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PostPosted: Sun Jul 08, 2018 8:21 pm 
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Joined: Wed Mar 28, 2018 11:03 pm
Posts: 27
Hello all. Another question related to the Botox question I posed in another thread...but different enough that I thought it could use its own thread...

Have any of you with male plumbing experimented with pelvic floor physical therapy, specifically for Overactive Bladder? This is something I understand is quite common for people with female anatomy - and perhaps for other problems like stress incontinence. But my primary care doctor suggested I look into it for my current set of issues; and when I talked with the URO about it, he didn’t seem to think he knew of any PTs who worked with males.

I like the idea of this, if I could learn some effective tools, because it isn’t about taking drugs and seems to be a more sustainable long-term approach. The medication I’m taking now has significantly improved my urgency and frequency during the day; but I’m still experiencing night accidents. I’m wondering if this kind of therapy could help throw it over the edge.

Any male-anatomy persons here have any experience with PT? Thanks


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PostPosted: Sun Jul 08, 2018 8:44 pm 
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Joined: Sat Mar 29, 2014 11:45 am
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I have had several cycles of pelvic floor physical therapy. When my urologist found evidence that my pelvic floor nerves were not working properly, he sent me for the first cycle. At first it was extremely embarrassing; however, the pain, when it hit, soon took over. If you can surmount the embarrassment, and if you have an accurate idea of what to expect and the limitations of what it can do for you, you are ahead of the game. I see it as another item in the toolkit I need to use to manage my incontinence issues every day.


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PostPosted: Tue Jul 10, 2018 7:22 am 
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Joined: Sun Oct 20, 2013 3:45 pm
Posts: 1541
Location: North Carolina - Raleigh area
wwboy, I have had the PT and do Kegel exercises several times a week, more often when possible. They definitely have helped my pelvic floor. The key is doing them correctly. Many people find this to be difficult unless first coached by a professional. You need to have realistic expectations with regard to the outcome. They will help but the extent varies greatly from one person to the next.

--John


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PostPosted: Tue Jul 10, 2018 12:38 pm 
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Joined: Wed Mar 28, 2018 11:03 pm
Posts: 27
Thanks for the feedback, I’m going to look more into it.
Interestingly enough, my urologist wasn’t immediately aware of any therapists in our area who work with men - apparently women are far more common candidates for this than men are. I did some hunting on my own to minor success. Part of my trouble is that I live in a rural area, with limited specialized medical resources in the area.


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PostPosted: Mon Jul 16, 2018 3:34 pm 
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Joined: Wed Mar 28, 2018 11:03 pm
Posts: 27
Just an update. I ended up finding someone in my area who works with men and I have a consult scheduled. I’ve been doing some more reading on this and it appears that there’s some encouraging work and research in this area. As my problems are less severe than some others I’ve read on this board, I’m hopeful it will help me. In particular, I’ve read that for a lot of men, tension and tightness are the culprits - especially for athletes. I exercise quite a lot, run marathons, etc - and I’m now highly suspecting that I might have some problems with tightness or adhesions happening down there that might be to blame. Anyways, I have some hope.

I’ll share more about my experience once I end up having it...but for now I’m feeling curious and optimistic.

One site that had a great deal of articles about pelvic floor health and incontinence in both men and women is here: https://www.pelvicpainrehab.com/ — apparently the main person behind it, Stephanie Predergast (sp?), is quite a leader in the field. Anyways, for what it’s worth, I thought I’d share the update.


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