Are Guys Embarrassed When They Can’t Get It Up? What You Need to Know

Are Guys Embarrassed When They Can't Get It Up?

The question – Are Guys Embarrassed When They Can’t Get It Up?- is something I can answer easily. As a men’s physical therapist, I’ve worked with countless men who walk into my clinic feeling anxious, frustrated, or even ashamed because they can’t “perform.” And I always remind them of one simple truth: you’re not broken — you’re human.

One of the most common, yet least discussed, concerns among men is erectile dysfunction (ED) — and yes, many guys do feel embarrassed when they can’t get it up. If you’re a guy struggling with this, know that you’re not alone in feeling vulnerable. But the good news is, there are very real, physical ways to restore function and confidence. Let’s talk about why it happens, why it’s nothing to be ashamed of, and what you can do about it.

Are Guys Embarrassed When They Can’t Get It Up?

“Are Guys Embarrassed When They Can’t Get It Up?” Yes, many men feel embarrassed when they can’t get an erection — and that’s completely understandable. In these situations, a man often feels anxious, ashamed, or worried about how his partner will react. Society often ties masculinity to sexual performance, but from a clinical perspective, this issue is rarely about masculinity at all.

In fact, when stress and embarrassment take over, your body shifts into a fight-or-flight response, which restricts blood flow to the pelvic area — the exact opposite of what you need to get or maintain an erection. It’s important to remember that it is expected that not every man will be able to get an erection every time, and occasional trouble with erections is a normal part of life.

So if this has happened to you, remember: this moment does not define your worth—it’s not a failure, it’s physiology. And it’s treatable. Many men experience trouble with erections at some point.

Erectile Dysfunction: A Physical Perspective

Erectile dysfunction affects millions of men globally, and as a physical therapist specializing in men’s health, I see firsthand how movement, posture, and circulation influence sexual performance.

Common physical causes include:

There are various treatments available for erectile dysfunction, including both physical therapy and medical options such as medications.

Pelvic floor physical therapy can retrain muscles that support erections, improve blood flow, and restore control. Many patients may also benefit from medications as part of their treatment plan. Many of my patients notice not only stronger erections but also improved confidence and body awareness — all without relying solely on medication.

Sexual Health and the Whole-Body Connection

Your sexual health is a mirror of your overall health. The heart, nerves, spine, and even breathing patterns influence sexual function.

In therapy sessions, we often work on:

  • Breathing techniques to relax and improve blood flow
  • Pelvic floor strengthening for better control and endurance
  • Postural alignment and mobility to reduce nerve pressure
  • Stress management for hormonal balance and confidence

When your body moves better, you feel better — and perform better.

Sexual function is a natural part of overall health and well-being.

The Spinal Cord’s Role in Sexual Function

The spinal cord acts like the communication highway between your brain and your body. The nerves responsible for erection — mainly the pudendal and pelvic nerves — originate from the lower spine (S2–S4). Which nerves are affected is a matter of individual assessment, as each person’s injury or condition can impact nerve function differently. Some people with spinal cord injuries may still experience reflex erections, depending on the level and completeness of their injury.

Issues like lower back pain, disc compression, or even prolonged sitting can interrupt those signals. Through manual therapy, movement training, and nerve mobilization, physical therapy helps restore that vital connection, often leading to noticeable improvements in sexual function for the person.

Understanding Physical Changes Over Time

As we age or go through life changes — injuries, stress, inactivity — the body adapts, sometimes in ways that limit circulation and muscle function. In the past, people may have believed that aging always leads to loss of sexual vitality, but new approaches show otherwise. With the right care, your body can absolutely regain its physical strength and responsiveness.

A tailored movement and pelvic health program can reignite energy, restore performance, and bring back confidence at any age.

Maintaining Healthy Relationships

Maintaining healthy relationships is one of the most important things you can do when facing erectile dysfunction or other sexual health challenges. The truth is, most men will experience erectile problems at some point in their lives, and it’s perfectly normal—definitely not a big deal or a reflection of your worth, attractiveness, or the strength of your relationship.

However, the anxiety and stress that often come with ED can sometimes create a self-fulfilling prophecy: the more you worry about your ability to get an erection, the more likely it is to happen again. This cycle is common, but it can be broken.

The most effective way to support both your sexual health and your relationship is open, honest communication. Being comfortable talking with your partner about your feelings, worries, and desires can help reduce stress and build trust. Focusing on emotional and physical connection—rather than just the act of sex—can bring new pleasure and intimacy. Exploring heightened sensitivity in other areas of the body, or trying new things like sex toys, can help you and your partner discover different ways to enjoy each other.

It’s also important to be aware of factors that can contribute to erectile dysfunction. Prescription drugs, recreational drugs, and alcohol can all impact your ability to get or maintain an erection. If you’re concerned, don’t hesitate to seek professional medical advice. A doctor can help you understand the underlying causes and recommend the best treatment options for you. Systematic reviews and meta-analyses show that a combination of medication (like Cialis or Levitra), lifestyle changes, and sometimes devices like a vacuum erection device can be very effective.

For couples where one partner has a spinal cord injury, it’s important to be aware of autonomic dysreflexia—a sudden increase in blood pressure that can occur during sex. With the right precautions and guidance from your healthcare provider, you can still enjoy a safe and satisfying sex life.

Finally, remember that sexual health is about more than just erections. It’s about connection, pleasure, and feeling good in your body and your relationship. By focusing on communication, seeking treatment when needed, and supporting each other, you and your partner can navigate any challenges that come your way—and come out stronger together.

How to Get an Erection More Naturally

Here are therapist-approved ways to support your body’s ability to get and maintain an erection naturally:

  1. Breathe and relax. Deep breathing promotes blood flow and relaxation.
  2. Do pelvic floor exercises. Strengthen the muscles that support erections.
  3. Stay active. Regular movement boosts circulation and energy.
  4. Stretch your hips and spine. Keep nerves free from compression.
  5. Communicate openly. Talking to your partner or therapist can ease anxiety and improve connection.
  6. Prioritize good sleep. Quality sleep is essential for healthy erectile function and overall sexual performance.

These small, consistent steps can create big changes over time — both physically and emotionally. Remember, maintaining focus on being present and attentive to your body and experiences can also help support intimacy and connection.

Take the Next Step — With Pelvis NYC

If you’re struggling with ED, pelvic pain, or changes in sexual function, you don’t have to navigate it alone. At Pelvis NYC, our men’s health specialists understand that these challenges are deeply personal — and we treat them with compassion, expertise, and total confidentiality.

Our team uses advanced pelvic floor physical therapy and evidence-based movement training to help you reconnect with your body and rebuild confidence — one step at a time.

💪 Take control of your sexual health today. Visit Pelvis NYC to schedule a private consultation and start your journey toward better function, confidence, and connection.

Because you deserve to feel strong, capable, and fully yourself again.

Disclaimer: The information provided in this article is for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

How to Get Longers Erection Naturally | Pelvis NYC

How to Get Longers Erection Naturally | Pelvis NYC

Because confidence in the bedroom starts with confidence in your body.

Living in New York can be exhilarating—but also exhausting. The stress, late nights, and non-stop pace can take a toll on everything, including your sex life. Mental health plays a significant role in erectile function, and addressing mental health concerns is important for improving sexual performance. If you’ve been struggling with shorter erections, erection problems, or just want to maintain an erection for longer, you’re not alone.

This guide breaks down what really affects your ability to get a longer erection, how lifestyle changes can help, and why men across NYC are turning to pelvic floor physical therapy at Pelvis NYC for a lasting solution.

Understanding What a “Longer Erections” Really Means

When most men search for “how to get longer erections,” what they’re really looking for is control—the ability to get and keep an erection when they want it. It’s not about lasting for hours (that could actually be a medical issue called priapism), but about having the stamina, confidence, and comfort to enjoy intimacy without worry. For most men, an erection lasts anywhere from a few minutes to longer, and the duration can vary based on individual factors like health, lifestyle, and psychological state.

A healthy erection depends on:

Emotional health and performance anxiety can also play a significant role in sexual performance. Addressing emotional well-being and managing performance anxiety are important for maintaining healthy erections and overall sexual satisfaction.

So if your erections feel weaker or fade too quickly, it’s often your body’s way of asking for better care—not punishment.

The Truth About Erectile Dysfunction (ED)

Erectile Dysfunction—or ED—isn’t just “an older man’s issue.” Stress, poor sleep, alcohol, smoking, and even sitting too much can cause it.
In New York, where long work hours and high stress are the norm, ED rates are higher than most men realize.

Common causes include:

  • Reduced circulation from high blood pressure or cholesterol
  • Nerve issues from diabetes or back injuries
  • Hormonal imbalance (low testosterone)
  • Mental fatigue, stress, and anxiety
  • Pelvic-floor muscle tension or weakness
  • Sleep disorders

The last one—pelvic-floor dysfunction—is something most men never consider, yet it directly affects how well you can maintain an erection.

Both physical factors (like blood flow and nerve health) and risk factors (such as high blood pressure and cholesterol) can contribute to ED symptoms.

Achieving and Maintaining an Erection

Getting and keeping an erection isn’t just about desire—it’s a finely tuned process involving your brain, nerves, and circulatory systems all working together. When everything’s in sync, blood flow fills the erectile tissue, leading to a firm, lasting erection. But if you’re dealing with high blood pressure, damaged blood vessels, or other health conditions, that process can get interrupted, making erectile dysfunction (ED) more likely.

The good news? You have more control than you think. A healthy diet packed with whole foods, regular exercise, and managing your blood pressure can all help improve blood flow and support erectile function. Maintaining a healthy weight, cutting back on alcohol consumption, and quitting smoking are also powerful ways to protect your blood vessels and boost your sexual health. Even small changes—like taking the stairs or swapping out processed snacks—can make a real difference in your ability to achieve and maintain an erection.

If you’re noticing changes in your erections, don’t ignore them. Addressing these factors early can help you improve erectile function and enjoy a more satisfying sex life.

How a Healthy Diet Can Help You Maintain and Prolong Erections

What you eat in the city that never sleeps matters more than you think.

  • Add: fruits, veggies, nuts, fish, and whole grains (they support blood flow).
  • Avoid: processed foods, too much salt, and sugary drinks—they damage circulation.
  • Bonus: dark chocolate and watermelon (in moderation) are natural vasodilators, helping improve blood flow to the penis.

Managing blood sugar through a healthy diet is crucial for supporting erectile health and maintaining overall sexual function.

If you’re serious about a prolonged erection, start with your plate.

Healthy Weight = Better Blood Flow

In NYC, grabbing quick meals and skipping workouts can add pounds fast. But extra weight increases estrogen, reduces testosterone, and damages blood vessels—all enemies of strong erections. Losing weight not only helps balance hormones but also reduces the risk of cardiovascular disease, which is closely linked to erectile problems.

Losing even 10–15 pounds can dramatically improve your ability to maintain an erection.

Lifestyle Changes That Boost Performance

Simple, sustainable habits can help you achieve longer, firmer erections:

  • Regular exercise – increases blood flow and testosterone, supporting better sexual performance
  • Quit smoking – improves vascular health within weeks
  • Limit alcohol consumption – too much alcohol weakens erections and can negatively affect sexual performance
  • Manage stress – meditation, therapy, and deep breathing help regulate cortisol; reducing elevated cortisol levels can improve sexual performance and erectile health
  • Prioritize sleep – your testosterone levels rise when you rest, which benefits sexual performance

These changes don’t just help your sex life—they improve your overall health.

Healthy Habits for Sexual Health

Your daily habits have a huge impact on your sexual health and your ability to avoid erectile dysfunction. Start with your plate: a healthy diet rich in fruits, vegetables, whole grains, and lean proteins helps keep your blood vessels clear and your blood flow strong. Regular exercise—especially aerobic exercise like brisk walking, cycling, or swimming—gets your heart pumping and supports healthy circulation throughout your body.

