International Men's Health Week (14-20 June 2021)
Here are some common Men’s Health related problems:
Prostate problem
Pelvic floor muscles weakness
Pudendal neuralgia
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(Part 1)
Prostate problem
The prostate is a gland roughly the size of a walnut.
It is located directly below the bladder and
it is an important part of the reproductive system.
The causes are still unknown regarding prostate enlargement,
but it is believed mainly due to
hormonal changes as a man age.
This is common in men after 50 years old.
It can cause slowness, obstruction or even incomplete bladder emptying.
After consultation with the urologist,
they may recommend a prostate removal, also known as prostatetectomy.
After prostate surgery, it may lead to incontinence.
The severity of the incontinence may vary:
Mild leakage (few drops when exercising)
Severe (Bladder not storing urine at all)
Therefore, post prostatectomy,
it is important to visit a physiotherapist for follow-up
to strengthen your pelvic floor muscles!
After some history taking and assessment,
the physiotherapist will teach you on how to manage
and what exercises that should be done.
ps: pelvic floor muscles weakness happens in everyone, not only women!!!
credit to our Senior Physiotherapist, Chan Ee Kenn
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(Part 2)
Pelvic floor muscle weakness/Erectile Dysfunction
Our pelvic floor muscles are located between the tailbone (coccyx) and the pubic bone.
It functions mainly to
provide support of the bowel and bladder system.
When these muscles get weakened,
it may be difficult to control your
urine, faeces, and wind.
This is known as bowel or bladder weakness.
A weakened pelvic floor muscle may also cause
sexual difficulty.
Here are some common causes of pelvic floor weakness in men:
Obesity
Chronic constipation and straining when going to toilet
Constant coughing
Prostate surgery
Chronic constipation and straining when going to toilet
Constant coughing
Prostate surgery
How to know if you have pelvic floor muscles weakness?
Leaking of urine when you cough, sneeze, laugh or run
Unable/difficulty to hold urine
credit to our Senior Physiotherapist, Chan Ee Kenn
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(Part 3)
Pudendal Neuralgia
Pudendal Neuralgia or pudendal nerve entrapment?
Pelvic pain is often misdiagnosed by many practitioners.
Pudendal neuralgia is an irritation of the pudendal nerve,
which could be something else happening over the sacroiliac joint (SI Joint)
or the lower back.
Pelvic pain is often misdiagnosed by many practitioners.
Pudendal neuralgia is an irritation of the pudendal nerve,
which could be something else happening over the sacroiliac joint (SI Joint)
or the lower back.
Pudendal nerve entrapment is when the nerve is entrapped by
tense pelvic floor muscles
or
by a scar tissue.
Symptoms may include:
Discomfort, numbness, or pain around the pelvic or genital area
(between genitals and anus)
Increasing pain when sitting
(Burning, tingling, pins and needles sensation)
reduced when standing
Sexual dysfunction
(between genitals and anus)
Increasing pain when sitting
(Burning, tingling, pins and needles sensation)
reduced when standing
Sexual dysfunction
Causes:
Certain exercises, especially cycling, squats
Excessive physical exercise
Fall on buttock
Driving over rough/bumpy roads
Management:
Pelvic floor muscle relaxation
Sitting on a cushion (donut or C-shaped)
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credit to our Senior Physiotherapist, Chan Ee Kenn
27 May 2021
