Pelvic Floor Dysfunction

Pelvic floor physiotherapy for men in Sydney - treating weakness, tension, and poor coordination.

The Pelvic Floor Muscles

The pelvic floor is a group of muscles that sit at the base of the pelvis, stretching from the pubic bone at the front to the tailbone at the back. Think of them as a supportive, muscular bowl moving up and down as they contract and relax.

In men, these muscles:

  • Support the bladder and bowel

  • Help control urine and wind

  • Contribute to erectile rigidity

  • Assist with ejaculatory control

Support pressure management during lifting, coughing, and exercise

They work automatically most of the time, but they also need to contract and relax at the right moments. Like any muscle group, they can become weak, poorly coordinated, or overly tight.

Man describing pelvic floor dysfunction symptoms to physiotherapist Tom at Atlas Physiotherapy

Signs and Symptoms of Pelvic Floor Dysfunction

Pelvic floor issues are not just about weakness - dysfunction can also involve tension, overactivity, or poor coordination.

Possible symptoms include:

  • Urinary leakage (with cough, exercise, or urgency)

  • Difficulty fully emptying the bladder

  • Urinary frequency or urgency

  • Post-urination dribbling

  • Erectile instability

  • Premature ejaculation

  • Pelvic, perineal, or testicular pain

  • Pain with sitting

  • Constipation or straining

  • A feeling of pelvic heaviness or pressure

Many of these symptoms are common, but they are not something you simply have to live with.

Physiotherapist assessing pelvic floor function during a men's health appointment in Leichhardt Sydney

How Atlas Physiotherapy Can Help

Pelvic health physiotherapy focuses on restoring strength, control, and relaxation where needed.

Assessment may include:

  • Evaluating pelvic floor strength and endurance

  • Assessing coordination and timing

  • Identifying overactivity or muscle tension

  • Reviewing bladder, bowel, and sexual function

  • Assessing breathing and abdominal pressure patterns

Treatment may involve:

  • Targeted strengthening programs

  • Down-training and relaxation techniques

  • Bladder and bowel habit retraining

  • Breathing and pressure management strategies

  • Return-to-exercise planning

  • Education to build confidence and understanding

Pelvic floor rehabilitation is specific, structured, and tailored - not just “do your Kegels.”

Man performing pelvic floor rehabilitation exercises guided by physiotherapist at Atlas Physiotherapy

Get In Touch

Book a Men's Health Physiotherapy Appointment in Sydney

If you're ready to book, use the link below. If you'd prefer to ask a question first, or you're not sure whether physiotherapy is right for your situation, feel free to get in touch - we're happy to help you figure out the best path forward.

Atlas Physiotherapy is located in Leichhardt, easily accessible from across Sydney's Inner West, including Annandale, Balmain, Petersham, Stanmore, Newtown, and Glebe.

If you’d like to ask a question, or if you’re unsure which service is right for you, feel free to reach out.