Discover The Root Cause of Your Symptoms. A Whole-Body Approach to Lasting Results
Our specialized male pelvic floor therapists evaluate and treat the whole person, helping men overcome bladder, bowel, sexual, and core challenges, as well as chronic pain, to live life without limitationsPelvic floor dysfunction in men is incredibly common, highly treatable, and nothing to clear alone. We provide a private, specialized space to fast-track your recovery.
What to Expect During an Evaluation
Our pelvic floor evaluations are private, educational, goal oriented, and focused to make sure we create the best plan for you personally.
Your first visit is designed to help us understand the full picture, not just one symptom.
We’ll talk through your medical history, bladder and bowel habits, sexual function, pain, activity goals, and any post-surgical concerns, including post-prostatectomy recovery when applicable.
From there, we may assess how your core, abdomen, hips, glutes, inner thighs, low back, and pelvic floor are working together. These areas often act as a team, so we look at the whole body instead of treating symptoms in isolation.
A pelvic floor assessment may be performed externally or intra-rectally when medically appropriate and only with your consent. You are always in control of what you are comfortable with.
Treatment begins on day one. You’ll leave with a better understanding of what is happening, a clear plan, and practical personalized homework to start making progress right away.
We May Assess
Bladder and bowel habits
Sexual function and pelvic pain symptoms
Post-prostatectomy recovery concerns
Breathing, core, and pressure management
Hip, glute, inner thigh, and low back function
Pelvic floor coordination, strength, and relaxation
Movement patterns and return-to-exercise goals
Treatment May Include
Pelvic floor coordination and strengthening
Breathing and relaxation strategies
Core, hip, and mobility exercises
Bladder and bowel retraining
Manual therapy when appropriate
Education for sexual health, leakage, pain, and post-surgical recovery
Frequently Asked Questions
1. What is male pelvic floor physical therapy?
Male pelvic floor physical therapy helps treat issues related to the bladder, bowel, pelvic floor muscles, core, hips, low back, and sexual function. At OrthoPelvic Physical Therapy in Sterling, VA, we look at how these areas work together so we can address the root cause of symptoms like urinary leakage, pelvic pain, constipation, erectile dysfunction, pain with ejaculation, and post-prostatectomy concerns.
2. Do I have to do an internal exam?
No. An internal pelvic floor assessment is never required. If it is medically appropriate, an intra-rectal assessment may be discussed, but it is only performed with your consent. We can also assess externally through the abdomen, hips, glutes, inner thighs, low back, movement patterns, and pelvic floor coordination to gather helpful information and begin treatment.
3. Can pelvic floor therapy help after prostate surgery?
Yes. Male pelvic floor therapy can be very helpful after prostatectomy, especially for urinary leakage, urgency, pelvic weakness, scar-related tension, core coordination, and returning to exercise. Treatment may include pelvic floor coordination, bladder retraining, core and hip strengthening, breathing mechanics, and a home program designed to support post-prostatectomy recovery.
4. When is the best time to start pelvic floor therapy if I’m having a prostatectomy?
The best time to start male pelvic floor therapy is before your prostatectomy, when possible. Pre-surgical pelvic floor physical therapy can help you learn how to correctly coordinate your pelvic floor, core, breathing, and pressure management before surgery, which may support a smoother recovery afterward.
After surgery, pelvic floor therapy can help with urinary leakage, urgency, pelvic weakness, scar-related tension, core coordination, and returning to exercise. At OrthoPelvic Physical Therapy in Sterling, VA, we help men prepare for prostate surgery and recover after prostatectomy with a personalized plan based on their symptoms, goals, and stage of healing.
5. How soon after prostate surgery can I start pelvic floor therapy?
Many men can begin pelvic floor physical therapy shortly after their surgeon clears them, often after the catheter is removed and initial healing has begun. The exact timing depends on your surgery, symptoms, restrictions, and your surgeon’s post-operative guidelines. For most people, this is 2-4 weeks post-op.
Early post-prostatectomy therapy may focus on gentle breathing, pelvic floor coordination, bladder habits, pressure management, walking tolerance, and safe movement. As you heal, treatment can progress toward strengthening, leakage control, scar mobility, core coordination, and return to exercise.
