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Pelvic Floor Dysfunction in Men: What You Need to Know

  • stephanytritt
  • Oct 26
  • 2 min read
Men's pelvic health is important
Men's pelvic health is important

Pelvic floor dysfunction isn’t just a women’s health issue, it affects men too, often silently. From urinary changes to pain and sexual health challenges, the symptoms can be confusing, frustrating, and hard to talk about. But help is available and it starts with understanding what’s going on.


Common Symptoms in Men


Pelvic floor dysfunction in men can show up in ways that are often dismissed or attributed to something else. Here are some signs to watch for:

  • Frequent urge to urinate, with stop-start flow

  • Urinary or bowel leakage

  • Chronic constipation or straining

  • Painful urination

  • Pain in the lower back, genitals, or rectum

  • Erectile dysfunction

These symptoms may stem from muscle tension, weakness, or poor coordination in the pelvic floor, a group of muscles that support the bladder, bowel, and sexual function.


🔍 What Causes Pelvic Floor Dysfunction in Men?


Several factors can contribute to pelvic floor issues:

  • Age: Pelvic floor muscles naturally weaken, leading to issues such as incontinence.

  • Obesity: Excess weight can put additional pressure on the male pelvic floor, leading to weakness and other problems.

  • Chronic coughing: Persistent coughing can lead to weakened pelvic floor muscles due to the repeated strain on the area.

  • Prostate surgery: Some men who have undergone prostate surgery may experience weakened pelvic floor muscles as a result of the procedure.

  • Chronic constipation: Straining to have bowel movements can lead to weakened pelvic floor muscles in males over time.

  • Pain: Chronic back or hip pain may result in tense or tight male pelvic floor.


What Is Pelvic Floor Physical Therapy Like for Men?


Pelvic floor physical therapy (PFPT) is a specialized, evidence-based approach that helps men retrain and restore pelvic muscle function. Your therapist will tailor treatment to your body’s needs and medical history.

Treatment may include:

  • Individualized education about pelvic anatomy and function

  • Exercises to strengthen, relax, or coordinate pelvic muscles

  • Breathwork and relaxation techniques 

  • Postural corrections/feedback and ergonomic suggestions

  • Manual therapy 

  • Support for recovery after surgery or radiation

  • Treatment on other orthopedic issues like chronic back pain that may be related to pelvic floor dysfunction


Movement Is Medicine

Regular physical activity reduces the risk of heart disease and stroke in men by 30%. It also boosts mood, improves sleep, and supports pelvic health. 


Mental Health Matters Too

Pelvic health isn’t just physical, it’s emotional. Men are statistically less likely to seek help for mental health concerns, yet stress, anxiety, and depression can all impact pelvic floor function.

Did you know men are 80% less likely than women to use health services? Preventive care, regular check-ups, and open dialogue can make a huge difference.


Whether you're recovering from prostate surgery or managing chronic back pain, PFPT can help you regain control. Pelvic floor dysfunction is treatable. You’re not alone, you don’t have to live with discomfort or uncertainty. Call now to take the first step toward healing.


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