{"id":9432,"date":"2026-09-22T16:20:44","date_gmt":"2026-09-22T10:35:44","guid":{"rendered":"https:\/\/medicosnext.com\/?p=9432"},"modified":"2026-09-22T16:20:46","modified_gmt":"2026-09-22T10:35:46","slug":"pelvic-floor-disorder-and-its-impact-on-mens-health","status":"publish","type":"post","link":"https:\/\/medicosnext.com\/?p=9432","title":{"rendered":"Pelvic Floor Disorder and Its Impact on Men&#8217;s Health"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large is-resized\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"618\" height=\"927\" src=\"https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2026\/09\/DH__9842.jpg?resize=618%2C927&#038;ssl=1\" alt=\"\" class=\"wp-image-9433\" style=\"width:90px;height:auto\" srcset=\"https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2026\/09\/DH__9842-scaled.jpg?resize=683%2C1024&amp;ssl=1 683w, https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2026\/09\/DH__9842-scaled.jpg?resize=200%2C300&amp;ssl=1 200w, https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2026\/09\/DH__9842-scaled.jpg?resize=768%2C1152&amp;ssl=1 768w, https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2026\/09\/DH__9842-scaled.jpg?resize=1024%2C1536&amp;ssl=1 1024w, https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2026\/09\/DH__9842-scaled.jpg?resize=1365%2C2048&amp;ssl=1 1365w, https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2026\/09\/DH__9842-scaled.jpg?w=1707&amp;ssl=1 1707w, https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2026\/09\/DH__9842-scaled.jpg?w=1236&amp;ssl=1 1236w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dr. Sujan Makaju Shrestha<\/strong><\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\"><em><span style=\"text-decoration: underline;\">He is a urosurgeon at Dhulikhel Hospital, whose passion for urosurgery was shaped by experiences witnessing health care across Nepal. Driven by empathy he feels that male pelvic floor disorders are far more common than we realize, yet many men hesitate to discuss their symptoms or seek care. Our aim is to improve recognition, provide compassionate and evidence-based treatment, and help men regain health, confidence, and quality of life.<\/span><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When people hear the term &#8220;pelvic health,&#8221; they often think of it as a women&#8217;s issue, something tied to pregnancy, childbirth, or menopause. This misconception has left a significant gap in men&#8217;s healthcare, where pelvic floor dysfunction remains underdiagnosed, undertreated, and rarely discussed. Yet the male pelvic floor plays a central role in bladder control, bowel function, sexual performance, and core stability. When it doesn&#8217;t work properly, the effects can quietly erode a man&#8217;s quality of life, confidence, and mental well-being.<br>The pelvic floor is a group of muscles, ligaments, and connective tissue that forms a supportive &#8220;hammock&#8221; at the base of the pelvis. This muscular sling supports the bladder and bowel, wraps around the urethra and rectum, and plays a direct role in erectile and ejaculatory function. It works in coordination with the deep core and hip muscles to stabilize the spine and pelvis during everyday movement. Like any muscle group, the pelvic floor can become too weak, too tight, or poorly coordinated. Weakness can lead to leakage or lack of support; excessive tension (often called a hypertonic pelvic floor) can cause pain, urinary urgency, and sexual dysfunction.<br>Why Pelvic Floor Disorder Matters for Men?<br>Pelvic floor dysfunction in men is far more common than most realize, yet it is frequently misattributed to aging, stress, or &#8220;just something men deal with.&#8221; Left unaddressed, it can contribute to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Chronic pelvic and lower back pain<\/li>\n\n\n\n<li>Urinary Incontinence and bowel Dysfunction<\/li>\n\n\n\n<li>Erectile Dysfunction and Sexual dysfunction<\/li>\n\n\n\n<li>Anxiety, depression, and social withdrawal due to embarrassment<\/li>\n\n\n\n<li>Reduced athletic performance and core instability<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Because these symptoms touch on deeply personal areas of life, many men delay seeking care for months or years, allowing manageable issues to become chronic and harder to treat.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Common Pelvic Floor Disorders in Men<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Chronic Pelvic Pain Syndrome (CPPS)<br>Often previously labeled &#8220;chronic prostatitis,&#8221; CPPS is one of the most common pelvic floor conditions in men under 50. It causes persistent pain in the pelvis, groin, perineum, or lower back, frequently without any detectable infection. Muscle tension and trigger points in the pelvic floor are now recognized as a major driver of symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Urinary Incontinence<br>While often associated with prostate surgery (such as after a radical prostatectomy for prostate cancer), urinary incontinence can also result from weakened pelvic floor muscles, nerve dysfunction, or an overactive bladder. Stress incontinence (leakage with coughing, lifting, or exercise) and urge incontinence are both common presentations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Erectile Dysfunction (ED) and Sexual Dysfunction<br>The pelvic floor muscles, particularly the bulbocavernosus and ischiocavernosus, are directly involved in achieving and maintaining an erection and in controlling ejaculation. Dysfunction in these muscles, whether weakness or excessive tightness can contribute to ED, premature ejaculation, or delayed ejaculation.