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The Forbury Clinic

Expert Care for Pelvic Floor Dysfunction

Struggling with pelvic floor dysfunction? Discover comprehensive care at The Forbury Clinic. Submit an enquiry for a consultation and regain control and comfort with our expert treatment options.

Overview of Pelvic Floor Dysfunction

Pelvic floor dysfunction is a condition characterised by weakness, tightness, or dysfunction of the pelvic floor muscles, which support the bladder, bowel, and sexual function. This condition can lead to a variety of symptoms, including urinary incontinence, bowel control issues, and pelvic pain, significantly impacting quality of life. Addressing pelvic floor dysfunction is crucial for improving daily function and overall well-being. At The Forbury Clinic, we specialise in diagnosing and treating male pelvic floor dysfunction with a patient-centred approach. Our experienced team uses advanced diagnostic tools and tailored treatment plans to provide effective solutions, helping you regain control and comfort in your daily life.

What is Pelvic Floor Dysfunction?

Pelvic floor dysfunction refers to problems with the group of muscles that support the bladder, bowel, and reproductive organs. These muscles are essential for controlling urination, bowel movements, and sexual function. Dysfunction in these muscles can lead to symptoms such as urinary incontinence, bowel control issues, pelvic pain, and erectile dysfunction. Pelvic floor dysfunction can result from various factors, including muscle weakness, overactivity, or poor coordination. Understanding the nature of pelvic floor dysfunction is crucial for developing an effective treatment plan, as this condition can significantly impact daily activities and overall quality of life.

Causes and Risk Factors

Male pelvic floor dysfunction can be caused by various factors and conditions. Understanding these causes and risk factors can help in the early identification and effective management of the condition:

  • Surgery:

    Prostate surgery and other pelvic surgeries can lead to pelvic floor muscle damage or dysfunction.

  • Injury:

    Trauma to the pelvic area, such as from falls or accidents, can affect the pelvic floor muscles.

  • Chronic Straining:

    Frequent straining during bowel movements, often due to chronic constipation, can weaken the pelvic floor muscles.

  • Ageing:

    Muscle tone naturally decreases with age, which can contribute to pelvic floor dysfunction.

  • Obesity:

    Excess weight puts additional pressure on the pelvic floor muscles, leading to dysfunction.

  • Chronic Cough:

    Persistent coughing from conditions such as smoking or chronic bronchitis can strain the pelvic floor muscles.

  • Neurological Conditions:

    Diseases such as Parkinson’s disease, multiple sclerosis, or stroke can impact the nerves that control pelvic floor muscles.

  • Prolonged Sitting:

    Extended periods of sitting can weaken the pelvic floor muscles and contribute to dysfunction.

Diagnosis

Diagnosing male pelvic floor dysfunction at The Forbury Clinic involves a thorough evaluation to determine the underlying causes and severity of the condition. Our specialists use a combination of advanced diagnostic tools and personalised assessments, including:

  • Medical History and Physical Examination: A detailed discussion of symptoms, medical history, and any contributing factors, followed by a physical examination to assess the pelvic floor muscles.
  • Urine Tests: Urinalysis to check for infections, blood, or other abnormalities that might be contributing to symptoms.
  • Pelvic Floor Muscle Assessment: Manual examination or specialised tests to evaluate the strength, tone, and coordination of the pelvic floor muscles.
  • Imaging Tests: Ultrasound or MRI to provide detailed images of the pelvic floor structures and identify any abnormalities or dysfunction.
  • Urodynamic Testing: Assessing how well the bladder and urethra store and release urine, which can help identify issues with pelvic floor muscle function.
  • Electromyography (EMG): A test to measure the electrical activity of the pelvic floor muscles, helping to identify nerve or muscle damage.

These diagnostic methods allow our team to accurately identify the cause of pelvic floor dysfunction and develop a tailored treatment plan.

