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Pelvic Health for Men

We specialize in pelvic health physical therapy for men. A pelvic floor specialist works with the pelvic floor muscles and the muscles around them to address problems such as urinary incontinence, pelvic pain, and sexual dysfunction.
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What is Pelvic Health for Men?

The pelvic floor is a group of muscles at the base of the torso that supports the bladder, prostate, and rectum. When these muscles do not relax, contract, or coordinate properly, it is called pelvic floor dysfunction. It is common in men but often overlooked.

In men, the pelvic floor muscles can tighten defensively in response to stress, inflammation, or infection. Long periods of sitting and direct trauma, such as a bicycle accident, can do the same. Surgery or radiation in the area, heavy lifting, and high-impact exercise may also play a role.

Pelvic floor physical therapy works on the pelvic floor together with the abdominal muscles, back, and diaphragm. Treatment is built around exercises to strengthen, relax, and coordinate these muscles, along with hands-on care and education on posture and daily habits.

Pelvic health does not always require internal treatment. Many concerns can be addressed with external, non-invasive approaches, and any internal assessment or treatment is used only when it is appropriate for your condition and you agree to it.

KOH Physical Therapy Lab offers pelvic floor physical therapy for men at our clinics in Irvine, in Orange County, and in Long Beach. Treatment is often alongside other treatments such as shockwave therapy, kinesiology taping, fascia stretching, and cold laser therapy.

Benefits

Benefits of pelvic health for men

  • May help improve bladder control, including urinary incontinence, urinary frequency, and the ability to empty the bladder fully.
  • Can help relax pelvic floor muscles that stay tight, which may ease pelvic, groin, or tailbone pain.
  • May help with bowel concerns such as straining or pain during bowel movements.
  • Can strengthen and coordinate the pelvic floor, abdominal, back, and diaphragm muscles to support pelvic function.
  • May help with sexual health concerns linked to pelvic floor muscle dysfunction.

Who it is for

Who it may be right for

  • Men with chronic pelvic pain syndrome, chronic prostatitis, prostatodynia, pudendal neuralgia, or interstitial cystitis.
  • Men with urinary symptoms related to benign prostatic enlargement (BPE).
  • Men recovering from pelvic surgery or radiation treatment in the area.

Symptoms

Symptoms men may seek an evaluation for

Patients may seek an evaluation for pelvic floor concerns that affect the bladder, bowel, pelvic comfort, or sexual health. A symptom on this list does not by itself mean pelvic floor physical therapy is the right treatment. Your evaluation looks at what may be contributing, and your plan is based on what your therapist finds.

Common reasons men seek an evaluation

  • Bladder: urinary incontinence or leaking, frequency, painful urination, or difficulty emptying the bladder
  • Bowel: constipation, straining, or pain during bowel movements
  • Pain: pelvic, perineal, testicular, penile, groin, hip, or tailbone (coccyx) pain, including burning pain in the pelvic area, perineum, urethra, or penis
  • Pressure or muscle spasms in the pelvic area
  • Sexual health: erectile dysfunction related to pelvic floor function

Shockwave Therapy for Erectile Dysfunction →

FAQ

Pelvic Health for Men questions

Can men have pelvic floor dysfunction?
Yes. Pelvic floor dysfunction is common in men but often overlooked. It can show up as urinary incontinence or frequency, pelvic, groin, or tailbone pain, bowel concerns, or sexual health concerns linked to the pelvic floor muscles.
Can physical therapy help with chronic prostatitis or chronic pelvic pain?
The American Urological Association's 2025 guideline on male chronic pelvic pain says clinicians may offer individualized manual physical therapy, including myofascial release, for men with pelvic floor muscle pain. Your therapist evaluates your symptoms and builds a plan that may include hands-on care, pelvic floor relaxation training, and breathing.
Does pelvic floor physical therapy always involve internal treatment?
No. Many pelvic floor concerns can be addressed with external, non-invasive approaches. Any internal assessment or treatment is discussed with you first, used only when it is appropriate for your condition, and done only with your consent. You can decline or stop at any time.
What happens at the first visit?
A private, individualized evaluation with a licensed physical therapist. It starts with a conversation about your symptoms and goals, and your therapist explains each part of the assessment before it happens. The assessment may include looking at and gently examining the back, pelvis, hips, abdomen, and pelvic floor muscles, and it may include an internal assessment, which is done only with your consent.
How many visits will I need?
It depends on your condition, your symptoms, and your goals. Your physical therapist will discuss a plan with you after your evaluation and adjust it as you progress.
Where is pelvic floor physical therapy offered?
At our clinics in Irvine (9080 Irvine Center Dr., Orange County) and Long Beach (4401 Atlantic Ave #200). Text or call (949) 540-5641 to schedule.

Related care

More on pelvic health

Related pages on pelvic floor care and pelvic pain in men.

Pelvic Floor Physical Therapy →Pelvic pain in men →Blog: Pelvic floor dysfunction in men →

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  • Shockwave Therapy for Erectile Dysfunction

    Low-intensity shockwave therapy (Li-ESWT) uses low-energy sound waves to target penile tissue, with the aim of improving blood flow. At KOH Physical Therapy Lab, shockwave may be recommended and combined with men's pelvic health care. Contact us for more information, including pricing.

  • Pelvic Floor Physical Therapy

    We specialize in pelvic floor physical therapy for women and men. A pelvic floor specialist works with the muscles that support the bladder, bowel, and pelvic organs, for concerns such as urinary incontinence, pelvic pain, and pressure.

  • Pre and Post-Surgical Rehab

    Scheduled for surgery? Pre and post-surgical rehab is physical therapy before and after an operation, to help you go into surgery as prepared as possible and recover strength and movement afterward.

Ready to get started?

Request an appointment online, or text our scheduling team. Text is the fastest way to reach us.

Request an appointment(949) 540-5641