Managing chronic stress is just as important. Techniques like meditation, deep breathing, or yoga can help lower stress hormones that might otherwise affect your erections. Prioritizing good sleep, maintaining a healthy weight, and keeping alcohol consumption in check all contribute to better sexual health. It’s also wise to steer clear of illegal drugs and limit nicotine use, as both can damage blood vessels and increase your risk of ED.

By making these healthy habits part of your routine, you’re not just improving your sex life—you’re investing in your overall well-being.

How Alcohol Consumption Affects Erections

A drink or two may help you relax, but heavy drinking numbs the nerves and blood vessels that make an erection possible.
Chronic alcohol use is one of the top causes of erection problems among younger New York men.
If your goal is a longer erection, try swapping a few cocktails for sparkling water—you’ll notice the difference in more ways than one.

Quit Smoking for Stronger, Longer Erections

Smoking restricts blood flow and damages arteries—including those that feed your penis. Smoking cigarettes also reduces nitric oxide production, a chemical essential for opening blood vessels and supporting erections.
The good news? Within three months of quitting, circulation improves, sensitivity increases, and erections often last longer.
If you needed another reason to ditch the cigarettes, this is it.

Underlying Health Conditions to Watch

Certain conditions can make achieving or maintaining an erection more difficult:

  • Diabetes
  • High blood pressure
  • High cholesterol
  • Heart disease
  • Hormonal imbalance
  • Sickle cell disease

These conditions can contribute to sexual dysfunction, so it’s important to manage them with the help of a healthcare provider.

If you have any of these, working with your doctor—and a pelvic health therapist—can improve not only your health but your sexual stamina too.

Regular Exercise and Pelvic Strength

Hitting the gym or taking a run through Central Park isn’t just about abs—it’s about blood flow and muscle control.

Cardio keeps your heart healthy; strength training boosts testosterone; and pelvic-floor exercises improve the actual muscle control that keeps your erection firm and lasting.

Regular exercise and pelvic-floor training can help treat erectile dysfunction and improve comfort during sexual intercourse.

How Pelvic Floor Physical Therapy Helps You Get a Longer Erections

Here’s something most men in New York don’t realize: pelvic-floor dysfunction is often the hidden reason behind weaker erections, early ejaculation, or loss of control. Pelvic floor dysfunction can also contribute to premature ejaculation and affect erections in various ways.

Pelvic floor physical therapy focuses on the muscles that support your penis, bladder, and pelvic organs. When those muscles are too tight, weak, or uncoordinated, erections suffer.

At Pelvis NYC, licensed pelvic health specialists help men:

  • Strengthen and retrain pelvic-floor muscles
  • Improve circulation to the pelvic area
  • Release tension that restricts blood flow
  • Correct posture and breathing that impact pelvic alignment

These evidence-based techniques can help you achieve longer, firmer erections naturally, without pills or side effects.

How to Get Longer Erections that Last

If you’re looking for ways to get an erection that lasts, you’re not alone—and there are proven strategies that can help. The key is increasing blood flow to the penis, which supports both the strength and duration of your erection. Regular exercise, a balanced healthy diet, and effective stress management are foundational steps for improving erectile function.

It’s also important to avoid habits that can undermine your efforts, like excessive alcohol consumption and smoking. Managing chronic stress through relaxation techniques or counseling can further support your sexual health. For some men, prescription medication—such as oral medications or ED pills—can be a helpful tool in treating ED and achieving an erection that lasts. Always consult a healthcare provider before starting any new medication to ensure it’s safe and right for you.

Don’t overlook the power of Kegel exercises, either. By strengthening your pelvic muscles, you can improve erectile function and gain better control during sexual activity. With the right combination of lifestyle changes and, if needed, medical support, you can enjoy stronger, longer-lasting erections and a more satisfying sex life.

What to Expect at Pelvis NYC

If you visit Pelvis NYC for pelvic-floor therapy, your treatment plan may include:

  • A full evaluation of your pelvic-floor strength and tension
  • Guided muscle-activation and relaxation exercises
  • Biofeedback therapy for better muscle control
  • Manual therapy to release tight tissues
  • Education on posture, breathing, and stress management

This kind of therapy isn’t invasive or awkward—it’s professional, targeted, and proven effective.

Overcoming Erection Problems Is Possible

You don’t need to accept weak erections as your “new normal.” Whether you’re 25 or 65, your body can improve with the right care.
By combining lifestyle improvements with pelvic-floor therapy, many men see a significant increase in erection strength, duration, and confidence within just a few weeks.

Your Next Step: Book a Consultation at Pelvis NYC

If you’re ready to take back control of your sexual health, Pelvis NYC is here to help.
Their expert physical therapists specialize in men’s pelvic health and erectile dysfunction treatment in New York City, offering compassionate, science-based care in a comfortable environment.

longer erections

👉 Schedule your confidential consultation today at Pelvis NYC and discover how targeted pelvic-floor therapy can help you achieve a longer erection—naturally, safely, and confidently.

I Can’t Get Rock Hard Anymore: Guide to Erectile Dysfunction and Proven ED Treatments

I Can't Get Rock Hard Anymore: Guide to Erectile Dysfunction and Proven ED Treatments

If you have ever thought to yourself, “I can’t get rock hard anymore,” you are not alone. Many men experience this problem at some point in their lives, and the medical term for it is erectile dysfunction or ED.

In fact, most men will experience erectile issues at some point, making it a common and manageable condition.

i can't get rock hard anymore

What Is Erectile Dysfunction and Why I Can’t Get Rock Hard Anymore

Erectile dysfunction means having trouble getting or keeping a firm enough erection for sexual intercourse. It can happen occasionally, but when it becomes frequent, it is usually a sign of an underlying issue.

An erection depends on a smooth connection between the brain, hormones, blood vessels, nerves, and emotions. If even one part of this system is not working properly, the result can be erection problems.

Causes of Erectile Dysfunction: From Physical Causes to Psychological Treatments

Physical causes of ED

  • Heart disease and cardiovascular disease problems reduce blood flow to the penis, making them major risk factors for ED.
  • Abnormal blood sugar levels, as seen in diabetes, can damage blood vessels and nerves, contributing to erectile dysfunction.
  • Diabetes, obesity, and high blood pressure put strain on blood vessels and are common medical conditions linked to ED.
  • Physical factors such as injuries or surgeries can affect sexual function.
  • Physical problems like hormonal imbalances or chronic illnesses can also lead to ED.
  • Low testosterone and neurological conditions, including damage to the spinal cord or spinal cord injury, can disrupt nerve signals necessary for erections.
  • Certain medications including antidepressants, blood pressure drugs, and antihistamines, may cause ED as a side effect.
  • ED can be a symptom of an underlying medical condition, so identifying and addressing these medical conditions is important for effective treatment.
  • Testosterone replacement may be considered for men with low testosterone levels, but it is most effective when hormone deficiency is present.

Psychological causes of ED

  • Mental health conditions such as anxiety and depression can interfere with sexual function and contribute to erection problems.
  • Relationship problems, including poor communication and unresolved conflicts, can negatively impact sexual performance and overall intimacy.
  • Low sex drive or reduced sexual desire often accompanies erectile dysfunction, especially when psychological factors or hormonal imbalances are involved.
  • Sexual problems can include both erectile dysfunction and issues like premature ejaculation, and these conditions may overlap.
  • Cognitive behavioural therapy and other psychological treatments are effective in addressing these mental health factors.

Lifestyle Changes That Improve Erections and Cardiovascular Health

Healthy living makes a real difference for ED treatment. Doctors often recommend lifestyle changes before or alongside medication. Lifestyle changes are often recommended to treat erectile dysfunction, and treating erectile dysfunction may involve a combination of these strategies. These include:

  • Eating a balanced diet that supports cardiovascular health
  • Exercising at least 30 minutes most days of the week
  • Quitting smoking and limiting alcohol
  • Getting enough quality sleep
  • Reducing stress through mindfulness, meditation, or therapy

These steps improve circulation, lower blood pressure, and enhance energy levels which all support stronger erections.

How Certain Medications and Treatments Can Help You Get Hard Again

When lifestyle changes are not enough, medical support is available.

  • Oral ED treatments like Viagra, Cialis, Levitra, or Stendra improve blood flow and make it easier to get an erection with sexual stimulation
  • Other medications may be used to manage ED, especially when first-line treatments are not suitable or effective, and should be considered with attention to possible interactions and safety.
  • Vacuum erection devices and penile injections provide alternatives when pills are not effective
  • Penile implant is a permanent surgical option for men who have not responded to other therapies; it involves placing a device inside the penis to allow for an erection.
  • Other treatments such as psychological therapies, including cognitive behavioural therapy, sex therapy, or psychosexual counselling, can help address underlying psychological or emotional issues contributing to ED.
  • Sex therapy is a psychological treatment option that can help men and couples address relationship or emotional factors affecting erectile function, often involving techniques like sensate focus and support from qualified therapists.

When to Seek Medical Advice for Erectile Dysfunction

Erectile dysfunction can feel frustrating and even distressing, but you do not have to face it alone. Occasional erection problems happen to many men, but persistent difficulty getting or maintaining an erection means it is time to seek medical advice. A healthcare professional can identify the underlying causes of erectile dysfunction and guide you to the most effective treatment options. Interested in reading – Are Guys Embarrassed When They Can’t Get It Up?

Reach out to a doctor if you suddenly develop erectile dysfunction or if ongoing erection problems disrupt your sex life or relationship. Erectile dysfunction often signals a more serious health condition such as high blood pressure, heart disease, diabetes, kidney disease, or multiple sclerosis. When you address these health problems early, you improve your sexual performance and protect your overall health.

Talk to your healthcare provider if you take certain medications such as beta blockers or other blood pressure drugs, or if you use recreational drugs. These substances affect blood flow and sexual function, and your doctor can help you weigh the risks and explore safer alternatives.

During your visit, your doctor will review your medical history, ask about your sexual activity, and evaluate both physical and psychological factors that contribute to erectile dysfunction. They may recommend erectile dysfunction medications or suggest psychological treatments like cognitive behavioural therapy if emotional issues play a role. In many cases, you can improve blood flow, strengthen cardiovascular health, and enhance your erections by making lifestyle changes such as eating a balanced diet, exercising regularly, and maintaining a healthy weight.

Erectile dysfunction is common and has many possible causes. By seeking medical advice, you take a proactive step toward improving your sexual health, building confidence, and enjoying a more satisfying sex life. Do not wait to reach out. Help is available, and effective treatments can restore your performance and quality of life.

Frequently Asked Questions About Erectile Dysfunction

Can erectile dysfunction be cured naturally?

For some men ED improves naturally through lifestyle changes such as better diet, exercise, and stress reduction. The outcome depends on the underlying cause.

At what age do erection problems usually start

Erectile dysfunction can affect men at any age but it becomes more common after age forty. Research shows that about half of men over fifty experience some degree of ED.

Is heart disease linked to erectile dysfunction?

Yes. Heart disease and other cardiovascular health problems reduce blood flow to the penis which often leads to ED. In fact, erectile dysfunction can be an early warning sign of hidden heart issues.

Can anxiety or stress cause ED?

Absolutely. Mental stress triggers adrenaline which restricts blood flow and prevents an erection. Psychological treatments such as therapy or counselling can be very effective.

What is the best ED treatment available?

The best treatment depends on the cause of erectile dysfunction. Many men respond well to oral medication. Others find that lifestyle changes, therapy, or a combination of treatments is most effective.

Key Takeaway

Thinking “I can’t get rock hard anymore” can feel discouraging, but it does not mean the end of your sex life. Erectile dysfunction is common; it is not your fault, and most importantly it can be treated. By making lifestyle changes, understanding the causes of erectile dysfunction, and exploring the right ED treatments, you can restore confidence and enjoy intimacy again.

