PFES for men
Like other muscles in your body, the pelvic floor can be strengthened with regular exercise. Building pelvic floor strength enables the muscles to better support your pelvic organs, improves your bladder and bowel control and can stop accidental urine, faeces or wind leakage. It can also increase your sexual pleasure.
The prevalence of incontinence in men of all ages is certainly lower than that for women. Large studies have indicated that about 3% to 11% overall, with urge incontinence accounting for 40% to 80% of all male patients. Stress incontinence accounts for less than 10% of cases and is attributable to prostate surgery, trauma, or neurological injury. Incontinenceinmenincreaseswithageandappears to rise more steadily than it does in women. That is, there are no spikes in prevalence similar to those that occur for women around menopause.
However, the estimates for severe incontinence in men in their 70’s and 80’s is still only about half of that in women. Men are also less likely to speak with a health care professional about UI, so UI in men is probably far more common than statistics show.
Elise and Treatment of erectile dysfunction in men* - non-medical purpose to maintain a healthy bowel movement, achieve more satisfying erection, improve rectal sensation for enhanced pleasure and improve pelvic strength (* requires an anal probe).
Can Pelvic Floor Exercises benefit men too?
The benefits of pelvic floor exercises for women, particularly after childbirth, are well established. However these simple exercises are also very valuable for men following prostatectomy (the removal of the prostate). During the first few weeks after a prostatectomy, almost all patients experience some urinary incontinence.
This is because removing the prostate disturbs the area between the bladder and urethra, which carries urine out of the body. During surgery, the bladder is pulled down to join the urethra and in so doing, restoring continuity. The bladder neck muscle (internal sphincter) is sometimes also weakened during surgery.
Consequently, before surgery men had three layers holding back urine - the internal sphincter muscle, the prostate lobes and an external sphincter muscle. After surgery, there is only one layer - the external sphincter.
This means that the single barrier needs to work very well. Therefore, pelvic floor exercises which strengthen these muscles can be very effective in the recovery of continence. A study following men through the first year after prostatectomy found pelvic floor exercises are effective in terms of reducing incontinence.
The type of incontinence experienced by men in the first three months after a prostatectomy is typically mild leaking. But this can be very distressing for patients as they recover from surgery and want to return to normal life. Even when incontinence is mild, men are understandably uncomfortable about having to wear pads to work, for example.
Pelvic floor exercises are an unusual concept to most men, as they are far more closely associated with women. However we find that the majority of our patients are keen to do anything they can to improve their continence. Pelvic floor exercises are a valuable means of patients doing something themselves to aid their recovery.
We emphasise that exercises should be done little and often. In many cases, patients expect results too quickly. We make the comparison with improving your muscle tone in the gym. You will not get results immediately, nor will you develop a six pack if you pop down once a week. Improving bladder function through pelvic floor exercises, like muscle tone, requires effective practice, consistency and long term commitment.