The Continence Advisory Service Fartown Health Centre Spaines Road Huddersfield HD2 2QA Tele: 01484 415515 Pelvic Floor Exercises for Men Locala Community Partnerships Freepost plus RSTJ-EYJA-UCTB Beckside Court, Bradford Road, Batley WF17 5PW Customer Liaison: 01924 351531 www.locala.org.uk This leaflet is available in other languages and can be made available in large print, Braille or on audiotape Ref: <<insert reference>> Date of publication <<Date>> “Locala Community Partnerships is always looking for ways to improve services. Please tell us about your experience, either positive or negative, by visiting the Patient Opinion website. We will always respond to your comments”. www.patientopinion.org.uk Follow us on facebook Facebook.com/Locala Continence Pelvic Floor Muscle Exercises for Men Helpful Addresses and links : Did you know ? Bladder & Bowel Foundation There are different reasons for urinary problems in men such as; treatments for prostate cancer and an enlarged prostate obesity smoking constipation heavy lifting The aim of this leaflet is to provide Information about pelvic floor muscles Advice about how to perform pelvic floor muscle exercises effectively SATRA Innovation Park Rockingham Road Kettering Northants NN16 9JH Telephone 01536 533255 www.bladder&bowelfoundation.org PROMOCON 2001 Promoting Continence and Product Awareness Redbank House St Chad’s Street Cheetham Manchester Helpline 0161 834 2001 www.promocon2001.co.uk We value your opinion about our service. To comment visit; www.patientopinion.org.uk How often should I do these exercises? Information about pelvic floor muscles The routine of slow and fast exercises should be repeated 4 times a day. Try and tie them into your daily routine. Some people do the exercises when they are in the bathroom. Try and practice the tightening movement when you feel that you are at risk of leaking such as when getting up from a chair or when coughing or sneezing. The sensation of urgency to pass urine can be reduced by tightening the pelvic floor muscles. Other helpful tips Pelvic floor muscles support the bladder and bowel. The muscles can become weak e.g. after surgery. This can lead to problems such as difficulty controlling when you pass urine or leakage when coughing and sneezing (stress incontinence) Watch your weight and level of fitness. Any extra weight puts pressure on your pelvic floor. Avoid constipation and eat a healthy diet. Straining to empty your bowel can put pressure and overload on your pelvic floor. The urethra (bladder outlet) and the rectum (bowel outlet) pass through the pelvic floor muscles. Stop smoking and seek advice if you have problems with a chronic cough caused by bronchitis or hay fever Avoid heavy lifting The pelvic floor muscles play a vital role in bladder and bowel control. Strengthening these muscles should help to give you more control when you pass urine. How do I do Pelvic Floor Muscle Exercises The Exercises Now that you have found the correct muscles and understand what it feels like to tighten them you can start practicing pelvic floor exercises. Locala’s continence service clinical staff are specially trained in assessing pelvic floor muscles and can teach you how to perform the exercises correctly. It’s important to concentrate and focus as you do them. The muscle will not strengthen if you do not work it properly. These exercises need to become part of your daily routine. Don’t be disheartened if progress seems slow. It may take 3 months before you notice any improvement in your symptoms. First identify the correct muscle; Sit or lie comfortably with the muscles of your thighs and abdomen relaxed. Imagine you are trying to stop yourself breaking wind by tightening the muscle around your back passage. Now imagine you are trying to stop yourself passing urine If you are tightening the correct muscles you should feel the base of your penis and your scrotum lift forwards slightly. Slow exercises Tense the muscles as hard as possible and be aware of the tightening and lifting sensation. Aim to hold this tension for 10 seconds. Slowly relax the muscle and experience a feeling of letting the muscle release and rest for 10 seconds Repeat the tensing, lift and hold stage and the rest stage 10 times If you cannot hold for 10 seconds start with 5 seconds and 5 repetitions then gradually build up over a period of weeks to a full 10 second hold. If you place your finger tips on the skin behind the scrotum you should feel the muscle lift away from your finger as you tighten your pelvic floor muscles. Try to avoid; Holding your breath Tightening your stomach and thighs Fast exercises Repeat the same action of tensing and lifting but this time just hold on for 1 second and then release You may have been given a your own tailor made exercise programme by the nurse in line with her findings during the assessment