Take the Next Step

If you are ready to address erectile dysfunction and take control of your sexual health, the team at Pelvis NYC is here to help. Our specialists focus on personalised care for men dealing with erection problems, cardiovascular health issues, and related conditions.

i can't get rock hard anymore- How Pelvis NYC can help?
👉 Schedule a confidential consultation with Pelvis NYC today and start your journey back to stronger, healthier erections.

Prostatectomy Pain: What You Should Know About Recovery

Prostatectomy Pain: What You Should Know About Recovery

If you’re preparing for a prostatectomy or have just had one, you’re probably wondering: “How much pain will I feel—and how long will it last?” That’s a very normal question. A prostatectomy, often used to treat prostate cancer, is a common surgery that can be life-saving. But like any major operation, it comes with its own recovery process.

The good news is this: while prostatectomy pain is part of healing, most men find it gets better more quickly than they expect. Let’s walk through what recovery usually looks like, what side effects are common, and how tools like physical therapy can help you get back on your feet.

Why Prostate Surgery Happens

Doctors most often perform prostate surgery to treat prostate cancer. The procedure removes the prostate gland, and when caught early, it can be very effective. Certain risk factors, such as underlying health conditions like diabetes or autoimmune diseases, may influence the decision to proceed with surgery or additional treatments. In some cases, doctors may also add treatments like hormone therapy or radiation to ensure they address all cancer cells. If there are remaining cancer cells or complications after surgery, further treatment such as radiotherapy or hormone therapy may be necessary to achieve complete eradication of the disease.

While surgery is an important step in treatment, it can also bring short-term challenges such as pain, urinary leakage, and changes in sexual function.

Types of Prostate Surgery

  • Prostatectomy as a Surgical Procedure – Prostatectomy is a surgical procedure to remove the prostate gland, and there are several possible approaches, each with its own advantages and considerations.
  • Open Radical Prostatectomy – This traditional approach involves a single larger incision in the lower abdomen to access and remove the prostate. Open radical prostatectomy is often compared to minimally invasive techniques, with differences in recovery time, pain, and potential complications.
  • Radical Retropubic Prostatectomy – A type of open surgery performed through an incision in the lower abdomen, allowing direct access to the prostate. This surgical procedure is commonly used and enables the surgeon to remove nearby lymph nodes if necessary.
  • Laparoscopic Surgery – Laparoscopic surgery is a minimally invasive technique that uses small incisions, a laparoscope (a thin tube with a camera), and specialized instruments to perform procedures such as prostatectomy.
  • Laparoscopic Radical Prostatectomy – This minimally invasive approach uses laparoscopic surgery to remove the prostate. Laparoscopic radical prostatectomy is less invasive than open surgery and is often compared to robotic radical prostatectomy.
  • Robotic Radical Prostatectomy – A form of minimally invasive surgery where the surgeon uses robotic assistance to perform the procedure with enhanced precision. Robotic radical prostatectomy may offer benefits such as reduced blood loss, less pain, and faster recovery compared to traditional methods.
  • Laparoscopic/Robotic Prostatectomy – A minimally invasive approach with small abdominal incisions. Usually comes with less lower abdominal pain and a quicker recovery.
  • Radical Perineal Prostatectomy – Done through an incision between the scrotum and anus. Effective in some cases but can cause more localized discomfort.

What Pain Feels Like

Most men describe prostatectomy pain as:

  • A sore or pulling feeling in the lower abdomen
  • Discomfort when sitting, moving, or standing
  • Irritation or bladder spasms while the urinary catheter is in place or when it’s removed, often due to the presence of the catheter itself
  • Some trouble with bowel movements in the first week or two

After surgery, the urinary catheter acts as a urine drain, carrying urine from the bladder while the area heals.

Post-Operative Care

After prostate cancer surgery, such as a radical prostatectomy, following a thorough post-operative care plan is crucial for a safe and effective recovery. Your care team will provide specific instructions tailored to your needs, but there are some general guidelines that most patients should keep in mind.

First, take care of your surgical incisions by keeping the area clean and dry. Watch for signs of infection, such as redness, swelling, or unusual discharge, and let your doctor know if you notice anything concerning. Avoid soaking in baths or swimming pools until your healthcare provider says it’s safe.

Activity restrictions are common after surgery. While gentle movement, like short walks, helps prevent blood clots and supports healing, you should avoid heavy lifting, strenuous exercise, or sudden movements for several weeks. Listen to your body and gradually increase your activity level as you feel stronger.

Managing pain is another important part of post-operative care. Take pain medications as prescribed, and don’t hesitate to reach out to your care team if you experience severe pain or discomfort that isn’t improving. Staying ahead of pain can help you move more comfortably and recover faster.

Regular follow-up appointments are essential after prostate cancer treatment. Your doctor will monitor your progress, check your PSA blood test results, and watch for any signs of complications or remaining cancer cells. These visits are also a good time to discuss any concerns about urinary control, sexual function, or emotional well-being.

Finally, don’t underestimate the value of support—whether from family, friends, or professional counselors. Recovering from prostate cancer surgery is a journey, and having a strong support system can make a big difference in your overall well-being.

By following your post-operative care plan and staying in close contact with your healthcare team, you’ll give yourself the best chance for a smooth recovery and a return to normal life.

The First Few Weeks of Recovery

Recovery looks different for everyone, but common experiences in the first few weeks after surgery include:

  • Urinary leakage, especially when coughing or sneezing
  • Fatigue and a slower pace than usual
  • Mild abdominal swelling or tenderness
  • Some discomfort when going to the bathroom

During this time, a catheter is placed to help the bladder heal, and it is connected to a drainage system that includes a leg bag for daytime use and a night bag for overnight urine collection. The leg bag is worn discreetly under clothing and should be emptied regularly, while the night bag is larger and designed for use while sleeping. Proper care of both bags is important to prevent infection and ensure effective drainage.

The catheter is usually removed within 1–2 weeks. When the catheter is removed, you may feel a brief sensation, and it is common to experience some urine leakage or frequent urination as your bladder and pelvic muscles adjust. The process of having the catheter removed is straightforward, and your care team will provide instructions for post-removal care.

Frequent urination is also common in the initial weeks after surgery as the bladder’s capacity and control improve. Temporary weight gain may occur due to fluid shifts after surgery, but this usually resolves within about a week. Gentle activity—like short walks—is important to keep blood moving and prevent blood clots (DVT).

Catheter Removal and Urinary Leakage

When the catheter comes out, it’s common to have difficulty controlling urine flow. This happens because your pelvic floor muscles need time to regain strength. The sphincter muscles, especially the external sphincter, play a crucial role in maintaining urinary control, and strengthening these muscles is important for preventing leakage.

Urinary incontinence is a common complication after catheter removal, which can affect physical comfort, emotional well-being, and social activities. Your care team may suggest pelvic floor exercises (like Kegels), supportive underwear, or absorbent pads for peace of mind. Recovery is gradual, but with consistency, most men see big improvements over time.

How Physical Therapy Helps Prostatectomy Pain

One of the most powerful tools for recovery is pelvic floor physical therapy. After surgery, the muscles supporting your bladder and pelvic region—including those around the pubic bone, a key anatomical landmark—may be weak, leading to pain and leakage.

A pelvic floor therapist can guide you through targeted exercises that:

  • Strengthen bladder-control muscles
  • Reduce leakage when coughing or lifting
  • Easelower abdominal soreness
  • Support healthy bowel movements
  • Help restore sexual function by improving blood flow and nerve response (note: removal of the seminal vesicles during surgery can affect ejaculation and orgasm sensations)

Think of it as rehab for your pelvic region. Just like athletes train to recover after injury, you can retrain your body to heal more comfortably.

👉 For expert care, Pelvis NYC offers specialized pelvic health therapy for men, helping patients manage pain, regain bladder control, and return to normal life with confidence.

prostatectomy pain

Bowel Movements and Bathroom Issues

Having a regular bowel movement is an important part of recovery after surgery and can help prevent complications such as constipation or diarrhea. Constipation and discomfort with bowel movements are common after surgery, especially with pain medication. Staying hydrated, eating fiber-rich foods, and using stool softeners (if your doctor recommends them) can make things easier.

Potential Complications

Most recoveries go smoothly, but possible complications include:

  • Blood clots such as deep vein thrombosis (DVT) if mobility is limited; prevention includes early movement, compression stockings, and medication to reduce the increased risk of clots.
  • Urinary tract infection is a common concern while the urinary tract heals, especially with catheter use, and there is an increased risk of infection after surgery. If symptoms arise, a urine culture may be performed to diagnose the infection and guide treatment.
  • Lymph fluid buildup causing swelling, which can occur after removal of lymph nodes or a lymph node during surgery, sometimes leading to fluid pooling in the patient’s abdomen.

In severe cases, complications like infection or fluid buildup in the patient’s abdomen may require specialized intervention.

Follow your doctor’s instructions closely, take medications as prescribed, and contact your provider if you notice unusual pain, infection signs, or trouble with erections.

Sometimes, radiation may also be recommended after surgery to lower the risk of cancer returning. Radiation induced complications, such as cystitis or tissue changes, can also occur and may require specific management.

Returning to Sexual Activity

Intimacy is a major concern for many men after prostate surgery. Nerve damage during the procedure can affect erections, making them weaker at first. Recovery can take months, but many men improve with medications, devices, or therapies designed to support sexual function. However, certain medications may not be suitable for men with a history of heart disease, so patients should discuss these options with their doctor. Patience and open communication with your partner and doctor are key.

Long-Term Pain and Support

While most men feel significantly better after a few weeks, some experience ongoing prostatectomy pain from scar tissue or nerve irritation. If that happens, your doctor can recommend treatments to help. In severe cases, further treatment such as additional therapies or interventions may be necessary to manage persistent pain or complications.

Regular follow-up care is also essential. Expect PSA blood tests and routine check-ins to monitor recovery. If urinary leakage, erectile dysfunction, or emotional stress continue, support through physical therapy or counseling can make a big difference.

Final Thoughts on Prostatectomy Pain: Healing Takes Time

Recovering from prostate surgery is as much about patience as it is about physical healing. There will be ups and downs, but with time, most men regain control, reduce pain, and return to the activities that matter most.

👉 Here’s the bottom line:

  • Prostatectomy pain is normal but usually improves quickly.
  • The first few weeks are the toughest.
  • Physical therapy speeds recovery and helps with leakage and intimacy.
  • With the right care, most men return to normal life—including sexual activity.

Treatment of Prostatitis: A Complete Guide for Long-Term Relief

Treatment of Prostatitis: A Complete Guide for Long-Term Relief

Prostatitis isn’t a topic most guys are comfortable discussing—but if you’ve been dealing with pelvic pain, painful urination, or discomfort during sex, it’s time to face it head-on. Recognizing prostatitis symptoms early is crucial for seeking appropriate treatment and improving outcomes. The treatment of prostatitis isn’t about popping pills and hoping for the best. It’s about understanding your body, getting the right diagnosis, and taking control of your health. And yes, physical therapy plays a bigger role than most men realize.

What Is Prostatitis?

Prostatitis means inflammation of the prostate gland. It can hit men in their 20s, 40s, or 60s. There are distinct forms, including acute and chronic prostatitis. Acute prostatitis presents suddenly with severe symptoms, while chronic prostatitis involves recurrent or persistent symptoms that may be more subtle or intermittent. Symptoms vary, but here’s what most guys report:

Different types of prostatitis call for different approaches, and understanding the best treatment of prostatitis depends on an accurate diagnosis.

Chronic Bacterial Prostatitis: The Stubborn Infection

This type is caused by lingering bacteria. You might feel like you have a UTI that never fully goes away. It creeps in slowly, and it keeps coming back. Recurrent infection and recurrent urinary tract infections are common in chronic bacterial prostatitis, often leading to persistent or episodic symptoms. Chronic infection can develop if the initial treatment is incomplete, making it difficult to fully eradicate the bacteria. Escherichia coli is the most common bacterial cause of chronic bacterial prostatitis. Treating chronic bacterial prostatitis is challenging and often requires prolonged antibiotic therapy to prevent recurrence.

