It is very common for men to experience urinary and bowel issues that may or may not be related to the prostate.

Pelvic floor muscles stretch from the pubic bone to the tail bone and support the pelvis. They have an important role in men for continence of bladder and bowel, core stability and sexual function. 

Pelvic floor muscles can also cause pain in the pelvic region and this will require a thorough investigation to fully assess your condition.

Prehab – Pelvic floor exercise prescription, bladder, bowel and practical advice.

Post operative continence and erectile dysfunction management including pelvic floor rehabilitation.

Bladder Pain SyndromeI need to go to the toilet very suddenly or the desire to go to the toilet is too strong
FrequencyI go more than 7 times a day
ConstipationI find it difficult to poo and don’t go very regularly

Assessment for all of these conditions starts with a full detailed history of the condition and medical history including urology history and treatment to date. Bladder diary may be requested and a pelvic floor evaluation may be required.

Treatments are tailored to the individual but could include bladder education and training, deferment techniques, pelvic floor rehab, down training, abdominal massage, defecation dynamics.

Chronic Pelvic Pain (CPP) / Prostatitis  / Persistent Pelvic Pain (PPP) / Bladder pain syndrome   

The presentation of these conditions can vary greatly but you may be experiencing pain in the rectum, penis, scrotum, or surrounding tissue. Pain associated with peeing or pooing, or pain associated with ejaculation.

Assessment for all of these conditions would all start with a full detailed history of the condition and medical history including urology history and treatment to date.

Treatments can include manual therapy, pelvic floor examination, down training and myofascial tension release.

About one and half year ago, as a consequence of some urinary problems, I started to experience very strong pelvic pains. In the worst days the pain could reverberate also into other parts of my body. On top of it, the pain was often accompanied by anxiety attacks. I was totally unprepared to deal with these problems, and clearly consulting various doctors was not sufficient. 


The first person who really helped me to live decently in these circumstances was Karen. First of all, her manual therapy was for a long time the only efficient method to diminish the pain, for which I will be eternally grateful to her. But maybe even more importantly, her numerous advices about mental and physical adaptation, life style change and stress decrease really helped me to understand that this was a complex illness and that I had to find my own ways of healing. Beside being a fantastic physiotherapist, Karen is also a kind, joyful and intelligent person, having her in town is a great privilege! I mean it!

Mr S, 54 years old

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