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Men's Pelvic Health

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What is men's pelvic health physical therapy?

What could a treatment session look like?

Your treatment may include:

Biofeedback.	Exercise.
Healthy large intestine anatomy on doctor hands Bowel and bladder training.	Visceral manipulation for your fascia and organs.
Nerve mobilization such as pudendal, sciatic or femoral nerve.	An internal evaluation and/or treatment if needed.
Breathing exercise.	Teaching management of intra-abdominal pressure.
Help with intimacy struggles.	Evidence-based pain education and treatment.
Dietary recommendations.

What diagnoses do you treat?

Urinary incontinence or leakage.	Constipation, rectal prolapse or fecal incontinence.
Chronic pelvic pain syndrome/chronic prostatitis.	Before and after prostate surgery.
Men reporting or wanting to be evaluated for a tight pelvic floor.	Nerve pain, including groin nerves and pudendal nerve.
Other pelvic/hip pain.	Back pain/tailbone pain.
Scar tissue after any form of robotic or other surgery.	Diastasis recti or abdominal weakness.
Erectile dysfunction.

Post-prostatectomy Review, NM

"My story began in the Summer in 2021. I was having a difficult time urinating. I couldn’t get into my primary care doctor for 3 months because he had so many other patients. I knew something was seriously wrong with me so I found a physician that could see me right away, and he prescribed medication for my symptoms. The medication didn’t work. I battled for a month with this doctor to try and get a referral to see a local Urologist. The Urologist had a 5 month wait after I finally got a referral.

These delays were unacceptable to me, so I advocated for myself and contacted the Mayo Clinic in Scottsdale where I had been seen for prior physicals and colonoscopies. They got me into the Urologist within weeks for a consult and within a few more weeks for a biopsy. I was diagnosed with a fast-growing Prostate Cancer. My options were a total radical prostatectomy or radiation. I chose to have surgery. The surgery removed my prostate but they were able to spare one bundle of nerves so there was the hope for near normal recovery but no guarantees.

Months after surgery I began to get very discouraged because of the uncontrollable incontinence and ED. I found that I was avoiding almost all activities because of the terrible feeling that I had wearing diapers and not being able to stop the leakage. Depression was just around the corner.

At my 3 month follow up with the Mayo Clinic’s Urologist I explained my situation and they recommended that I start Pelvic Floor Therapy.

I began my therapy with Dr. Sunel Vanderwalt at Trailhead Pelvic & Visceral Physical Therapy, and I have made tremendous progress in just a few weeks. Dr. Vanderwalt is very professional and passionate about helping her patients. I now have confidence that I will begin to see normality return to my life. My outlook is positive, and I know I will continue to improve my quality of life. I was amazed at how Dr. Vanderwalt knew exactly how I was feeling, and she was able to prescribe effective exercises and techniques for me to use. This type of therapy is a life changer for me.

I hope that I can pay it forward and encourage anyone experiencing these conditions seek this kind of therapy. It truly makes a difference in your life.

P. W.