What it feels like:

  • Dull ache in the pelvis or perineum
  • Recurrent UTIs
  • Feeling like you’re never fully emptying your bladder
  • Incomplete bladder emptying
  • Recurrent symptoms

Treatment plan:

  • Antibiotic therapy (long-term, 4-6 weeks or more): Appropriate antibiotic treatment is essential for bacterial prostatitis, targeting bacteria that penetrate prostatic tissue. The choice and duration of antibiotics should be based on pathogen sensitivity to ensure effective drug delivery into the prostatic tissue and reduce the risk of relapse.
  • Symptomatic treatment: This includes medications tailored to individual symptoms, such as nonsteroidal anti inflammatory drugs (NSAIDs) for pain relief, paracetamol, and alpha-adrenergic antagonists.
  • Anti-inflammatory meds
  • Prostate drainage or massage (yes, it’s a thing)
  • Pelvic floor physical therapy to help calm the aftershocks

If symptoms do not improve, monitor for complications such as prostatic abscess, which may require additional intervention.

Even after the infection is gone, many guys still deal with pain. That’s when physical therapy becomes a key component in the treatment of prostatitis.

Chronic Pelvic Pain Syndrome (CPPS): The Muscle-Tension Monster

This is the most common type of prostatitis. It is often referred to as chronic nonbacterial prostatitis or chronic abacterial prostatitis, terms that are frequently used interchangeably with chronic pelvic pain syndrome (CPPS). Prostatitis chronic pelvic pain is now recognized as a distinct syndrome, characterized by pelvic pain, urinary symptoms, and sometimes features similar to prostatitis. Interstitial cystitis is another condition with overlapping symptoms, making diagnosis challenging. Urinary symptoms may be related to issues at the bladder neck or due to bladder outlet obstruction, both of which should be considered during evaluation. Prostate inflammation and prostatic inflammation are possible contributors to the symptoms experienced in this condition. No bacteria. No infection. Just pain, tension, and frustration. It often gets misdiagnosed, and guys bounce from one doctor to another with no answers.

Symptoms include:

  • Aching in the pelvis, groin, or lower back
  • Pain during or after sex
  • Urinary issues without infection
  • Urinary obstruction (difficulty starting or maintaining urine flow, possibly due to bladder neck involvement)
  • Urinary retention (inability to fully empty the bladder, which can be a complication of prostatic swelling)
  • Feeling tight, stressed, or inflamed down there

The real issue?

Often, it’s your pelvic floor muscles going haywire. They’re tight, overworked, and stuck in a pattern of dysfunction. Dysfunction in the pelvic floor and surrounding prostatic tissue can also contribute to these symptoms.

What works:

  • Pelvic floor physical therapy – internal and external manual release
  • Breath training to reset your nervous system
  • Postural correction to get your body in sync
  • Trigger point therapy to release deep muscle knots
  • Symptomatic treatment of prostatitis with medications like paracetamol, NSAIDs, or alpha-adrenergic antagonists may help manage pain and urinary symptoms

Chronic Prostatitis: When It Won’t Go Away

If you’ve had pelvic pain or urinary symptoms for more than three months, welcome to the club nobody wants to join.

Many patients diagnosed with chronic prostatitis face significant challenges in clinical practice, as the condition often involves chronic infection and recurrent symptoms that can be difficult to manage. The National Institutes of Health classification system is commonly used to categorize prostatitis, reflecting the complexity and heterogeneity of patient profiles. Chronic prostatitis is also discussed within the broader context of digestive and kidney diseases, including kidney diseases, due to their impact on urological health and overall well-being.

Chronic prostatitis might be bacterial or non-bacterial. What matters most is that it’s ongoing, and it’s affecting your quality of life.

The fix?

You need a multifaceted approach:

  • Find out if there’s an infection
  • If infection is found, treatment of prostatitis with appropriate antibiotics is crucial, selecting antibiotics based on the causative agent
  • If not, shift focus to muscles, nerves, and lifestyle
  • Add in targeted physical therapy
  • Look at stress, diet, and mobility

Prostatitis treatments should be tailored to the underlying cause, using a symptom-focused strategy.

It’s not about being tough. It’s about being smart.

Diagnostic Tests: Know What You’re Dealing With

Prostatitis diagnosis begins with a thorough review of your medical history and a careful physical examination. Evaluating risk factors, such as previous urinary tract infections, recent procedures, or other underlying conditions, is essential for accurate assessment.

You can’t treat what you haven’t properly diagnosed. Testing may include:

  • Urinalysis and culture to check for urinary tract infection and urinary tract infections, as well as to analyze white blood cells.
  • Semen analysis for infection and inflammation.
  • PSA blood test (prostate specific antigen and serum prostate specific antigen) to help differentiate prostatitis from prostate cancer, though PSA can be mildly elevated in prostatitis.
  • Prostate fluid test including analysis of prostatic fluid, prostatic secretions, and prostate secretions for white blood cells and bacteria.
  • Imaging in complicated cases, or to assess for enlarged prostate or other abnormalities.

It is important to rule out benign prostatic hyperplasia, prostate cancer, and other conditions as part of the diagnostic process. Screening for sexually transmitted diseases may also be warranted.

And here’s something most urologists don’t talk about: pelvic floor dysfunction. It’s often the missing piece in the treatment of prostatitis, and it doesn’t show up on a lab report. That’s why a pelvic floor assessment by a trained physical therapist is gold.

Asymptomatic Prostatitis: No Symptoms, But Still There

Sometimes, prostatitis shows up in lab results when you’re not even feeling it. Prostate inflammation may be detected in asymptomatic cases through laboratory testing, such as during a fertility check or PSA test.

Should you worry?

  • Not always
  • But it’s worth monitoring
  • A pelvic floor check might still be smart

The Power of Physical Therapy in Treating Prostatitis

Here’s the deal: If you’ve ruled out infection and you’re still in pain, there’s a high chance your pelvic floor is the problem.

Physical therapy isn’t just for athletes. It’s for men like you who are tired of:

  • Waking up with pelvic tightness
  • Dreading urination or sex
  • Feeling like no one takes their pain seriously

At Pelvis NYC, we offer:

  • Internal and external manual therapy
  • Tailored exercise plans
  • Stress management techniques
  • Real talk, real solutions

We don’t just treat symptoms. We treat men who are ready to reclaim their health.

Treatment of Prostatitis: Effective Options and Management Strategies

Managing Psychological Symptoms: Mind Over Matter

Why your mental health matters

Let’s be real—dealing with chronic prostatitis, chronic bacterial prostatitis, or chronic pelvic pain syndrome (CPPS) isn’t just a physical battle. The constant pelvic pain, unpredictable symptoms, and frustration of not getting clear answers can take a serious toll on your mental health. Anxiety, stress, and even depression are common companions for men facing chronic prostatitis or nonbacterial prostatitis.

Ignoring these psychological symptoms doesn’t make them go away—in fact, it can make treating prostatitis even harder. When your mind is weighed down by worry or hopelessness, your body feels it too. That’s why addressing mental health is just as important as tackling the physical side of pelvic pain syndrome CPPS or bacterial prostatitis. By recognizing the emotional impact, you give yourself a better shot at real, lasting relief.

Strategies for coping and support

So, how do you take care of your mind while managing prostatitis? Start by building a toolkit of strategies that target both stress and symptom control:

  • Stress management techniques: Simple practices like meditation, deep breathing, or mindfulness can help calm your nervous system and reduce anxiety. Even a few minutes a day can make a difference.
  • Cognitive-behavioral therapy (CBT): Working with a therapist trained in CBT can help you break the cycle of negative thoughts and behaviors that often come with chronic prostatitis, acute bacterial prostatitis, or asymptomatic inflammatory prostatitis.
  • Support groups: Connecting with other men who understand what you’re going through can be a game-changer. Sharing experiences and advice helps you feel less alone and more empowered.
  • Pelvic floor physical therapy: While it’s great for physical symptoms, pelvic floor PT can also ease psychological symptoms by giving you more control over your body and reducing the stress that comes with chronic pain.

Remember, managing psychological symptoms is not a sign of weakness—it’s a smart, proactive step in treating prostatitis, whether you’re dealing with bacterial infections, chronic prostatitis, or any of the prostatitis syndromes. Work with your healthcare provider to create a plan that supports both your body and your mind. You deserve to feel better—inside and out.

Ready to Take Action?

You’ve read enough. Now it’s time to do something about it.

If you’re dealing with prostatitis—whether it’s your first flare-up or you’ve been living with it for years—you don’t have to keep suffering.

👉 Pelvis NYC has your back (and your pelvis). Book a consultation with our expert pelvic floor physical therapists who understand what you’re going through.

Take the first step. Get strong. Get answers. And get better.

Related Blog: Prostatectomy Pain: What You Should Know About Recovery

Can UroLift Cause Erectile Dysfunction? Your Guide to Better Understanding

Can UroLift Cause Erectile Dysfunction? Your Guide to Better Understanding

A Physical Therapist’s Take on BPH Treatment, Sexual Function & Recovery

Can UroLift Cause Erectile Dysfunction?

Let’s tackle this right out of the gate—can Urolift cause erectile dysfunction?- the short answer is no. The UroLift System is designed to relieve urinary symptoms caused by BPH (Benign Prostatic Hyperplasia) without affecting erectile function. Clinical studies show that UroLift does not cause new, sustained erectile dysfunction, setting it apart from other BPH treatments.

As a pelvic health PT, I work with men post-procedure and see firsthand that erectile dysfunction (ED) after UroLift is rare and typically unrelated to the procedure itself.

But does that mean it never affects your performance? Not exactly.

While the mechanical side of erections remains safe, some men report temporary issues due to:

  • Pelvic floor tension
  • Anxiety
  • Post-op inflammation
  • Pre-existing sexual health concerns

Most of this is manageable with pelvic rehab, relaxation techniques, and time. Importantly, UroLift is not associated with new sexual dysfunction, and the treatment effect on sexual function is minimal compared to other BPH therapies like TURP or laser, which have higher rates of sexual side effects.

What You Should Know About Erectile Dysfunction

ED is complex—it’s not just about the penis; it’s about nerves, blood flow, pelvic floor muscles, emotions, and overall health.

From my clinical perspective, men who experience ED post-UroLift often:

  • Already had mild ED
  • Are dealing with stress, performance anxiety, or prostate-related tension
  • Experience tight pelvic muscles that interfere with function

The good news? Physical therapy can help. We work on improving blood flow, relaxing the pelvic floor, and restoring confidence.

Understanding BPH Treatment and Sexual Health

BPH affects about 50% of men over age 50, and the number one symptom is disrupted urination—urgency, frequency, dribbling, or incomplete emptying.

Unfortunately, many treatments for BPH have a dark side: they can mess with your sex life.

Common BPH treatments and their sexual side effects:

TreatmentInvasive?Risk of ED?Risk of Retrograde Ejaculation?
TURPYesModerateHigh
Laser therapyYesModerateModerate
Medications (alpha-blockers, 5-ARIs)NoPossibleLow–Moderate
UroLiftNoVery LowVery Low ✅

Therapies such as TURP, laser, and even medication are associated with a higher risk of sexual side effects, including erectile and ejaculatory dysfunction, compared to UroLift®. UroLift® stands out as a minimally invasive alternative to traditional surgical options, with clinical data showing it does not cause new or lasting ejaculatory dysfunction.

Why Sexual Function Matters in BPH Treatment

It’s not just about urination—it’s about feeling like yourself again.

As a therapist, I’ve seen men recover their urinary confidence but still feel “off” because of unexpected sexual challenges. That’s why sexual function should always be part of the conversation around BPH treatment options.

