Internal examinations, involving the use of a gloved finger in the rectum, are a key component of a comprehensive pelvic floor assessment. This type of examination provides the most thorough evaluation of the pelvic floor muscles, allowing us to identify sources of pain, assess muscle function (such as contraction and mobility), and evaluate the range of motion in the pelvic area. While this examination offers valuable insights, your comfort and sense of safety are our primary concerns. Prior to the exam, your therapist will carefully explain each step, ensuring you understand the process. You are welcome to bring a support person or request the presence of another physical therapist during the examination. Additionally, you have the right to decline any part of the examination at any time. 

Urinary incontinence (leakage) is a common concern following prostate cancer surgery and treatments for benign prostatic hyperplasia (BPH). Most patients wear protective garments to manage any leakage during their physical therapy appointments. You are welcome to bring extra supplies and change garments at any time for your comfort and convenience.

At SetPT, we empower you to take control of your own care. Our team is committed to listening to your story and creating a personalized treatment plan tailored specifically to you. We are dedicated to providing the time and expertise needed to fully understand and address your concerns. Pelvic health recovery can be a long-term journey, and we are here to walk with you every step of the way toward a successful outcome. Our clinical approach combines rehabilitative ultrasound imaging, manual therapy, targeted exercises, and lifestyle adjustments to promote healthy movement, rebuild trust in your body, and guide you back to optimal health. With extensive experience working with male patients, we offer a unique and specialized approach to pelvic health.

Pelvic health issues can affect men too! Research shows that up to 16% of men will experience pelvic pain at some point in their lives. Furthermore, 1 in 6 men will receive a prostate cancer diagnosis. However, many men tend to keep their health concerns, medical conditions, and challenges to themselves, often avoiding open discussions about these issues, even with their healthcare providers. Most pelvic floor symptoms in men are under-reported and often not diagnosed, leading to frustration and worry. Even symptoms such as post-void dribble (leaking urine after finishing urinating) or constipation, which are thought to be "normal", can be addressed with pelvic floor physical therapy.

The pelvic floor examination is not intended to cause pain. However, certain procedures may be used to replicate the pain you are experiencing in order to better understand your condition. We always strive to choose examination techniques carefully to minimize any risk of significantly worsening your discomfort. The entire examination and treatment process will be conducted at a pace that is comfortable for you.

Simply doing kegels on their own is like going to the gym and only doing bicep curls. Pelvic floor physical therapy is a much more comprehensive approach, involving a thorough examination to create a treatment plan tailored specifically to you. For many patients, kegels may not even be part of the treatment plan. For those who would benefit from them, however, not all kegels are the same. Just as there are different variations, frequency, duration, and application of bicep curls, kegels require a nuanced approach depending on your unique needs. Working closely with a pelvic floor therapist is the best way to understand your specific symptoms and develop a personalized plan to help you return to a normal, active life.