The Role of The Role of Physiotherapy in Physiotherapy in

Men's HealthMen's Health

Mags McDonald MISCP Mags McDonald MISCP MCPWHCMCPWHC

Senior PhysiotherapistBon Secours Hospital

Cork

The Role of The Role of Physiotherapy in Men's Physiotherapy in Men's

HealthHealth Continence Continence

OABOAB

Pelvic/Perineal Pain Syndromes Pelvic/Perineal Pain Syndromes

Post Prostatectomy/ Post Prostatectomy/ TURPTURP

SymptomsSymptoms SUISUI PMDPMD OABOAB

TreatmentTreatment Pelvic floor exercisesPelvic floor exercises Bladder Training Bladder Training AdviceAdvice Patient Specific Treatment!!! Patient Specific Treatment!!!

Pelvic/ Perineal Pain Pelvic/ Perineal Pain SyndromesSyndromes

E.g. Pudendal E.g. Pudendal NeuralgiaNeuralgia

Many doctors, many Many doctors, many tests, often tests, often inconclusiveinconclusive

Or original Or original condition gone and condition gone and pain remainspain remains

Physiotherapy for Pelvic Physiotherapy for Pelvic Pain SyndromesPain Syndromes

Overactive muscles & Overactive muscles & connective tissue stiffness connective tissue stiffness in Pelvic floor, Superficial in Pelvic floor, Superficial Perineal muscles, Perineal muscles, Adductors Adductors

PFE contra-indicatedPFE contra-indicated

Relaxation and breathing Relaxation and breathing techniquestechniques

Aerobic exercises & stretchesAerobic exercises & stretches Myofascial trigger point Myofascial trigger point

therapy therapy Connective tissue mobilisation Connective tissue mobilisation

techniquestechniques

Pelvic Floor ExercisesPelvic Floor Exercises

Faster, Higher, Stronger!Faster, Higher, Stronger!

Pelvic Floor ExercisesPelvic Floor Exercises……Technique!!!……Technique!!!

Co-ordinate with Co-ordinate with breathing and breathing and relaxed relaxed abdominalsabdominals

Static and Static and dynamic positionsdynamic positions

Increased IAPIncreased IAP

Speed, Speed, endurance, endurance, strengthstrength

The PracticalitiesThe Practicalities

Need to be seen by Urologist at some pointNeed to be seen by Urologist at some point

The ones that get away!The ones that get away! Many months post surgeryMany months post surgery Surgery in other parts of the countrySurgery in other parts of the country Pelvic/ perineal painsPelvic/ perineal pains

OAB where medication alone isn't workingOAB where medication alone isn't working

………….. The End.. The End

Faster Faster Higher Higher StrongerStronger!!!!!!