mens pelvic health

Men's Pelvic Health Conditions

Maree is experienced in assessing and treating issues relating to men’s pelvic health. See below for a description of the types of issues Maree can help you with.
Maree will do a thorough assessment and make a management plan that suits your goals. In some cases Maree will arrange a referral to a specialist if this is required.

If you are not sure if your condition is something that Maree can help you with, please send an enquiry. Click here.

Urinary incontinence: (there are two main types)

Stress Urinary Incontinence:
Symptoms: leaking urine with coughing, sneezing, laughing, exercise or any sudden movement. Unlike women, this is less common in men. It may be a complication following prostate surgery or trauma to the pelvic floor, for example.

Urge Incontinence:
Symptoms: a sudden strong urge to pass urine and not being able to get to the toilet in time. This can be a symptom that follows on from urgency and frequency. Urgency and frequency without leakage or getting up at night to pass urine multiple times, can be just as bothersome. In men an enlarged prostate may trigger these symptoms and should be investigated first by your GP or Urologist.

Other Symptoms:
You should see your GP first who may be able to refer you to a Urologist if you have the following symptoms:

  • Urine flow is hard to start or is slow and trickly
  • After passing urine, dribbles of urine leak on to your clothing
  • Leakage with no warning. This may be Overflow Incontinence and can be caused if there is an outlet obstruction like an enlarged prostate. If the bladder cannot empty properly, it keeps filling until the urine needs to escape. In some cases, the urine may reflux back up into the kidneys. This needs to be addressed by a Urologist immediately.

Faecal Incontinence:
Symptoms: Leakage of faeces or uncontrolled flatus (wind). Leakage may occur due to urgency to reach the toilet and not making it, or after passing a bowel motion. Wiping clean may also be difficult. Sometimes leakage may occur without warning or with physical activity.

Obstructed defaecation:
Symptoms: Difficulty passing a bowel motion. In men, the reasons for these symptoms are more likely to be related to hypertonic (tight) or overactive pelvic floor muscles which do not relax properly when passing a bowel motion. There may be a history of constipation that has led to these symptoms or constipation may occur as a result of obstructed defaecation.

Anorectal prolapse:
Symptoms: bulging of tissue through the anus which may occur with passing a bowel motion or with physical activity. This may be related to haemorrhoids or the lining of the rectum falling through the anus.

The causes of Pelvic Pain can be complex and require careful assessment in order to manage correctly.

Symptoms of pelvic pain in men may include:

  • Discomfort during or after passing urine,
  • Pain and difficulty passing a bowel motion,
  • Pain in the rectum or penis,
  • Pain in the pelvic floor area when sitting,
  • Pain with an erection or ejaculation,
  • Pain in the buttock area or pelvic joints.

Common conditions of pelvic pain that Maree can assist in managing are:

  • Bladder Pain Syndrome.
  • Pudendal Neuralgia. Nerve pain that may feel like a burning or irritation around the pelvic floor / genital region. It can include other nerves to the pelvic floor. Some triggers may include cycling, excessive squatting exercises, overactive pelvic floor muscles, pelvic joint issues.
  • Myofascial Pain Syndrome. Increased tension in muscles of the pelvis including the pelvic floor, hips and abdomen causing pain.
  • Pelvic Joint Dysfunction (Sacroiliac Joints, Pubic Symphysis Joint).