Men’s Health Physiotherapist for bladder weakness
Bladder leakage and erectile dysfunction are common problems affecting men particularly after having prostate treatment. Over our lifetime, lifestyle factors, structural abnormalities, ageing and injury can contribute to bladder weakness, bowel weakness or pain.
One in six men will experienced bladder leakage or weakness and as many as 4.8 million Australian’s will be affected across their lifetime. Following prostate treatment it is common to experience bladder leakage, bladder urgency, excessive urinary frequency, erectile dysfunction and pain. In many cases, these symptoms can be related back to the function of the pelvic floor muscles. Physiotherapy is often recommended before and after prostate surgery to help with management of post-operative symptoms.
Pelvic floor physiotherapy is the most recommended and evidence-based therapy available to treat pelvic floor, bladder and bowel dysfunction, leakage or weakness. Pelvic floor & continence physiotherapy can help clients achieve better physical and mental outcomes, and ultimately lead a more meaningful and fulfilled life.
Our physiotherapists hold post-graduate certificates & clinical masters degrees in pelvic floor and continence physiotherapy, are registered physiotherapists and members of the Australian Physiotherapy Association and The Continence Foundation of Australia. Read more about our team.
What can a pelvic floor physiotherapist help with?
A pelvic floor physiotherapist can help you with the symptoms of bladder, bowel and pelvic floor weakness, and pre/post prostatectomy rehabilitation, including:
- Bladder and bowel weakness, leakage and dysfunction
- Excessive night waking to urinate
- Excessive urination frequency
- Erectile dysfunction
- Pelvic pain and bladder pain
- Dyspareunia (painful intercourse)
- Pre and post prostatectomy pain and weakness
- Pelvic injuries or tears
- Pelvic and abdominal weakness
- Post rehabilitation strengthening
- Pre and post operative Pilates
- Return to sport assessments and recommendations
- Return to work assessmnents and recommendations
Why pelvic floor physiotherapy?
Pelvic floor muscle training is the most recommended and evidence-based therapy available to treat pelvic floor, bladder and bowel dysfunction or weakness.
Like any other muscle group in the body, such as your biceps or hamstrings, the pelvic floor muscles can be trained and strengthened. By training the pelvic floor muscles that extend from your pubic bone at the front to your tail bone at the back, you provide greater support and an upward lift to your pelvic organs, much the same as the water in the ocean supports and lifts a ship from underneath.
Our physiotherapists are highly trained and can help you get started in an individualised program to train your pelvic floor muscles.
It empowered me.
I now know how very fortunate I was to be able to participate in both group and individual sessions of mindfulness core stability classes. It empowered me as I was given essential tools to help continue with my own sessions at home.
I love Pilates.
I love my core stability class. I always leave my classes knowing exactly how to complete the moves, what I should feel when I am doing them and which area they are strengthening or stretching. Even better, I get fit and have a fun time while doing so.
I was very fortunate to be able to do Pilates classes with Julia.
I now know how very fortunate I was to be able to participate in both group and individual sessions of mindfulness core stability classes with Julia. It empowered me as I was given essential tools to help continue with my own sessions at home.
I cannot recommend Julia highly enough.
I love Pilates with Julia. She is such a knowledgeable practitioner who uses her extensive physiotherapy skills to create Pilates classes that target and improve key areas. I always leave Julia’s classes knowing exactly how to complete the moves, what I should feel when I am doing them and which area they are strengthening or stretching. Even better, I get fit and have a fun time while doing so.
I recommend it for all women after child birth.
I thought my body had recovered from child birth and that everything was fine. I returned to exercise including jogging. A few people questioned me about whether it as too soon post birth. I started to worry that I could cause myself damage in the long run so had an assessment with Julia to put my mind at ease. The assessment was thorough and professional. I recommend it for all women after child birth.
What is involved in individual pelvic floor physiotherapy consultations?
During your first consultation, your physiotherapist will ask you questions about your symptoms and health. They may ask you questions about your bladder, bowel, surgeries, family history, and other meaningful events in your life.
After gaining a better understanding of your concerns and goals, your physiotherapist will help you understand your health condition, and the processes which may have contributed.
Your physiotherapist will help you understand the action of the pelvic floor muscles. They may show you how well your muscles are contracting using a ‘real time ultrasound’ machine, where they get an image of your pelvic floor muscles through a sensor which is held on your lower tummy.
You may be asked to fill out some diaries or forms at home which give your physiotherapist more information about your bladder and bowel health.
During the second consultation, we consolidate our learning from the first session. Your physiotherapist will analyse any diaries they sent home with you and will give you further information on your condition. If you feel comfortable, our physiotherapist can perform an ultrasound of the perineum or perform an internal (rectal) examination to accurately determine the strength and condition of your pelvic floor muscles. Your physiotherapist can use this information to give you a personalised exercise program and accurate treatment advice.
What if I don’t feel comfortable having an examination but would like to see a pelvic floor physiotherapist?
Your comfort and safety is Calm & Connection’s first priority. If you do not feel comfortable having an ultrasound or internal (rectal) examination, your physiotherapist can provide you with some information and a basic, generalised program based on your discussions other examination results. They may also give you some instruction on how you can briefly assess your pelvic floor muscles yourself, in the privacy of your home.
What do I have to do to prepare for my individual physiotherapy consultation?
Please empty your bladder 1 hour before, and drink 500mls of water in the hour leading up to your consultation. This will help give a clear image of your bladder if your physiotherapist decides to use the ‘real time ultrasound’ machine to assess your pelvic floor muscles. If you feel more comfortable, you are welcome to arrive 20 minutes before your appointment time to drink your 500mls of water at the clinic.
Can I claim treatments or classes from my private health fund?
If you have extras cover, you can generally claim a rebate for your individual physiotherapy consultation from your health fund by either submitting your receipt directly to your fund, or swiping your health fund card in our HICAPS machine at the clinic. The amount of rebate will depend on the health fund and your level of cover. Some levels of cover will provide a rebate for the exercise classes and this can be claimed directly from the health fund.
Do I need a referral to see a pelvic floor physiotherapist?
No. Physiotherapists in Australia are primary care practitioners, meaning you do not need a referral. You simply ring up to book a consultation, or book online. Many people choose to get a referral from their specialist or general practitioner to assist their physiotherapist in understanding their condition and medical history.
Will my physiotherapist share information with my doctor or health care practitioner?
Our physiotherapists aim to provide progress updates and information regarding your treatment to your general practitioner or specialist to ensure your health care team is working toward the same goals. If you have any concerns or you do not wish your information to be shared with other health care providers, please let your physiotherapist know.