Men’s health 

Optimal bowel health is required for good pelvic health and often is the causative factor behind several pelvic conditions. There are a range of issues that cause constipation, bowel incontinence or poor bowel health that are not simply dietary. Such issues can stem from pregnancy, the postnatal period and most frequently menopause.

There are two main types of incontinence in men. Stress incontinence is related to the leakage of urine when there is an increase in abdominal pressure. For example, when running, lifting, jumping, coughing or laughing. Urge incontinence occurs when there is an overwhelming urge to go to the toilet, but you are unable to make it there in time. These types of incontinence will often exist together.

Overactive bladder presents as a higher than usual frequency of needing to urinate. This will often occur with urgency and low volumes. These symptoms can be caused by hormonal changes or post-infection/surgery.

The most common cause of incontinence in men is prostate enlargement or following prostate surgery. But it can also be the result of bladder muscle dysfunction and neurological disorders.

Prostate surgery often has the unfortunate side effect of urinary incontinence. To prevent this problem, it is advisable to see a men’s health physiotherapist pre-operatively to begin a strengthening program and be taught correct technique of pelvic floor exercises.

Post-operative assessments are also advised to be completed at 2-4 weeks post-surgery so that any continence, pain and scarring issues can be addressed.

Pelvic pain can occur for a variety of reasons, and involves pain felt deep within the pelvic region, often with penile/scrotal or rectal symptoms.

Pain will often be present during sexual intercourse which can be deeply distressing and may cause subsequent problems. Pain may also occur with erection. In some cases, it is diagnosed as pudendal neuralgia.