<br>Post-Prostatectomy Dysfunction<br>Men who undergo prostate surgery frequently experience temporary or prolonged urinary incontinence and erectile dysfunction afterward. Pelvic floor rehabilitation, often started before surgery (&#8220;prehabilitation&#8221;) and continued afterward, has been shown to speed recovery of continence and function.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bowel Dysfunction<br>Pelvic floor dyssynergia, a lack of coordination between the pelvic muscles and the rectum, can cause constipation, straining, or fecal incontinence. This is frequently overlooked as a pelvic floor issue and instead treated purely as a digestive problem.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pudendal Neuralgia<br>Compression or irritation of the pudendal nerve, which runs through the pelvic floor, can cause burning, shooting, or electric pain in the genitals, perineum, or rectum, often worsened by sitting.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Levator Ani Syndrome and Proctalgia<br>These conditions involve spasm or tension of the levator ani muscle group, leading to deep rectal pain or pressure, sometimes mistaken for hemorrhoids or other anorectal disease.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Role of the Urosurgeon<br>When conservative measures aren&#8217;t enough, a urosurgeon becomes central to care. Beyond performing prostate surgery, itself, the urosurgeon evaluates candidates for surgical correction of severe stress incontinence, such as placement of a male sling or an artificial urinary sphincter, and manages complications like urethral stricture that can follow prior procedures. For ED that doesn&#8217;t respond to medication or therapy, urosurgeons can offer penile implants. They also handle surgical management of pudendal nerve entrapment in cases where decompression surgery is warranted. Within a pelvic floor center, the urosurgeon typically works alongside pelvic floor therapists, timing surgery around a course of pre- and post-operative rehabilitation to maximize the odds of restoring continence and function, rather than treating surgery as a stand-alone fix.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The Role of a Pelvic Floor Center in Management<br>Because pelvic floor disorders sit at the intersection of urology, gastroenterology, orthopedics, and mental health, they don&#8217;t fit neatly into a single specialty, which is exactly why dedicated pelvic floor centers have become so valuable. These centers bring together a coordinated, multidisciplinary team to address the full picture rather than treating symptoms in isolation.<br>Bringing multiple specialists into one location offers clear advantages over the old, scattered system. Reaching correct diagnosis, developing complete treatment plans are more likely ushering a better patient experience. This also fosters shared learning among specialist. This also promotes efficient use of resources, reducing administrative costs, which benefits both the healthcare system and the patient.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Conclusion<br>Pelvic Floor Disorder is not a niche concern reserved for women or older men recovering from surgery, it is a fundamental part of overall male health that influences continence, sexual function, core stability, and emotional well-being. Recognizing the range of pelvic floor disorders that can affect men, from chronic pelvic pain to post-surgical incontinence, is the first step toward better outcomes. Pelvic floor centers, with their multidisciplinary and coordinated approach, offer men a path toward accurate diagnosis, effective treatment, and a better quality of life, proving that pelvic health deserves a permanent place in mainstream men&#8217;s healthcare.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Sujan Makaju Shrestha He is a urosurgeon at Dhulikhel Hospital, whose passion for urosurgery was shaped by experiences witnessing health care across Nepal. Driven by empathy he feels that male pelvic floor disorders are far more common than we realize, yet many men hesitate to discuss their symptoms or seek care. Our aim is &hellip;<\/p>\n","protected":false},"author":110,"featured_media":9434,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[95,39,107,105,42],"tags":[],"class_list":["post-9432","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-disease","category-feature","category-flash-news","category-global-health","category-in-the-news"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2026\/09\/DH__9783.jpg?fit=900%2C600&ssl=1","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts\/9432","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/users\/110"}],"replies":[{"embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9432"}],"version-history":[{"count":1,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts\/9432\/revisions"}],"predecessor-version":[{"id":9435,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts\/9432\/revisions\/9435"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/media\/9434"}],"wp:attachment":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9432"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9432"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9432"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}