The Role of
Physiotherapy in Men's
Health
Mags McDonald MISCP MCPWHC
Senior Physiotherapist
Bon Secours Hospital
Cork
The Role of Physiotherapy in
Men's Health

Continence

OAB

Pelvic/Perineal Pain Syndromes
Post Prostatectomy/ TURP
 Symptoms
 SUI
PMD
OAB
 Treatment
 Pelvic
floor exercises
 Bladder Training
 Advice
 Patient Specific Treatment!!!
Pelvic/ Perineal Pain Syndromes

E.g. Pudendal
Neuralgia

Many doctors, many
tests, often inconclusive

Or original condition
gone and pain remains
Physiotherapy for Pelvic Pain
Syndromes

Overactive muscles & connective
tissue stiffness in Pelvic floor,
Superficial Perineal muscles,
Adductors

PFE contra-indicated

Relaxation and breathing techniques
Aerobic exercises & stretches
Myofascial trigger point therapy
Connective tissue mobilisation
techniques



Pelvic Floor Exercises
Faster, Higher, Stronger!
Pelvic Floor Exercises
……Technique!!!

Co-ordinate with
breathing and
relaxed abdominals

Static and dynamic
positions

Increased IAP

Speed, endurance,
strength
The Practicalities

Need to be seen by Urologist at some point

The ones that get away!




Many months post surgery
Surgery in other parts of the country
Pelvic/ perineal pains
OAB where medication alone isn't working
…….. The End
Faster
Higher
Stronger!!!