UroLift shines here because it:

  • Preserves erectile function
  • Maintains ejaculation
  • Doesn’t involve hormones or cutting tissue
  • Allows for quicker recovery compared to invasive procedures
  • Helps patients avoid major surgery and is a safer alternative to most traditional surgical options

Exploring BPH Treatment Options (The Balanced View)

Before committing to a treatment, it’s wise to understand your options. It’s important to consider other BPH treatment options, such as medications, minimally invasive procedures, and traditional surgeries, to find what best fits your needs.

Medications
Medications are often the first line of therapy for BPH. BPH medications, such as alpha-blockers and 5-alpha-reductase inhibitors, can help relieve symptoms by relaxing the muscles of the prostate and bladder or by shrinking the prostate. However, some patients may experience side effects or may not achieve sufficient relief with medication alone.

Ultimately, the best approach is chosen after you and your doctor decide together based on your symptoms and preferences.

✅ Lifestyle + Watchful Waiting

Mild symptoms? Start here. Diet, hydration, bladder training, and pelvic floor therapy can help.

✅ Medications

Options like tamsulosin or finasteride, which are examples of BPH medications, are common but can cause dizziness, low libido, or ED in some men.

✅ Surgical Interventions

  • TURP: Effective but carries sexual side effects
  • Laser therapy: Less invasive than TURP but still risky
  • Prostatic urethral lift (UroLift): A minimally invasive treatment performed as an outpatient procedure, office-based, and sex-sparing

What Is the Prostatic Urethral Lift (UroLift System)?

The UroLift System deploys permanent implants made from standard surgical implantable materials to lift and hold prostate tissue away from the urethra. Think of it like opening curtains to let urine flow freely again.

Why Patients Love It:

Patients typically experience a quick recovery, minimal side effects, and preservation of sexual function after UroLift, making it a preferred choice for many.

  • No hospital stay
  • No cutting
  • No catheter (in most cases)
  • Sexual function stays intact
  • Quick return to work and life

For men who are sexually active and concerned about side effects, UroLift is often the first-line option I recommend in collaboration with their urologist.

Minimally Invasive with Solid Clinical Data

UroLift is FDA-approved and backed by some of the most robust clinical data in the BPH space. Clinical studies have demonstrated the effectiveness of UroLift as a minimally invasive treatment for treating BPH, providing evidence-based support for its safety and efficacy.

Key Stats from Clinical Trials:

  • 5-year data shows durable symptom relief
  • Patients report symptom relief after UroLift treatment
  • No new cases of ED reported in trials
  • High patient satisfaction
  • Improved urinary flow and quality of life

If you’re into data (and who isn’t when it’s your body), here’s what one of the leading studies showed:

“Erectile and ejaculatory function were preserved in 100% of sexually active men treated with UroLift.” — Journal of Sexual Medicine, 2019

How This Treatment Affects Daily Life

The goal of any BPH procedure shouldn’t just be symptom relief—it should be a return to normal life, including:

  • Better sleep (less nighttime peeing)
  • More confidence in social settings
  • Renewed sexual energy
  • Less anxiety about “accidents”

After UroLift, the most common side effects include urinary discomfort, pelvic pain, burning with urination, and blood in the urine. Most symptoms are mild to moderate and typically resolve within a few weeks. Symptoms related to the procedure are temporary, and most patients have their symptoms resolved within a short period.

Most of my patients report feeling lighter, more in control, and more themselves within weeks of UroLift.

And when they pair it with pelvic physical therapy? The results are even better.

What to Expect During UroLift Treatment

If you’re considering the UroLift System, you’ll be glad to know it’s a minimally invasive procedure designed with your comfort and convenience in mind. The entire treatment usually takes less than an hour, and it’s performed right in your urologist’s office or an ambulatory surgery center.

Here’s how it works: Using the UroLift delivery device, your doctor will deploy tiny, permanent implants that gently lift and hold the enlarged prostate tissue away from your urethra. This relieves the obstruction caused by benign prostatic hyperplasia (BPH) and allows urine to flow more freely—no cutting or removal of prostate tissue required.

The procedure can be done under local or general anesthesia, depending on your needs and your doctor’s recommendation. Most patients experience only minimal discomfort, and you’ll typically be able to go home the same day—often without the need for a catheter. Many patients experience symptom relief within just a few weeks after the procedure, and you can expect to get back to your normal routine quickly.

For men looking for a straightforward, effective way to address BPH symptoms and enlarged prostate tissue, UroLift offers a path to symptom relief with minimal downtime and a fast return to daily life.

Finding the Right Healthcare Provider for UroLift

Selecting the right healthcare provider is a crucial step in your journey to relief from BPH symptoms. The UroLift System consists of a specialized delivery device and permanent implants, and it’s important to choose a urologist who is experienced in performing this minimally invasive procedure.

Start by asking your primary care physician for a referral or searching online for urologists in your area who offer the UroLift System treatment. Look for providers who have a track record of success with the procedure and who can clearly explain how the UroLift System works to relieve obstruction caused by enlarged prostate tissue.

A knowledgeable provider will answer all your questions about benign prostatic hyperplasia, the UroLift System, and what to expect before, during, and after treatment. By partnering with an experienced urologist, you’ll be setting yourself up for the best possible outcome—achieving symptom relief and getting back to your life with confidence.

The Role and Importance of Physical Therapy in the Question: Can Urolift Cause Erectile Dysfunction?

As a pelvic health physical therapist, I’ve seen how targeted rehab can make a huge difference post-UroLift.
PT addresses pelvic floor tension, improves circulation, reduces anxiety, and promotes healthy muscle coordination. We also help men regain confidence and sexual function after BPH treatments. Personalized therapy programs can accelerate recovery, reduce post-operative discomfort, and improve outcomes for both urinary and sexual health.

can urolift cause erectile dysfunction

Rehab with Pelvic Floor Therapy After UroLift

Recovery doesn’t end once the UroLift procedure is over — rehab is where your body integrates the change. That’s why pelvic floor therapy is so valuable in the post-op phase.

I work with men to retrain muscles that may have been compensating for years of straining or dysfunction. After UroLift, some patients develop tightness, guarding, or overactive muscles as their body adjusts to the improved urinary flow. Addressing this early leads to better long-term outcomes.

What does rehab look like?

Typical post-UroLift pelvic floor rehab may include:

  • Pelvic floor relaxation and retraining exercises
  • Manual therapy for the lower back, hips, and perineum
  • Breathwork and core coordination drills
  • Education on bladder habits, voiding posture, and fluid timing

Many men are surprised by how much PT can enhance their confidence—not just physically, but sexually and emotionally too. Think of it as the final step in reclaiming your comfort, control, and quality of life after BPH treatment.

Final Thoughts on Can Urolift Cause Erectile Dysfunction

If you’re on the fence about UroLift, here’s my take:

If you want to fix your flow and keep your mojo, it’s one of the best options out there.

But don’t go it alone.

Discomfort varies greatly between individuals, but the procedure typically helps minimize discomfort for most patients.

Talk to your urologist. Talk to a pelvic therapist. Support your recovery, mentally and physically, and you’ll be back to peak performance in no time.Ready to take the next step? Visit Pelvis NYC to schedule a consultation with a specialist who understands your body and your goals.

Pelvic Wall Therapy: A Physical Therapist’s Complete Guide to Healing

A Physical Therapist’s Complete Guide to Healing

Pelvic wall therapy, more commonly referred to as pelvic floor physical therapy (PFPT), is gaining traction as a transformative approach to managing a wide range of pelvic health issues. Despite the growing attention, confusion still exists about what pelvic wall therapy entails, who it’s for, and why it’s a first-line treatment backed by research and medical professionals alike.

As a Doctor of Physical Therapy specializing in pelvic health, I’ve seen the profound impact that this form of therapy can have. This guide will walk you through everything you need to know about pelvic wall therapy.

What Is Pelvic Floor Therapy?

Pelvic floor therapy is a subset of physical therapy that focuses on treating conditions caused by dysfunction of the pelvic floor muscles. The pelvic floor consists of muscles and connective tissue that support the bladder, uterus (or prostate), rectum, and other pelvic organs. These muscles and connective tissue form a hammock-like structure that supports vital internal organs and is attached to the pubic bone and the pelvis, providing stability to the pelvic region.

In women, the pelvic floor also supports the vagina, along with other reproductive organs. Whether the muscles are too weak (hypotonic), too tight (hypertonic), or poorly coordinated, therapy can help retrain them. Dysfunction can involve muscle weakness or muscle spasms, leading to pelvic floor disorder and a range of pelvic floor disorders. These conditions can affect sexual function, and in men, may contribute to erectile dysfunction. This process improves function and alleviates common but often misunderstood.

pelvic wall therapy

Pelvic Floor Physical Therapy: How It Works

When people think of pelvic floor physical therapy, Kegels are often the first thing that comes to mind. While Kegels (pelvic floor contractions) can be beneficial for some patients, they are far from a one-size-fits-all solution, and in many cases, they’re not even appropriate, especially for those with pelvic floor overactivity or pain.

Pelvic floor physical therapy is a specialized therapy offering a range of treatment options tailored to each patient. This comprehensive, individualized approach goes far beyond simple exercises. An individualized plan is created based on a thorough assessment to relieve symptoms and reduce pain. The therapy addresses the full complexity of pelvic floor dysfunction by targeting muscular imbalances, nervous system regulation, postural alignment, and behavioral habits that contribute to symptoms. Treatment may include exercise to strengthen pelvic floor muscles, target specific muscles, and train for activities such as heavy lifting. Here’s what that approach often includes:

Internal and External Assessments

During the first appointment, therapists evaluate pelvic floor muscles through both external (abdomen, hips, back) and internal (vaginal or rectal) exams, and an internal exam may be performed as part of the assessment to check muscle tone, strength, and coordination. This helps identify tightness, weakness, prolapse, or scar tissue that may be contributing to symptoms.

Based on assessment findings and patient comfort, both internal and external therapy options are considered to create a comprehensive treatment plan.

Manual Therapy

Hands-on techniques—like myofascial release, trigger point therapy, and scar tissue mobilization—are used to relieve pain, improve circulation, and restore normal muscle function. These may be applied internally or externally. External therapy, including joint mobilization, may be used to address issues in the sacroiliac joint and other areas to improve mobility and support pelvic health.

pelvic wall therapy

Biofeedback

This technology uses special sensors attached to the body to monitor the activity of specific pelvic floor muscles. The results are displayed in real time on a computer screen, giving patients immediate feedback on how their pelvic floor muscles are functioning. This helps them learn how to properly contract and relax these muscles. It’s particularly effective for retraining coordination and improving control.

Neuromuscular Reeducation

Therapists help retrain how the pelvic floor works with the core, diaphragm, and posture. This often involves movement-based exercises that integrate breathing, lifting, and stability training for better overall control.

Tailored Pelvic Floor Exercises

Rather than one-size-fits-all Kegels, therapists prescribe tailored pelvic floor exercises that may include Kegel exercises and relaxation techniques, depending on whether the muscles are tight, weak, or poorly coordinated. These can include strengthening, relaxation, or endurance work depending on your goals.

Behavioral Coaching

Simple lifestyle changes—like improving posture, toilet habits, or breathing patterns—can have a major impact. Therapists guide patients on daily routines that reduce strain on the pelvic floor and support healing.

Collaborative Care

When needed, pelvic health therapists work alongside urologists, gynecologists, and other specialists to ensure comprehensive care, especially for complex conditions like interstitial cystitis or chronic pelvic pain.

Recognizing the Symptoms of Pelvic Floor Dysfunction

Many people live with pelvic floor dysfunction without even realizing it. Symptoms can vary based on whether the muscles are too tight or too weak. Common symptoms include:

  • Urinary incontinence (leakage during sneezing, laughing, or running)
  • Overactive bladder (frequent, urgent need to urinate)
  • Pelvic organ prolapse (a sensation of bulging or heaviness)
  • Chronic pelvic pain
  • Pain during intercourse or gynecological exams
  • Constipation or straining during bowel movements
  • Low back, hip, or tailbone pain with no clear orthopedic cause

If you’re experiencing one or more of these symptoms, pelvic wall therapy may help relieve symptoms and improve your quality of life.

