Men Have A Pelvic Floor Too: What Every Man Should Know About Pelvic Health

Introduction: Why We’re Talking About It

Most people think of pelvic floor health as a women’s issue — especially after pregnancy. But here’s the truth: men have a pelvic floor too, and those muscles play a crucial role in bladder, bowel, and sexual function.

Just like any other muscle group, the pelvic floor can become tight, weak, or uncoordinated, leading to symptoms that often go undiagnosed or misattributed to other causes.

Understanding the Male Pelvic Floor

The pelvic floor is a group of muscles and connective tissues that form the base of the pelvis.
In men, these muscles:

• Support the bladder, bowel, and prostate

• Control urination and bowel movements

• Help with erections and ejaculation

• Contribute to core and spine stability

When these muscles don’t work properly, it’s called pelvic floor dysfunction — and it’s far more common than most men realize.

Signs of Pelvic Floor Dysfunction in Men

If you’re experiencing any of the following, your pelvic floor may need attention:

✅ Urinary leakage or post pee dribbling
✅ Urgency or frequent urination
✅ Pelvic, groin, or testicular pain
✅ Pain with sitting
✅ Erectile changes or difficulty maintaining an erection
✅ Tailbone or lower back discomfort that doesn’t improve with typical PT

Common Causes

Pelvic floor dysfunction in men can stem from:

• Prostate surgery or radiation

• Core or hip weakness

• Chronic straining or constipation

• High stress or overactive muscles

• Poor breathing mechanics or posture

Sometimes, it’s a combination of these — which is why individualized assessment is key.

How Pelvic Floor Physical Therapy Helps

Pelvic floor PT is about much more than “Kegels.”
Your physical therapist will assess how your muscles coordinate, contract, and relax, and create a plan that may include:

• Gentle muscle retraining and relaxation techniques

• Core and hip strengthening

• Postural and breathing re-education

• Manual therapy for scar tissue or tension

• Education on bladder and bowel habits

The goal? Restore muscle balance, improve bladder and bowel control, and reduce pain — so you can move confidently and comfortably again.

Why Early Intervention Matters

The earlier you address pelvic symptoms, the faster your recovery tends to be.
Men who seek pelvic floor therapy soon after prostate procedures or when symptoms first appear often see better long-term outcomes.

You’re Not Alone

Pelvic floor dysfunction affects men of all ages — athletes, new dads, desk workers, and retirees alike.
Talking about it is the first step. Seeking care is the next.

If something doesn’t feel right, know that help exists — and it works.

Call to Action

If you’re in the Watertown area and have questions about pelvic health or post-prostate recovery, our physical therapy team can help.
👉 Book an appointment or Contact us to learn more about pelvic floor physical therapy for men.