Treatment of Pelvic Floor Dysfunction

At The Forbury Clinic, we offer a comprehensive range of treatment options for male pelvic floor dysfunction, tailored to the individual needs of each patient. Our approach combines the latest medical advancements with compassionate, patient-centred care:

  • Physical Therapy:

    Specialised pelvic floor physiotherapy to strengthen and relax the pelvic floor muscles through exercises, biofeedback, and manual therapy.

  • Lifestyle Modifications:

    Recommendations to improve overall health and reduce strain on the pelvic floor, such as dietary changes to prevent constipation, weight management, and smoking cessation.

  • Medications:

    Drugs to manage symptoms such as pain, urinary frequency, or muscle spasms. These may include muscle relaxants, anti-inflammatory medications, or other targeted therapies.

  • Bladder Training:

    Techniques to increase the interval between urination and improve bladder control, helping to manage symptoms of urinary incontinence.

  • Minimally Invasive Procedures:

    • Injections: Botulinum toxin injections to relax overactive pelvic floor muscles.
    • Nerve Stimulation: Sacral nerve stimulation or percutaneous tibial nerve stimulation to improve bladder and bowel control.
  • Surgical Options:

    In severe cases, surgery may be necessary to correct structural issues or relieve pressure on the pelvic floor muscles.

  • Innovative Treatments:

    The Forbury Clinic offers cutting-edge treatments such as laser therapy or electromagnetic therapy to enhance muscle function and relieve symptoms.

Our multidisciplinary team ensures that each patient receives the most appropriate and effective treatment, enhancing their quality of life and managing their condition with precision and care.

Managing Pelvic Floor Dysfunction

Effective management of male pelvic floor dysfunction involves a combination of medical treatments and lifestyle adjustments to control symptoms and improve quality of life. At The Forbury Clinic, we provide comprehensive care and guidance to help manage this condition:

  • Pelvic Floor Exercises:

    Regularly practising Kegel exercises to strengthen and improve the function of the pelvic floor muscles.

  • Healthy Diet:

    Consuming a fibre-rich diet to prevent constipation and reduce strain on the pelvic floor.

  • Hydration:

    Drinking plenty of water to maintain healthy urinary function and prevent bladder irritation.

  • Weight Management:

    Maintaining a healthy weight to reduce pressure on the pelvic floor muscles.

  • Avoiding Strain:

    Avoiding heavy lifting and managing chronic cough to reduce strain on the pelvic floor.

  • Posture and Movement:

    Practising good posture and proper body mechanics to support pelvic floor health.

These management strategies aim to complement medical treatments and provide a holistic approach to optimising pelvic floor function and overall well-being.

Complications

While male pelvic floor dysfunction can often be managed effectively, untreated dysfunction can lead to several complications that may affect overall health:

  • Chronic Pain: Persistent pelvic pain that can interfere with daily activities and quality of life.
  • Urinary Incontinence: Ongoing issues with urinary leakage can lead to discomfort and social embarrassment.
  • Bowel Dysfunction: Problems with bowel control can lead to constipation or faecal incontinence.
  • Sexual Dysfunction: Erectile dysfunction or pain during intercourse can impact sexual health and relationships.

Prognosis

The prognosis for male infertility largely depends on the underlying cause and the effectiveness of the treatment plan. With timely diagnosis and appropriate treatment, many men can achieve significant improvements in fertility and increase their chances of successful conception. Assisted reproductive techniques (ART) have also greatly improved the success rates for couples struggling with infertility. At The Forbury Clinic, we are dedicated to guiding our patients through their treatment journey with comprehensive care and support, ensuring the best possible outcomes and a higher quality of life.

Why Choose The Forbury Clinic?

The prognosis for male pelvic floor dysfunction largely depends on the underlying cause and the effectiveness of the treatment plan. With timely diagnosis and appropriate treatment, most men can achieve significant improvements in symptoms and quality of life. Regular follow-ups and ongoing management are crucial to prevent complications and maintain pelvic floor health. At The Forbury Clinic, we are dedicated to guiding our patients through their treatment journey with comprehensive care and support, ensuring the best possible outcomes and a higher quality of life.