Why Physical Therapy Is the First Line of Treatment

For those experiencing pelvic floor issues, physical therapy is often recommended before surgical or pharmaceutical interventions. Physical therapists play a crucial role in providing expert care, assessing each patient’s needs, and guiding them through a range of treatment options tailored to their condition. It’s a low-risk, high-reward strategy that’s supported by extensive research.

pelvic wall therapy

A 2024 review published in Frontiers in Global Women’s Health highlighted that pelvic floor physical therapy is significantly effective in treating pelvic floor dysfunction—including urinary incontinence, pelvic pain, and sexual dysfunction—without adverse side effects.

Unlike medications that mask symptoms, physical therapy addresses the root cause: the muscle imbalance or coordination dysfunction at the heart of the issue.

How We Treat Pelvic Floor Dysfunction in Clinical Practice

As a pelvic health physical therapist, I assess not only the pelvic muscles themselves, but also the surrounding structures that influence function. Each patient receives an individualized plan based on their specific pelvic floor disorder, taking into account their medical history, examination findings, and personal goals. Treatment plans typically include:

  • Manual therapy for trigger points and soft tissue tension
  • Postural correction and diaphragmatic breathing
  • Pelvic floor exercises that focus on both strength and relaxation, addressing muscle weakness as well as tightness
  • Scar tissue mobilization (postpartum or post-surgical)
  • Biofeedback and electrical stimulation as needed
  • Internal therapy for appropriate cases, when the patient is comfortable
  • Education on bladder and bowel behavior modification

Each treatment plan is customized. For example, some patients need to learn how to relax the pelvic muscles—not tighten them—especially those with chronic pain or interstitial cystitis.

Pelvic Floor Exercises: More Than Just Kegels

Pelvic floor exercises are foundational in therapy, but they must be done correctly and under the right circumstances. Not everyone should do Kegels. For individuals with overactive (tight) pelvic muscles, relaxation exercises and down-training are more appropriate.

Examples of common exercises include:

  • Slow and fast Kegels (for strengthening, when appropriate)
  • Deep core and gluteal activation
  • Bridge and squat progressions
  • Child’s pose breathing and pelvic drop stretches

Your therapist will evaluate your baseline and recommend exercises that meet your body’s specific needs.

Managing Chronic Pelvic Pain and Interstitial Cystitis with Therapy

Interstitial cystitis (IC), also known as painful bladder syndrome, is a chronic condition characterized by bladder pressure, pain, and frequent urination. While the exact cause is unknown, pelvic floor dysfunction is a common underlying factor, and IC is considered one of several pelvic floor disorders that can be addressed with therapy.

Research shows that physical therapy focusing on myofascial release and trigger point therapy can significantly reduce symptoms in people with IC. Internal therapy, such as internal vaginal or rectal release techniques, is often included in the treatment plan—alongside behavior changes and bladder retraining. The goal of therapy is to relieve symptoms and reduce pain, improving overall quality of life.

Patients with IC often respond best to a multidisciplinary approach involving PT, dietary changes, and pain psychology.

When Should You Start Pelvic Floor Therapy?

Early intervention is ideal. However, it’s never too late to seek help. You should consider seeing a pelvic health physical therapist if you:

  • Experience urinary or bowel leakage
  • Have pelvic pressure or notice a bulge
  • Feel pain with sex or during pelvic exams
  • Suffer from chronic pelvic or lower back pain
  • Are recovering from childbirth, abdominal surgery, or pelvic trauma

Postpartum recovery is especially critical. Studies show that initiating pelvic floor therapy within the first 6–12 weeks postpartum can prevent long-term issues such as prolapse, diastasis recti, and bladder dysfunction.

What Does a Pelvic Therapy Session Look Like?

A typical pelvic floor physical therapy session may include:

  • Review of symptoms and daily habits
  • Reassessment of posture, breathing, and muscle tone
  • Guided pelvic floor exercises or manual therapy, including internal and external therapy as appropriate
  • Education on self-care tools (perineal massage, dilators, postural changes)
  • Progress tracking and goal-setting

Therapy is typically done once per week for 6 to 10 weeks, depending on your condition and response to treatment.

Conclusion: Take the First Step Toward Pelvic Health

Pelvic wall therapy is a safe, effective, evidence-based path to healing pelvic floor dysfunction. Whether you’re a new mom, recovering from surgery, or managing chronic pain or interstitial cystitis, pelvic floor physical therapy offers real hope without relying on medications or surgery.

As a PT, I’ve seen how profoundly this therapy can change lives. Don’t wait for symptoms to worsen. With tailored guidance, pelvic floor rehabilitation can restore function, reduce pain, and help you reclaim control over your body.

pelvic wall therapy

Ready to take the first step? Visit Pelvis NYC to schedule an evaluation with a specialized pelvic health therapist and start your journey to recovery.

Varicocele: What Guys Should Know About This “Silent” Issue

Varicocele: What Guys Should Know About This “Silent” Issue

Most men don’t want to talk about their balls, especially if something feels weird or off down there. But if you’ve ever felt a strange heaviness, dull ache, or swelling in your scrotum, you might be dealing with something called a varicocele.

It’s more common than you’d think. About 1 in 7 men will get one, and for guys dealing with fertility issues, that number jumps to nearly 1 in 2.

So let’s break it down—what varicoceles are, why they matter, what you can do about them, and how physical therapy (yep, really) can be part of the solution.

The Male Reproductive System

Before we go deeper, let’s quickly break down how the male reproductive system works—and why something like a varicocele can quietly throw the whole thing off.

The main parts of the male reproductive system include the testicles, which are responsible for making sperm and testosterone; the epididymis, where sperm mature; and the vas deferens, which transports sperm during ejaculation. Supporting glands like the seminal vesicles and prostate add fluid that makes up semen, helping sperm survive their journey.

All of this needs to work in sync. But here’s the catch: sperm production is extremely sensitive, especially to heat, pressure, and blood flow. That’s why your testicles hang outside the body in the first place: to stay a few degrees cooler than your core temperature.

So when something like a varicocele causes enlarged veins and increased heat around the testicles, it can throw off that delicate balance. The result? Poor sperm health.

That’s where a semen analysis comes in.

If you’re trying to conceive and it’s taking longer than expected (usually six to twelve months), doctors often order this test to get a read on:

  • Sperm count – how many sperm are in your semen
  • Motility – how well your sperm swim
  • Morphology – how normal they look in size and shape
  • Volume and consistency of the semen itself

If any of those numbers are off, a varicocele is one of the first things a urologist will look for—because it’s such a common, correctable cause of male infertility.

So… What Is a Varicocele?

A varicocele is a varicose vein—but in your scrotum, not your legs. The veins that carry blood away from your testicles get enlarged and twisted, usually on the left side, thanks to how our plumbing is built.

You might feel:

  • A weird dragging sensation in your groin
  • A dull ache after standing or working out
  • Swelling or even a “bag of worms” feel (yeah, it’s as weird as it sounds)
  • Or maybe… nothing at all

And that’s what makes varicoceles so tricky. Some guys don’t notice anything until they and their partner start trying for a baby, and suddenly, a semen analysis throws up red flags.

Varicocele Symptoms: What to Watch For

Not all varicoceles cause noticeable pain or discomfort, which is why many men don’t even realize they have one until a fertility issue arises. But when symptoms do show up, they can include a dull, aching pain or a sense of heaviness in the scrotum. Some men notice a visible or palpable lump, often described as feeling like a “bag of worms” (strange but accurate), and swelling or asymmetry in the testicles, most commonly on the left side. Discomfort may become more noticeable after standing for long periods, lifting weights, or during physical activity.

In many cases, the first clue comes during a fertility workup, when a doctor orders a semen analysis and finds issues like low sperm count or abnormal motility. That’s often when the varicocele diagnosis comes into focus, turning what seemed like a minor issue into a much more pressing concern.

How Does Varicocele Affect Fertility?

Here’s where it gets serious. Varicoceles can mess with your male reproductive system in a few important ways:

  1. Raises testicle temperature → Sperm don’t develop properly in heat
  2. Reduces oxygen and blood flow → Leads to oxidative stress, damaging sperm DNA
  3. Impaired hormone regulation → May lower testosterone over time

📊 Studies show that varicoceles are present in 40% of men with abnormal semen parameters, and treating them can improve both sperm quality and pregnancy rates.

How Is a Varicocele Diagnosed?

Doctors typically diagnose a varicocele during a physical exam or scrotal ultrasound. You may be asked to stand and perform a Valsalva maneuver (basically bearing down) so they can check for vein enlargement.

It’s often graded from Grade 1 (small) to Grade 3 (large), and those grades help determine the need for medical treatment.

Varicocele Treatment Options: What Can You Do?

Not every varicocele needs to be treated. But if you’re in pain, your semen quality is poor, or you’re trying to conceive without luck, here’s what you can consider:

Watchful Waiting

If your varicocele is small and symptom-free, doctors may suggest monitoring it regularly, especially if you’re not trying to have kids right now.

Medical Treatment: Varicocele Surgery

If you’re dealing with pain or fertility problems, varicocele surgery (aka varicocelectomy) is often recommended. It involves tying off the enlarged veins to restore normal blood flow.

There are a few surgical techniques:

  • Microsurgical varicocelectomy – highest success, lowest risk
  • Laparoscopic surgery
  • Percutaneous embolization – a minimally invasive option using a catheter

According to the American Urological Association, surgery improves semen quality in 60–80% of men and boosts natural pregnancy rates in many couples.

How Can Physical Therapy Help Varicocele?

This is where things get interesting. Most men are never told that pelvic physical therapy can support recovery and manage symptoms, sometimes even before considering surgery.

1. Pain Management

Chronic testicular or pelvic pain isn’t always about the veins. Sometimes, it’s due to muscle tension, nerve entrapment, or poor posture.

A men’s health PT can release tension in the:

These techniques relieve pressure and improve blood flow.

2. Post-Surgical Recovery

After varicocele repair, PT helps you:

  • Regain core strength
  • Reduce scar tissue adhesions
  • Return to pain-free sex, sports, and workouts

🧠 Fact: About 30–50% of men with varicocele-related pain continue to feel discomfort even after surgery (AUA Guidelines, 2021). Physical therapy can address muscular and nerve-based causes that surgery doesn’t fix.

3. Pelvic Floor Rehabilitation

Pelvic floor dysfunction in men can mimic varicocele pain, worsen congestion, and impair urinary/sexual function.

Men’s health PTs use techniques like:

  • Biofeedback
  • Internal release (yes, men have pelvic floors too!)
  • Diaphragmatic breathing to improve circulation

4. Lifestyle Support

PTs can guide you in:

  • Movements that improve venous return
  • Anti-inflammatory routines (breathing, stretching)
  • Advice on compression, lifting techniques, and posture

What the Research Says

  • 2018 Review (Andrologia): Varicocele-related pain is often neuromuscular, not purely vascular. Conservative therapies like PT should be part of the care plan.
  • 2021 Study (Urology Journal): Men undergoing PT after varicocelectomy reported faster pain relief and improved daily function.
  • Pelvic PT Research (Hodges, 2020): The pelvic floor is central to venous and lymphatic return, a key factor in varicocele symptom management.

When Should You See a PT?

You should consider seeing a pelvic health PT if:

  • You’ve had surgery but still have discomfort
  • You’re dealing with testicular or groin pain that doesn’t seem to improve
  • You want to explore non-surgical options before going under the knife
  • You’ve noticed that posture, movement, or stress makes symptoms worse

There’s Help—You Just Have to Ask

A varicocele isn’t the end of the world—but it’s also not something to brush off. Whether it’s causing pain, fertility issues, or just messing with your peace of mind, you deserve answers and real solutions.

