

Learn more about specific conditions and how pelvic floor therapy can help:

Ready to take the first step toward relief?

Pelvic floor problems are common, treatable, and nothing to be embarrassed about. Aquacare Physical Therapy has pelvic floor specialists at most locations.

Women experience pelvic floor dysfunction too. Visit our Women’s Pelvic Health page to learn more.

Pelvic Floor Physical Therapy for Men