father son mens health

Men's Health

Amanda also works with men and can help you in a range of pelvic health issues which can appear at any age, so if you suffer from any of the following then Amanda can help you:

  • Bladder urgency (sudden need to pee)
  • Bladder leakage (after urgency or when you cough, sneeze or exertion)
  • Difficulty emptying
  • Urinary frequency
  • Slow flow
  • Bowel issues
  • Erectile Dysfunction
  • Chronic pelvic pain (pain in the testicles, penis, abdomen)
  • Pre-prostate surgery (before, to prepare you for surgery)
  • Post-prostate surgery (treatment after surgery to regain strength)

Bladder symptoms in men are relatively common, with evidence showing more than 30% of men over 65 having issues (NICE updated 2015). There are a variety of possible causes such as age-related changes, infection, inflammation, muscle dysfunction or changes in the prostate gland which enlarges with increasing age. Pelvic health physiotherapy can address the symptoms that occur and give you the help you need to regain control of your bladder.

If you have been diagnosed with prostate cancer and are awaiting surgery then it’s not too early to have an assessment. I recommend being seen before surgery (if possible) so to assess your muscle function and teach correct exercises to enhance your recovery after. Pelvic floor muscle strengthening before surgery has been shown to significantly improve post prostatectomy urinary incontinence, post micturition dribble (dribbling urine after peeing) and erectile dysfunction (Goonewardene SS, Gillatt D, Persad R 2018). You will have a full pelvic floor assessment to determine how well your pelvic floor muscles are functioning, allowing an accurate and personalised exercise programme to be prescribed for you. You would then have further sessions post-surgery to progress your rehabilitation. If you are unable to be seen before surgery then starting physiotherapy as soon as you are able after your surgery is an important part in your recovery.