Between surgical treatment, lifestyle changes, and physical therapy, there are more options than you think. The key is getting the right diagnosis and building a team that helps you move forward—without shame, fear, or guesswork.

Ready to Take the Next Step?

If you’re dealing with testicular pain, fertility struggles, or just want answers about your body, you don’t have to navigate it alone. At Pelvis NYC, we specialize in male pelvic health, offering personalized, expert-led care that supports your recovery, improves blood flow, and helps you feel like yourself again.

Whether you’re preparing for varicocele treatment, recovering from surgery, or exploring non-invasive options, our team is here to help you move forward confidently and pain-free.👉 Book a private consultation today at Pelvis NYC and take control of your health, your fertility, and your future.

Varicocele- How PT can help?

Male Pelvic Floor: The Hidden Foundation of Men’s Health

Male Pelvic Floor: The Hidden Foundation of Men’s Health

When we think of men’s health, we often focus on biceps, six-packs, or heart health. Yet hidden deep within your core lies a powerful network that influences bladder control, erectile function, and posture—the male pelvic floor. While this area is often overlooked or labeled “women’s health,” men absolutely have pelvic floor muscles, and training them can transform performance, recovery, and daily comfort.

From boosting your lifts to extending your staying power in the bedroom, from post-prostate recovery to aging gracefully, your pelvic floor plays a critical role. In this guide, we’ll find out what it is, why it matters, how to work it intentionally, and how to avoid common pitfalls. Understanding and training these muscles can unlock new levels of confidence, vitality, and well-being.

What’s the Pelvic Floor—and Why It Powers Men’s Health

The pelvic floor is a group of muscles and connective tissues that form a sling at the base of the pelvis. The pelvic floor muscles form a supportive sling that helps maintain continence and sexual function.

In men, these muscles support the bladder, rectum, and prostate, and play a key role in sexual and urinary functions. Anatomically, the pelvic floor muscles stretch from the pubic bone at the front to the tail bone (coccyx) at the back, and from one ischial tuberosity to the other, providing a strong base. The urethra passes through the pelvic floor muscles, and their strength is important for urinary control. In addition to muscles, other tissue such as connective tissue also supports the bladder and bowel.

male pelvic floor

Main male pelvic floor muscles include:

  • Pubococcygeus (PC) – Supports the bladder and contributes to ejaculation control.
  • Bulbocavernosus – Affects erections and ejaculation.
  • Ischiocavernosus – Helps maintain penile rigidity.
  • External urethral sphincter – Controls the flow of urine.
  • Levator ani group – Lifts and stabilizes the pelvic organs.

Together, these muscles work to manage pressure in the abdomen, support internal organs, and help control bodily functions. They also coordinate with the deep core, diaphragm, and glutes.

Do Men Have Pelvic Floor Muscles?

Yes—men absolutely have pelvic floor muscles, even though they’re less frequently discussed in public health. In fact, these muscles are vital for:

  • Urinary continence
  • Fecal continence
  • Sexual function and orgasmic intensity
  • Postural support
  • Lower back health

Pelvic floor muscles support the bladder, bowel, and sexual function, helping maintain continence and core stability.

Ignoring pelvic floor health can lead to long-term issues that range from incontinence to erectile dysfunction and chronic pelvic pain.

Male Pelvic Floor Dysfunction: Signs & Symptoms

Pelvic floor dysfunction in men is often underdiagnosed. A weak pelvic floor or weak pelvic floor muscles can result from injury, aging, or lifestyle factors, and may lead to issues with continence and pelvic support. It can stem from weakness, tension, nerve damage, or poor coordination of the pelvic muscles.

A tense pelvic floor, also known as a hypertonic pelvic floor, occurs when the muscles are overly tight, leading to symptoms such as pain, constipation, and urinary issues.

Common Symptoms:

  • Leaking urine, especially after urination (post-micturition dribble)
  • Urgency or frequent urination
  • Inability to fully empty the bladder
  • Erectile dysfunction (ED)
  • Premature ejaculation
  • Pain in the penis, perineum, rectum, or tailbone
  • Constipation, straining to defecate, or difficulty moving the bowels

These issues can affect young and older men alike—often without them realizing the pelvic floor is to blame.

How the Male Pelvic Floor Muscles Work

The male pelvic floor muscles work as a supportive foundation for your pelvic organs, including the bladder, bowel, and rectum. These muscles form a hammock-like structure at the base of your pelvis, contracting and relaxing to help you control the flow of urine and feces, and to support sexual function. When you need to hold in urine or prevent passing gas, your pelvic floor muscles contract; when it’s time to urinate or have a bowel movement, they relax. This coordination is also crucial for sexual performance, as strong pelvic floor muscles can enhance erections and ejaculation.

If your pelvic floor muscles become weak or are not functioning properly, you may experience issues like urinary incontinence, fecal incontinence, or erectile dysfunction. Weakened pelvic floor muscles can make it harder to control your bladder and bowel, leading to leaks or accidents. The good news is that regular pelvic floor exercises, such as Kegel exercises, can help strengthen these muscles, improve bladder and bowel control, and support better sexual health. By making pelvic floor training a part of your routine, you can help ensure these essential muscles work efficiently throughout your life.

Finding and Contracting Your Pelvic Floor Muscles

Finding your pelvic floor muscles is the first step to effective pelvic floor training. To locate the correct muscles, try to stop the flow of urine midstream or imagine you’re trying to prevent yourself from passing gas. The muscles you engage in these moments are your pelvic floor muscles. To contract them, squeeze your pelvic floor as if you’re stopping urine or holding in gas, hold the squeeze for a few seconds, then relax. Repeat this process several times, focusing on using only the pelvic floor muscles and not your thighs, buttocks, or abdomen.

It’s important to use the correct muscles when performing Kegel exercises. Using the wrong muscles can make the exercises less effective or even cause discomfort. If you’re unsure whether you’re targeting the right muscles or if you have trouble isolating them, don’t hesitate to seek guidance from a physical therapist or healthcare provider. They can help you learn how to squeeze your pelvic floor properly and ensure you’re getting the most benefit from your exercises.

How the Male Pelvic Floor Muscles Work

The pelvic floor is dynamic. When you contract the pelvic floor muscles, they create a lift, which can be seen as an upward movement of the penis and testicles. It tightens to help you hold in urine or gas, and it relaxes to let you urinate or pass a bowel movement. During sexual activity, these muscles are also responsible for generating and controlling erections and ejaculations.

Proper function requires both strength and relaxation. If the muscles are too weak, you might experience leaks or erectile problems. If they’re too tense, it can lead to pain and urinary retention. Like any other muscle group, training and balance are key.

Kegel Workout for Men: The Core of the Pelvic Region

Kegel exercises, first introduced by Dr. Arnold Kegel in the 1940s, were designed to strengthen the pelvic floor. While popularized for women, Kegels are equally beneficial for men.

Performing a kegel exercise regularly, such as during daily routines, can help prevent urinary leakage.

🛠️ How to Do Kegels/ Pelvic Floor Exercises Correctly:

  1. Identify the musclesTry to stop the flow of urine mid-stream. The muscles you engage are your pelvic floor.
  2. Contract and holdSqueeze the muscles for 5–10 seconds, then relax for the same duration. Squeezing the pelvic floor muscles is the key movement in Kegel exercises and helps ensure proper muscle engagement.
  3. RepetitionDo 3 sets of 10 reps daily. Perform them lying down at first, then progress to sitting and standing.
  4. Breathe normallyAvoid holding your breath or tightening your buttocks or thighs.

❗️Note: Stopping urine mid-flow should only be used to identify muscles, not as a regular practice—it can interfere with bladder function.

Proven Benefits of Pelvic Floor Training in Men

✅ Urinary Control

  • Especially beneficial after prostate surgery (e.g., radical prostatectomy).
  • Can reduce urinary leakage and urgency.

✅ Erectile Function

  • Strengthens the bulbocavernosus muscle, which improves blood retention in the penis.
  • A 2005 clinical trial found that pelvic floor muscle training significantly improved ED in 40% of men within 3 months.

✅ Ejaculatory Control

  • Enhances awareness and control during sex.
  • Reduces premature ejaculation through muscle timing.

✅ Chronic Pelvic Pain Relief

  • Helps relax tense or overactive pelvic muscles.
  • Effective when combined with pelvic floor physical therapy and biofeedback.

Don’t Overdo It: The Problem of Overactive Pelvic Floors

Just like any muscle, the pelvic floor can be too tight. Men who constantly “hold in” tension may experience:

  • Painful urination or ejaculation
  • Testicular or perineal discomfort
  • Constipation
  • Urinary hesitancy

Tension in the pelvic floor muscles can also affect the back passage (rectum), leading to problems with continence and bowel movements.

If that sounds like you, relaxation techniques are more important than strengthening:

  • Diaphragmatic (deep belly) breathing
  • Gentle yoga or stretching
  • Manual therapy by a pelvic floor physical therapist

Other Exercises That Support the Pelvic Floor

In addition to Kegels, incorporating other functional movements can help strengthen the muscles that work closely with the pelvic floor. Exercises like glute bridges are particularly effective because they engage the glutes and lower back while encouraging pelvic stability. Squats are another excellent choice—they activate the core, hips, and thighs, which all contribute to better pelvic support. Strengthening the transverse abdominis, the deepest abdominal muscle, is also key; this can be done through controlled core exercises that emphasize deep breathing and core engagement. Movements like dead bugs and other core stabilizing drills help coordinate the pelvic floor with surrounding muscles, improving overall control and function.

Preventing Pelvic Floor Injuries and Health Issues

Taking steps to prevent pelvic floor injuries and health issues can make a big difference in your long-term well-being. One of the most effective strategies is to perform Kegel exercises regularly, which helps strengthen your pelvic floor muscles and supports better bladder and bowel control. In addition to exercising, maintaining a healthy weight reduces unnecessary pressure on your pelvic floor. Avoiding repeated heavy lifting and managing chronic coughs, such as a smoker’s cough, can also help protect these muscles from strain and injury.

If you experience symptoms like urinary incontinence, fecal incontinence, or pelvic pain, it’s important to seek advice from a healthcare professional. Early intervention can prevent minor issues from becoming more serious. Remember, your pelvic floor muscles play a vital role in controlling your bladder and bowel, so taking care of them through regular exercise and healthy lifestyle choices is key to preventing pain and incontinence.

Treatment Options for Pelvic Floor Dysfunction

male pelvic floor exercises

If you’re dealing with pelvic floor dysfunction, there are several treatment options available depending on the cause and severity of your symptoms. For mild cases, performing Kegel exercises as part of a regular exercise routine can help strengthen your pelvic floor muscles and improve bladder and bowel control. If you need additional support, physical therapy with a specialist can provide targeted exercises, biofeedback, or even electrical stimulation to help retrain your muscles.

In some situations, medication or surgery may be necessary to address underlying issues like severe urinary incontinence or fecal incontinence. Your healthcare provider can help you determine the best treatment plan for your needs, whether that involves adjusting your exercise routine, making lifestyle changes, or exploring medical interventions. Don’t hesitate to reach out to a healthcare provider if you’re experiencing symptoms—early treatment can make a significant difference in your recovery and quality of life.

ℹ️ Myth Buster | Quick Q&A

Myth: “Kegels are only for women.”
Truth: Men’s pelvic floors benefit equally—improving leaks, erections, and sexual stamina.

Myth: “Stronger is always better.”
Truth: When pelvic floor muscles are too tight, they restrict function—balance, not just strength, is key.

Final Thoughts: It’s Time to Talk About It

male pelvic floor therapists in Pelvis NYC

The male pelvic floor is a vital yet often ignored part of men’s health. These muscles affect your ability to control urine, enjoy sex, support your core, and recover from surgery or injury. Understanding their function—and learning how to train them—can dramatically improve your quality of life.

