Physiotherapy for Pelvic Floor Dysfunction in Men
Pelvic floor dysfunction is an increasingly recognized health concern among men, impacting their daily lives and overall well-being. While often misunderstood or overlooked, conditions related to a weak or dysfunctional pelvic floor can severely affect physical comfort, self-confidence and quality of life. At Azita Papaie’s Physiotherapy Clinic, conveniently located in Saint-Henri and serving neighbouring communities like Little-Burgundy, Griffintown, Westmount, Monkland Village, Pointe-Saint-Charles, Ville-Marie and Côte-des-Neiges-Notre-Dame-de-Grâce, we specialize in pelvic floor physical therapy for men’s pelvic floor issues.
Understanding Pelvic Floor Dysfunction in Men
Pelvic floor dysfunction refers to the inability to correctly control or relax the pelvic floor muscles, a critical group of muscles that support pelvic organs and are crucial for bladder, bowel and sexual function. Common causes and risk factors include:
- Age-related muscle weakening
- Chronic constipation or bowel issues
- Prolonged sitting or sedentary lifestyles
- Post-surgical complications (prostate surgery for example)
- Improper weight-lifting strategies
- Stress or anxiety leading to chronic muscle tension
A weak pelvic floor can lead to numerous health problems, significantly affecting men’s physical health, psychological well-being and social interactions.
Symptoms and Conditions Associated with Pelvic Floor Dysfunction
Men experiencing pelvic floor dysfunction often report:
- Difficulty controlling urination or bowel movements
- Pain in the pelvic area, lower back, or hips
- Sexual dysfunction, including erectile difficulties
- Painful ejaculation or intercourse
- Chronic discomfort or pressure in the pelvic region.

Key Related Health Issues Addressed by Pelvic Floor Physical Therapy
Erectile Dysfunction
Pelvic floor dysfunction can significantly contribute to erectile dysfunction (ED). Weak pelvic muscles decrease blood flow and muscle control essential for maintaining erections. Pelvic floor physical therapy employs targeted exercises and biofeedback techniques proven to enhance muscle control, blood circulation and overall sexual performance, significantly improving erectile function.
Painful Erections and Intercourse
Pain during erections or intercourse can severely impact emotional well-being and intimate relationships. Often resulting from overly tight or spasmodic pelvic floor muscles, these symptoms can be effectively alleviated through specialized physiotherapy techniques. Our approach includes manual therapy, relaxation exercises and personalized routines to reduce muscular tension and eliminate discomfort.
Urinary Incontinence
Urinary incontinence, often resulting from weak pelvic floor muscles, can profoundly impact daily activities and social interactions. Physiotherapy is highly effective in managing and resolving urinary symptoms through tailored pelvic exercises, lifestyle education and muscle-strengthening techniques. Our patients commonly experience significant improvements in bladder control and quality of life.
Prostatitis
Prostatitis, characterized by inflammation of the prostate gland, can lead to chronic pelvic discomfort and urinary problems. Many cases of chronic prostatitis involve pelvic floor muscle dysfunction. Pelvic floor physiotherapy effectively reduces inflammation by improving blood circulation, improves muscle function and significantly decreases pain through targeted therapy, stretching and therapeutic exercises.
Chronic Pelvic Pain
Chronic pelvic pain is often a debilitating symptom associated with pelvic floor dysfunction, severely restricting day-to-day activities. Our treatment focuses on personalized therapeutic exercises, manual therapy, biofeedback and relaxation techniques that directly address muscle tension and chronic pain, delivering meaningful and lasting relief.
Azita’s Comprehensive Physiotherapy Treatment Approach
At Azita Papaie’s Physiotherapy Clinic, we use evidence-based, personalized treatment programs combining several therapeutic methods tailored to your specific symptoms:
- Manual Therapy: The physiotherapist applies gentle, hands-on techniques designed to relieve muscle tension, reduce pain, and enhance circulation and healing.
- Pelvic Floor Exercises: We create customized strengthening and relaxation exercise routines to improve muscle resilience, restore proper muscle function and significantly reduce symptoms.
- Biofeedback Therapy: This innovative approach provides real-time feedback, helping you gain better muscle awareness, improve control and achieve optimal pelvic floor functionality.
- Patient Education: We provide comprehensive education and practical lifestyle advice, empowering you with knowledge and actionable strategies to sustain your pelvic floor health long-term.
Scientific studies have demonstrated that pelvic floor physical therapy (PFPT) is effective in treating various forms of pelvic floor dysfunction in men, including erectile dysfunction (ED), premature ejaculation (PE) and chronic pelvic pain syndrome (CPPS).
Erectile Dysfunction and Premature Ejaculation:
A systematic review published in Physiotherapy analyzed multiple studies and found that pelvic floor muscle training significantly improved symptoms of ED and PE. The review concluded that strengthening the pelvic floor muscles enhances erectile function and ejaculatory control, offering a non-invasive treatment option for these conditions.
Source: https://pubmed.ncbi.nlm.nih.gov/32029399/
Chronic Pelvic Pain Syndrome:
Research published in Translational Andrology and Urology evaluated men with CPPS who underwent a comprehensive PFPT program. The study reported significant improvements in pain and quality of life, suggesting that pelvic floor rehabilitation is an effective treatment for CPPS.
Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC5673826/
Post-Prostatectomy Rehabilitation:
A study in the Journal of Sexual Medicine reviewed the effects of PFPT on men experiencing ED after radical prostatectomy. The findings indicated that pelvic floor muscle training contributed to the recovery of erectile function in these patients.
Source: https://pubmed.ncbi.nlm.nih.gov/30979506/
These studies underscore the importance of incorporating pelvic floor physical therapy into the treatment plans for men experiencing pelvic floor dysfunctions. They highlight PFPT as a viable, non-invasive approach to improving symptoms and enhancing quality of life.
LOOKING FOR A PELVIC FLOOR PhysiotherapIST NEAR SAINT-HENRI?
Azita Physio is conveniently located 2 minutes away from the Lionel-Groulx metro station and close to the Atwater Market, downtown Montreal, Westmount and Little Burgundy.