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Men Have a Pelvic Floor Too!

There’s a lot of publicity given to incontinence in women during their lifespan but a large percentage of men suffer from urinary control issues too. Men’s health issues related to the pelvic floor are not always related to prostate surgery however, it is commonly required for men who undergo radical prostatectomy procedures for prostate cancer treatment. Ideally, these exercises are started prior to your surgery.

Lower urinary tract symptoms (or LUTS) are divided into two sets of problems – storage problems and voiding problems and include:

Storage LUTS

a) Frequency (going more that 6-8 x per day)
b) Urgency (a severe eye-watering desire to wee)
c) Nocturia (weeing during the night)  and

Voiding LUTS

a) Hesitancy (hard to start weeing)
b) Intermittent stream (stop/start)
c) Terminal dribble (dribble towards the end of the wee)
d) After dribble (small dribble as you walk away from toilet)
e) Straining (pushing to empty) and
f) Incontinence (loss of urine)

Men’s Health – Did You Know?

  • LUTS are almost as common in men as they are in women
  • Weeing during the night is the most common symptom of LUTS in both women and men
  • In a study of 40000 men between 45 &79 years of age, 75% of them had some LUTS symptoms – SO IT’S REALLY COMMON!
  • Male LUTS symptoms are not necessarily related to any changes in the prostate
  • More people have storage LUTS than voiding LUTS
  • Studies have shown that only 1/3 of males & females with these symptoms seek help
  • Bladder retraining, medications, education have all been shown to be effective

Resources

The Continence Foundation of Australia
Prostate Cancer Foundation of Australia

What to Expect

Your physiotherapist will perform a detailed assessment, including:

  • Taking a detailed history – history of the presenting problem as well as any relevant medical history
  • Physical assessment of movement patterns and strength and endurance of pelvic floor.

Your physiotherapist may utilise a variety of techniques to help you improve, including:

  • Biofeedback visually and/or with real time ultrasound.
  • Prescription of exercises – these will be provided specifically for you and your condition
  • Advice and education – With a better understanding of your condition you can take positive steps on a daily basis to reduce symptoms and prevent future recurrences.
  • You may be referred to our exercise physiologist for ManPHIT classes to strengthen your pelvic floor with more load to improve your function.

If your physiotherapist is concerned regarding your presenting problem, they may refer you for investigations or they may recommend you see your GP or a Specialist.

What Next?

It’s always good to get a quick urine test done with your GP to make sure you don’t have a urinary tract infection (UTI). This simply involves weeing into a sample pot. Lower UTI’s are infections of the urethra and bladder. Their symptoms include:

  • burning with urination
  • increased frequency of urination with scant amounts of urine being passed
  • bloody urine
  • cloudy urine
  • urine that looks like cola or tea
  • strong odour to urine
  • pelvic or rectal pain

It’s also advised to get your first blood test for PSA after 40-50 years of age depending on your risk factors.

Once you know there’s no infection, Physios (with extra training in continence management), continence nurses and doctors can help with bladder training, education and medications, depending on your presenting symptoms.

Ceridwen Way has completed extra education with some of Australia’s leading men’s and women’s continence physios in Newcastle and ACT and is passionate about helping people with these problems which can have a huge impact on their quality of life.

Please contact us for any further information or to book an appointment at our Burleigh Heads physio practice.

What to Bring

  • Medication list
  • Results of any screening (eg. Ultrasound scan and blood tests eg PSA, blood glucose level to exclude diabetes)

Our Men's Health - Physiotherapy Services Gurus

Ceridwen Way

Director & Principal Physiotherapist

This service is available at the following locations

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Our Response to Covid-19

This page is up to date to our best knowledge, however, this is a rapidly evolving situation so we apologise for any potential delay in updating this information.

We want to reassure all our patients that we are following stringent infection control procedures in our clinic, and screen all people coming into the clinic, to exclude any patients that have any signs or symptoms consistent with Covid-19, as well as screening any patients that should be in isolation ie recently returned from overseas, or have been advised to isolate due to recent exposure with a known Covid-19 patient.

All our staff have now completed the Department of Health Covid-19 Infection Control Training.

What are we doing to minimise risk?

  • Screening patients for risk factors over the phone or through text messages before they attend appointments. Those with risk factors or symptoms are advised not to attend & to seek medical advice.
  • Hand sanitiser station at the front of the building must be used before you enter.
  • Following stringent infection control measures within the clinic. This includes
    • Disinfecting all beds, door handles, EFTPOS machine before and after each patient use.
    • Linen changed between each patient and commonly touched surfaces through the practice are cleaned regularly throughout the day.
    • Minimising the distances between clients in the waiting room- some chairs are outside undercover.
  • We have advised our team members not to come to work if they have cold or flu-like symptoms.
  • We are following all Department of Health recommendations for our type of business.

On the 30th March 2020 – the Australian government issued a statement that “People aged over 70, aged over 60 with pre-existing conditions, or Indigenous people aged over 50 should stay home wherever possible for their own protection.”

The decision to come in for physiotherapy treatment really is an individual one – if you feel that your treatment is medically necessary, and are comfortable with the risks of leaving your home and coming to physiotherapy, then rest assured that when you attend our physiotherapy clinic, we are following our strict infection control processes and doing everything we can to minimise your risk whilst in our care. However, we completely understand if you are not comfortable with coming in for treatment.

TELEHealth Consultations

We are offering telehealth consults and home visits (where suitable) for patients who cannot attend our clinic.

Read more about TELEhealth Consultations here.

Staying Healthy

  • Wash your hands often (and for 20 seconds) with soap and water
  • Cough into your elbow or use a tissue to cover your mouth when you cough or sneeze
  • Social distancing practices – Avoiding close contact with others, such as touching, including shaking hands
  • Limit contact with people who are sick, and stay home if you are sick and encourage employees to stay home when sick
  • Get 7-8 hours’ sleep a night to help your immune system stay strong
Please stay safe and take care of each other!

We are monitoring the situation very closely and will make adjustments to our business as we are further informed. Our priority is the health & well being of our patients and our staff. Thanks for your understanding.

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