(03) 977 5977
249 Papanui Road, Level 1, Milford Chambers,St Georges Hospital site,Christchurch, 8014 [See map]

Men's Pelvic Health Conditions

Bladder Issues

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 where the urethral muscles (the muscles that support the bladder outlet) become damaged. Urologists always endeavour to prevent damage to these muscles but in some cases this is unavoidable. If this is an issue for you, learning to work your pelvic floor muscles is the key. Maree will be able to teach you how to do this. Other methods to assist in bladder control may be applying TENS (Transcutaneous Electrical Nerve Stimulation) where the nerves are stimulated that control the urethral muscles.

Urge Incontinence:
Symptoms; a sudden strong urge to pass urine and not being able to get to the toilet in time. Other related symptoms may be urgency, frequency, nocturia (getting up at night). The cause of these symptoms may be too much caffeine, hypertonic (tight) pelvic floor muscles or increased anxiety. However in men an enlarged prostate may trigger these symptoms and should be investigated first by your GP or Urologist. If your prostate is healthy and you still have these issues, Maree will assess you and determine the right management plan for you. This may include urge suppression techniques, fluid modification, behavioural changes or manual �hands on' physiotherapy treatments to help your bladder to be calm.

Other symptoms:

You should see your GP first who may refer you to a Urologist if you have the following symptoms.

  • Urine flow is hard to start or slow and trickily
  • 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 increases to fill 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.

If you require further advice, contact Maree who will be able to direct you. Some of these symptoms may be related to hypertonic (tight) or hyperactive pelvic floor muscles and can be managed by pelvic floor physiotherapy.

Bowel Issues

Faecal Incontinence.
Symptoms; Leakage of faeces or uncontrolled flatus (wind). Unlike women, the reasons for faecal incontinence in men are less likely to be related to weak pelvic floor muscles unless there has been some trauma or nerve damage or other pathological condition. Faecal incontinence can also be a symptom of obstructed defaecation. If the rectum does not completely empty, faecal matter may leak out un-expectantly. Maree will assess you and provide a management programme that may include correcting pelvic floor muscles function, postural correction and toileting positions. In many cases physiotherapy techniques are all that are required but if necessary, Maree will be able to refer you to a colorectal surgeon for further management.

Obstructed defaecation:
Symptoms; Difficulty passing a bowel motion.

In men, the reasons for these symptoms are more likely to be related in hypertonic (tight) or hyperactive pelvic floor muscles which do not relax properly when emptying your bowels. There may be a history of constipation that has led to these symptoms or constipation may occur as a result of obstructed defaecation. Maree will assess you and prescribe a management programme that may involve pelvic floor muscle exercises, manual techniques to relax pelvic floor muscles, techniques to improve bowel emptying and advice on lifestyle changes.

Pelvic Pain Issues:

The causes of Pelvic Pain can be complex and require careful assessment in order to manage correctly. Physiotherapy is fast becoming recognised as having an integral part to play in the management and treatment of pelvic pain. In some pain conditions a medical review may be required to eliminate any underlying pathology. Maree will advise you if this is necessary.

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 physiotherapy can assist in managing are;

  • Bladder Pain Syndrome
  • Pudendal Neuralgia (This is when the Pudendal Nerve to the pelvic floor becomes irritated causing wide ranging pain symptoms in the pelvic floor and genitals. Some triggers may include cycling, excessive squatting exercises, hypertonic pelvic floor muscles, pelvic joint dysfunction )
  • Over-activity in muscles of the pelvis including the hips and abdomen.
  • Pelvic Joint dysfunction (Sacroiliac Joints, Pubic Symphysis Joint)

Maree Frost Physiotherapy

For more information about conditions treated, please see:

Women’s Pelvic Health
Men’s Pelvic Health.

Womens Pelvic Health
Womens Health
Maree specialises in assessing and treating womens health problems, for example, bladder issues, antenatal, postnatal, surgical and many more.
Mens Pelvic Health
Mens Health
Maree is also an expert at treating mens health problems including issues affecting; the bladder, the bowel and pelvic pain.

Pelvic Pain
Pelvic Pain
Maree treats a range of conditions causing pain around the pelvis. Find out more...

Bladder Issues
Bladder Issues
'Two common types of bladder complaint are Stress Urinary Incontinence and Urge Incontinence.

Bowel Issues
Bowel Issues
'Common complaints can be Faecal Incontinence or Obstructed Defaecation (difficulty passing a bowel motion).