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The Pelvic Floor & Dysfunction?

Millions of Men suffer from Pelvic Floor Dysfunction, it is estimated that 20% of Americans will suffer some sort of pelvic floor dysfunction in their lifetime. Pelvic Floor Dysfunction can affect ANYONE regardless of age, sex and race. If you’re a woman, you may also feel discomfort during sexual intercourse, and if you’re a man you may have problems having or keeping an erection (erectile dysfunction or ED) or experiencing premature ejaculation.

The Pelvic Floor is the layer of muscles that support the bottom of the pelvis. And the pelvis is the home for your pelvic organs. Pelvic organs include the following:

  • The bladder (the pouch that stores your urine)
  • The uterus and vagina (in women)
  • The prostate (in men)
  • The rectum (the final portion of large intestine and ends with your anus)

The pelvic floor supports the internal organs of the pelvis and assists with bowel/bladder function as well as sexual function. The muscles of the pelvic region form a sling from your coccyx to your pubic bone. When you experience muscle contractions it can result in pelvic pain, sexual dysfunction, urinary incontinence and fecal incontinence.

Pelvic floor dysfunction is the inability to control your pelvic floor muscles. Pelvic floor dysfunction is a group of disorders that change the way people have bowel movements and sometimes cause pelvic pain. These disorders can be embarrassing to discuss, may be difficult to diagnose and explain the symptoms and often have a negative effect on quality of life. Symptoms vary by the type of disorder. Many general practitioners may not be familiar with pelvic floor dysfunction, and it may take a specialist, such as a colorectal surgeon, to discover that it is a pelvic floor disorder.

Pelvic Floor dysfunction can be caused by a wide variety of reasons and it is important to take an individualistic approach during pelvic floor physical therapy treatment. Here are some of the few reasons highlighted by physical therapists as few reasons causing pelvic floor dysfunction.

  • Car accident which injured your pelvic area
  • Being obese or overweight
  • Pelvic surgery
  • Overexerting your pelvis muscle by pushing too hard or too often
  • Advancing age
  • Nerve damage


The health care professionals at Pelvis NYC are experts at evaluating and treating the multifaceted conditions that cause Pelvic Floor Dysfunction in Men. The main goal for treating pelvic floor dysfunction is to relax the muscles, provide minimally invasive treatment using manual therapy and exercise to maximize outcomes.

Male Pelvic Floor Dysfunction
We Successfully Treat

  • BPE/BPH
  • Post-Prostatectomy
  • Urinary/ Fecal Incontinence
  • Painful Urination/Difficulty Urinating
  • Sexual Dysfunction (Erectile Dysfunction, Premature Ejaculation)
  • Chronic Prostatitis
  • Interstitial Cystitis
  • Orchialgia/Testalgia
  • Peyronie’s Disease
  • Penile Pain
  • Anorectal Pain
  • Pudendal Nerve Entrapment
  • Post Vasectomy Pain
  • Post-Circumcision Pain
  • Epididymitis
  • Gastrointestinal & Bowel Disorders
  • Persistent Genital Arousal Disorder (PGAD) 
  • You need to heal from an orthopedic problem
  • You need to heal a sports injury
  • You just want to move well
  • You want to be free from chronic pelvic pain
  • You always have the urge to urinate or you are experiencing painful urination
  • You always experience constipation straining or bowel strains
  • You feel muscle spasms in the pelvic region
  • You feel discomfort during sexual intercourse
  • Urinary problems, such as:
    • Urinary incontinence (involuntary leakage of urine)
    • Urinary frequency (You urinate many times during the day)
    • Urinary urgency (You always have the urge to urinate)
    • Painful urination (Burning sensation while urinating)
    • Difficulty stopping or starting urinating
    • Difficulty fully emptying the bladder
  • Bowel problems, such as:
    • Fecal incontinence
    • Straining or experiencing pain during bowel movements
  • Unexplained pain such as:
    • Pelvic pain
    • Pain in the genital area
    • Rectal pain or pain in the anal canal
    • Pain during sexual intercourse

The Treatment ​

Treatment of pelvic floor dysfunction is a multi-factorial matter, therefore we take an individualistic approach to treating pelvic floor disorders. At Pelvis NYC, we understand the importance of the different elements that affect someone with CPPS (Chronic Pelvic Pain Syndrome) and Chronic Prostatitis.

Treatment is based on the cause of the dysfunction and severity of symptoms. For pelvic pain syndromes, the goal of treatment is to relieve or reduce symptoms. In some cases, a combination of treatment methods helps reduce pain. One of the most common treatments is Biofeedback, a special form of pelvic floor physical therapy aimed at improving muscle function and pelvic floor muscle contraction. Biofeedback is not painful, and helps over 75% of people with pelvic floor dysfunction.

 This may include electrical stimulation of the pelvic floor muscles, or manual therapy. Your physical therapist then gives you feedback and works with you to improve your pelvic floor dysfunction symptoms. Your physical therapist will determine which pelvic muscles are really tight and teach you exercises to stretch these muscles so their relaxation and coordination can be improved. In addition, there are exercises (kegel exercises and other pelvic floor exercises) that may be done at home which can help improve symptoms of chronic pelvic pain.

 

Since patients who suffer from urinary/fecal incontinence or erectile dysfunction often actively try to hide their condition out of embarrassment. Our goal at Pelvis NYC is to create a platform where men can share their experiences without any judgment and give them hope that pelvic floor dysfunction can be treated without the need for invasive surgery. Biological and psychosocial models are all taken into account during treatment.