Male Incontinence Treatment in Guelph & Wellington County

Many men feel isolated and alone dealing with pelvic health concerns, but incontinence is not normal or expected. It can appear suddenly following prostate surgery or radiation, bringing a noticeable drop in quality of life as men become reliant on urinary pads throughout the day.

Some men also experience painful pelvic health complaints, such as post-ejaculatory pain, post-urination dribble, or a sharp, unpredictable pain that can radiate through the rectum and testicles, often likened to the ‘sciatica’ of the pelvis.

There is overwhelming scientific research supporting the role of physiotherapy in treating incontinence. If your symptoms return, you’re welcome to come back to the clinic at your convenience.

Common causes of Male Incontinence

Continence complaints in men can result from:

• Surgical trauma, which can change the strength and integrity of the pelvic floor
• Progressive weakness of the pelvic floor from activities like heavy lifting, chronic straining (as with constipation or irritable bowel syndrome), and higher-impact activities such as running and jumping
• Weak and/or tight pelvic floor muscles — a weak muscle may not generate the force needed to support the internal organs, and a tight pelvic floor can create trigger points that also result in weakness
• Pain or trigger points within the pelvic floor tissue, muscles, or surrounding abdominal muscles
• General health factors, including higher abdominal obesity, smoking, and chronic low back pain

Medical diagnoses for Male Incontinence

Male incontinence can take a few different forms:

• Stress incontinence (SI) — leakage that happens when pressure is put on the bladder through laughing, coughing, lifting, or exercising
• Urge incontinence (UI) — also known as an overactive bladder, this is leakage that happens with a sudden, uncontrollable need to urinate
• Pudendal neuralgia — unpredictable, sharp pain that can radiate through the rectum and testicles, often likened to the ‘sciatica’ of the pelvis

How we treat Male Incontinence

Your treatment begins with a comprehensive assessment, including a thorough review of your bladder history. From there, we address the causes of your incontinence using treatments such as:

• Hands-on techniques to address muscle weakness, pain, or trigger points
• Releasing scar tissue, connective tissue, and nerve tissue
• Assessment of areas that can contribute to continence concerns, such as the low back, hips, and bones of the pelvis, as well as the strength of your core abdominal muscles
• Education on the progression of pelvic floor exercises, the importance of hydration, and correct toileting practices
• Therapeutic modalities when indicated, including acupuncture, muscle stimulation, and biofeedback

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