Whether you’re managing a specific issue or just want to optimize your long-term health, pelvic floor care is an investment worth making. Start with small steps. Stay consistent. And don’t be afraid to seek support—your body will thank you.

✅ Ready to take your pelvic health seriously?

👉 Connect with the experts at Pelvis NYC—a leading pelvic floor physical therapy clinic specializing in men’s pelvic health, sexual dysfunction, post-surgical rehab, and core optimization. Their evidence-based, personalized programs are designed to help you regain control, eliminate discomfort, and elevate your quality of life.

Your pelvic floor matters. Make it a priority—start with Pelvis NYC today.

Kegel Workout for Men: Boost Sexual Health and Reclaim Control

Kegel Workout for Men: Boost Sexual Health and Reclaim Control

Introduction: Why Every Man Needs a Pelvic Floor Stronghold

In the world of fitness, men often focus on building biceps, core strength, or cardiovascular endurance. But there’s a small, invisible group of muscles that can dramatically improve everything from your bladder control to sexual stamina—and it’s one most men aren’t even aware of. We’re talking about the pelvic floor muscles, and the way to train them is through something called the Kegel workout for men.

Once thought to be exclusively for women, Kegel exercises for men have gained traction thanks to increasing awareness in urology and sexual health, and even on platforms like Reddit and men’s wellness groups. This guide will walk you through Kegel workout for men, explain how these exercises address erectile dysfunction and premature ejaculation, and introduce how working with a healthcare provider, like the specialists at Pelvis NYC—can elevate your results.

Understanding Your Pelvic Floor Muscles and How They Work

Importance of kegel workout for men for their Pelvic Floor Muscles

The first—but most crucial—step is understanding what the pelvic floor muscles do. Picture a hammock supporting your bladder, prostate, and rectum. These muscles also support your bowel and are essential for controlling both bladder and bowel functions, including during a bowel movement. Strengthening these muscles with Kegel exercises:

  • Helps manage bladder leaks when you cough, sneeze, or laugh
  • Supports bladder and bowel control
  • Enables firmer, more sustainable erections
  • Helps control ejaculation timing
  • Reduces pelvic tension, discomfort, or chronic pain

That’s why kegel exercises go beyond mere fitness—they support fundamental aspects of men’s sexual health and day-to-day well-being.

What Is a Kegel Workout for Men?

Named after Dr. Arnold Kegel, who developed these exercises in the 1940s for women post-childbirth, Kegels are designed to strengthen the pelvic floor muscles. These muscles form a supportive hammock at the base of the pelvis and are responsible for controlling urination, stabilizing the core, and supporting sexual function.

For men, strengthening the pelvic floor can:
  • Improve urinary control (especially after prostate surgery or with age)
  • Enhance erections and sexual stamina
  • Help with premature ejaculation
  • Support prostate health
  • Reduce the risk of pelvic pain and incontinence

Men’s Kegel exercises are especially effective for managing urinary incontinence, urine leakage, and leaking urine, which can occur after prostate surgery or during activities like coughing or lifting. Regular practice of these exercises can also help improve the urine stream by training the muscles used to stop urine flow. Additionally, men’s Kegel exercises are beneficial for treating fecal incontinence and overall urinary or fecal incontinence, supporting better pelvic health and reducing symptoms of incontinence.

So why are most men not already doing this?

The answer is simple: awareness and stigma. Many men don’t know these exercises exist, and those who do often assume they’re just for women. But new research, urological guidelines, and even anecdotal success stories are beginning to change that narrative.

What Does Kegel Workout for Men Mean?

The pelvic floor muscles—particularly the pubococcygeus (PC) muscle—play a crucial role in urinary and sexual functions. When these muscles are weak, you may experience leaks after urination, poor erection strength, or lack of control during sex.

Kegel exercises involve repeatedly contracting (squeezing) and relaxing these muscles, much like you would train a bicep curl at the gym. Performing Kegels involves a specific contraction and relaxation of the pelvic floor muscles. It is important to focus on performing Kegels correctly, as improper technique—such as engaging the wrong muscles—can lead to ineffective results or discomfort. When performing Kegels, avoid engaging the buttock muscles, stomach, or stomach muscles; only the pelvic floor muscles should be working. If you feel pain while performing Kegels, stop the exercise and consult a healthcare provider. Over time, this builds strength and endurance, which translates into better control and responsiveness.

The Impact on Erectile Dysfunction and Premature Ejaculation on Kegel Workout for Men

Pelvic floor weakness is often linked to erectile dysfunction (ED). Strengthened muscles improve blood flow and structural support, which can significantly reduce ED symptoms. In fact, men using regular pelvic workouts often report firmer, longer-lasting erections.

Regarding premature ejaculation, you gain a powerful tool: better awareness of pelvic contractions. This allows you to consciously delay climax, enhancing both control and satisfaction.

By adding reliable kegel exercises for men into your wellness plan, you’re supporting sexual health on multiple fronts—with minimal effort and no pills.

Finding the Right Muscles: A Crucial First Step

Before you begin training, you need to find your pelvic floor and identify your pelvic floor muscle accurately. Here’s how (whether you call it urination or pee):

  • The urine stop test: While you urinate, try to stop or slow your urine stream midway. The muscles you use are the pelvic floor. (Only try this once; doing it repeatedly can harm your bladder.)
  • Gas prevention method: Imagine trying to hold in or prevent yourself from passing gas. That internal clench—without engaging your abs or glutes—is the target.
  • Visual cue: When done correctly, you may see the base of your penis retract slightly or your testicles lift a bit, as these pelvic floor muscles support the genital area.

Avoid contracting your thighs, buttocks, or abs. The focus should be internal, deep in your pelvis.

The same ones you use to stop urination, control your urine stream, or delay ejaculation are the pelvic floor muscles targeted by a kegel exercise.

Step-by-Step Kegel Workout for Men

Now that you’ve identified the correct muscles, it’s time to build a consistent routine. Like any fitness regimen, progress comes with regular, mindful practice. Kegel exercises can help strengthen the pelvic floor and improve bladder and bowel control.

Beginner Routine (Weeks 1–3)

  • Find a quiet place to lie down or sit.
  • Contract the pelvic floor and hold for 3–5 seconds.
  • Relax for 5 seconds.
  • Repeat 10 times, 3 times per day.

Be patient. Early sessions may feel awkward or weak. That’s completely normal.

Intermediate Routine (Weeks 4–6)

  • Increase your hold time to 8–10 seconds.
  • Add quick pulses (rapid contractions and releases) for 10–15 reps.
  • Practice in different positions: sitting, standing, or while walking.

Advanced Routine (Week 7 and beyond)

  • Incorporate Kegels into daily movement, such as walking, driving, or exercising.
  • Hold contractions during sex to improve control.
  • Combine with deep core work—like planks—to activate more muscle fibers.

Consistency is key. Most men begin to see real improvements in 4–6 weeks.

Hidden and Underrated Benefits of Kegel Workout for Men

The well-known benefits of Kegels—like better bladder control and improved erections—are just the beginning. Strong pelvic floor muscles provide essential muscles support for the bladder, bowel, and genital area, helping to maintain continence and overall pelvic health. There are several lesser-discussed advantages that are gaining recognition in both medical circles and online communities:

1. Relief from Chronic Pelvic Pain and Prostatitis

Men suffering from chronic prostatitis or pelvic floor dysfunction often report decreased pain and improved quality of life through pelvic floor physical therapy, which includes Kegels. According to a 2016 Cochrane Review, pelvic floor exercises significantly reduce pelvic pain and urinary symptoms.

2. Improved Post-Surgical Recovery

Men recovering from prostatectomy (prostate removal surgery) often experience urinary leakage. Studies from Harvard Health and Mayo Clinic show that patients who began pelvic floor exercises immediately after surgery regained continence faster than those who didn’t.

3. “Coregasms” and Unexpected Pleasure

In fitness circles—and Reddit threads—some men have reported involuntary orgasms triggered during intense core exercises involving pelvic engagement (like leg raises or planks). These are known as “coregasms,” and they may be amplified by a strong pelvic floor.

“I thought I was the only one… turns out it’s real! Planks + Kegels = mind blown.” — Reddit user on r/fitness

4. Posture and Lower Back Support

The pelvic floor is part of your deep core. Strengthening it contributes to better posture, spinal alignment, and lower back health, especially when paired with glute and abdominal training.

Advanced Techniques: Biofeedback, EMSELLA, and Devices

Once you’ve mastered the basics, there are tools and therapies that can further enhance your results.

📈 Biofeedback Devices

These tools (e.g., Perifit, Elvie for Men) provide real-time feedback to ensure you’re activating the right muscles. Used in physical therapy settings, they help correct form and measure improvement.

⚡ EMSELLA Chair

This high-tech device, available in urology and wellness clinics, uses electromagnetic pulses to contract your pelvic muscles—equivalent to doing 11,000 Kegels in one session. It’s painless, non-invasive, and popular among men post-surgery or those who want to jumpstart results.

🧪 Research-Backed Results

  • A 2019 study published in Urology Journal reported that 61% of men saw improvement in premature ejaculation after 12 weeks of pelvic floor training.
  • Another clinical trial showed a 40% improvement in erectile strength in men doing daily Kegels.

Common Mistakes Men Make with Kegels

Even a simple exercise can go wrong if done improperly. Here’s what to avoid:

  • Overtraining: Doing Kegels too frequently can lead to tension or even pain.
  • Wrong muscles: If your abs, thighs, or butt are sore—you’re not doing them right.
  • Holding breath: This increases intra-abdominal pressure and reduces effectiveness.
  • Expecting overnight results: Like any muscle, the pelvic floor needs time to strengthen.

Stick with it. The reward is long-term, not instant.

Real Talk from Reddit & Men’s Health Forums

One of the most underrated places for firsthand experience is Reddit. Threads in r/pelvicfloor and r/AskMen are filled with stories, struggles, and successes.

“I was skeptical, but now I can last twice as long in bed. Wish I started sooner.” — Reddit user

“Three months of Kegels helped my post-surgery leakage more than anything else. I can go on a run again without worrying.” — User in prostate cancer recovery forum

You’re not alone. Thousands of men are now incorporating Kegels as part of their health routine, just like push-ups or cardio.

Conclusion: Why Every Man Should Do Kegels

If you’re still wondering whether Kegel workouts are worth it—the answer is a resounding yes.

From improved urinary control and stronger erections to post-surgical recovery and even unexpected benefits like posture and orgasm quality, Kegels are a low-risk, high-reward investment in your body.

You don’t need a gym, expensive gear, or even a lot of time. Just consistency, awareness, and patience.

When to Consult a Healthcare Provider

Kegels are safe and natural, but certain situations demand professional insight:

  • Persistent incontinence, despite consistent home exercise
  • Post-surgical conditions (e.g., post-prostatectomy)
  • Chronic pelvic or rectal pain
  • No improvement in sexual symptoms after several months

A dedicated Kegel workout for men is a no-cost, powerful tool that boosts your daily life—bladder control, sexual performance, and confidence, included.

But for optimal results, especially concerning erectile dysfunction or premature ejaculation, consider working with pros. Dr. Adam Gvili and Dr. Josh Weber at Pelvis NYC design pelvic floor therapy that’s tailored to your specific needs, and backed by medical science and advanced treatment options.

kegel workout for men- Dr. Adam Gvili and Dr. Josh Weber of Pelvis NYC

👉Click here to book with Pelvis NYC now—and let Dr. Gvili and Dr. Weber guide your path to better bladder, stronger erections, and lasting sexual health.

Let’s break the stigma around men’s pelvic health—with science, strategy, and skill.

Are you a woman looking for pelvic floor exercises tailored to your needs?
Check out our women’s guide: Kegel Workout for Women: How to Strengthen Your Pelvic Floor