Some time ago there was a post entitled " Why Choose a Women's Health Physical Therapist? "
There were many reasons listed for this and I agreed with most or all of them.
However men with pelvic floor dysfunction (or in my case, pelvic/voiding pain), have difficulty finding a physical therapist (PT) that's even willing to try, much less have some success.
Many men suffer from Chronic Prostatitis/Chronic Pelvic Pain (CPPS). It can come in various forms, and often times no cause can be found. It has been estimated that as many as 10 percent of men have experienced, or will experience, some form of CP/CPPS.
CP/CPPS is usually defined as chronic pain in the male pelvic region that has lasted at least three months. The pain is usually accompanied by difficulties with voiding and sexual activity, usually painful ejaculation ("e-pain"). There are three recognized classifications:
Type I: Acute bacterial prostatitis
Type II: Chronic bacterial prostatitis
Type III: Ch...
Dear Dr. Motola:
After having very successful Green Light PVP surgery, I do not ejaculate. I was told that about 33% of men can still ejaculate normally after this procedure. Why can 33% still ejaculate and the rest not? (I know that the semen goes backwards in cases like mine).
Approximately 1/3 of patients are able to ejaculate after a Green Light PVP , with the remaining patients demonstrating either retrograde or no ejaculation. The most widely held understanding of this is that the preservation of some of the bladder neck (opening of the bladder between the prostate and the bladder) is preserved during the procedure. During ejaculation the bladder neck is supposed to close down, forcing the ejaculate forward through the penis. If the bladder neck remains open during ejaculation, then the semen will flow "retrograde"" or backwards into the bladder. If the verumontanum (the opening of the ejaculatory duct at the level of the prostate) were lasered, obstruction ...
Symptoms Prostatitis may occur with an infection in or around the testicles (epididymitis or orchitis ), especially if it was caused by an STD. In this case, there will also be symptoms of the other condition. Symptoms of acute prostatitis are more likely to start quickly and cause greater discomfort. They may include the following: Abdominal pain (usually right above the pubic bone) Burning with urination (dysuria) Fever, chills, flush Inability to completely empty the bladder (urinary retention) Low back pain Pain with urination (dysuria) Pain with bowel movement Pain with ejaculation Pain in the area between the genitals and anus (perineal pain) Other symptoms that may occur with this condition: Blood in the semen Blood in the urine Decreased force of urinary stream Difficulty urinating Foul-smelling urine Increased urinary frequency or urgency Testicle pain Signs and tests During a physical examination, your health care provider may find the following signs: Discharge from your urethra Enlarged or tender...
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