When we think of pelvic health, it’s often associated with women — especially pregnancy and menopause. But men have pelvic floors too, and they play a critical role in everyday function. One key moment when pelvic health becomes especially important for men is after prostate surgery (prostatectomy).
Whether you’ve recently undergone surgery or are preparing for one, understanding how physiotherapy can support your recovery is vital.
What Is the Male Pelvic Floor?
The male pelvic floor is a group of muscles located at the base of the pelvis. These muscles stretch like a sling from the pubic bone to the tailbone and support several key functions:
- Bladder control (urinary continence)
- Bowel function
- Sexual function, including erections and ejaculation
- Core and back stability
After a prostatectomy, these muscles can be weakened or disrupted, leading to symptoms that many men find distressing — but with the right support, they can often be improved significantly.
Common Challenges After Prostatectomy
Removing the prostate — often necessary due to prostate cancer or other medical concerns — can affect surrounding structures, including the nerves and pelvic floor muscles. Common post-surgery issues include:
- Urinary incontinence (leaking urine during movement, coughing, or standing)
- Urgency or frequency (sudden need to urinate or waking at night to urinate)
- Erectile dysfunction
- Pelvic pain or discomfort
These issues are not uncommon, but many men are unaware that specialist physiotherapy can help.
How Pelvic Health Physiotherapy Helps
As a physiotherapist specialising in pelvic health, I work closely with men to assess, treat, and support their recovery — especially after surgery. Here’s how:
1. Pelvic Floor Muscle Training (PFMT)
This involves learning how to identify, strengthen, and properly use the pelvic floor muscles. We use specific exercises (often called “male Kegels”) to build control and endurance.
Many men unknowingly use the wrong muscles — or compensate by clenching their glutes or abs. A guided assessment ensures you’re activating the pelvic floor effectively.
2. Bladder Re-training
We address habits like frequent urination or urgency, helping you regain control and reduce leaks.
3. Biofeedback and Real-time Ultrasound (if available)
These tools give visual feedback during exercises so you can see how your muscles are working, which improves outcomes and confidence.
4. Return to Activity
Whether you’re returning to work, sport, or intimacy, physiotherapy helps you do so safely and confidently, avoiding setbacks or strain.
Evidence-Based Benefits
Research shows that men who begin pelvic floor physiotherapy before or soon after prostatectomy recover urinary control more quickly than those who don’t. In some cases, prehabilitation (pre-surgery pelvic training) can even reduce post-op complications.
Some key benefits include:
- Reduced incontinence duration
- Improved bladder and bowel control
- Better outcomes in sexual function recovery
- Faster return to normal activities
- Improved quality of life and mental well-being
Is It Ever Too Late?
No. Whether you’re just out of surgery or years into recovery, physiotherapy can help. Even long-standing incontinence or pelvic discomfort can improve with the right assessment and treatment plan.
Final Thoughts
Pelvic health is just as important for men as it is for women — especially after prostate surgery. Physiotherapy offers a safe, proven way to take back control of your body, your confidence, and your quality of life.
Ready to Feel Like Yourself Again?
If you’re recovering from prostate surgery — or preparing for one — I’d be honoured to support your journey.
Book a pelvic health consultation
Have questions first? Contact me — no pressure, just honest guidance.