1. The Role of Physiotherapy in Men's Health Mags McDonald MISCP MCPWHC Senior Physiotherapist Bon Secours Hospital Cork

2. The Role of Physiotherapy in Men's Health Continence Continence OAB OAB Pelvic/Perineal Pain Syndromes Pelvic/Perineal Pain Syndromes

3. Post Prostatectomy/ TURP Symptoms Symptoms SUIPMDOAB SUIPMDOAB Treatment Treatment Pelvic floor exercises Pelvic floor exercises Bladder Training Bladder Training Advice Advice Patient Specific Treatment!!! Patient Specific Treatment!!!

4. Pelvic/ Perineal Pain Syndromes E.g. Pudendal Neuralgia E.g. Pudendal Neuralgia Many doctors, many tests, often inconclusive Many doctors, many tests, often inconclusive Or original condition gone and pain remains Or original condition gone and pain remains

5. Physiotherapy for Pelvic Pain Syndromes Overactive muscles & connective tissue stiffness in Pelvic floor, Superficial Perineal muscles, Adductors Overactive muscles & connective tissue stiffness in Pelvic floor, Superficial Perineal muscles, Adductors PFE contra-indicated PFE contra-indicated Relaxation and breathing techniques Relaxation and breathing techniques Aerobic exercises & stretches Aerobic exercises & stretches Myofascial trigger point therapy Myofascial trigger point therapy Connective tissue mobilisation techniques Connective tissue mobilisation techniques

6. Pelvic Floor Exercises Faster, Higher, Stronger!

7. Pelvic Floor Exercises ……Technique!!! Co-ordinate with breathing and relaxed abdominals Static and dynamic positions Increased IAP Speed, endurance, strength

8. The Practicalities Need to be seen by Urologist at some point Need to be seen by Urologist at some point The ones that get away! The ones that get away! Many months post surgery Many months post surgery Surgery in other parts of the country Surgery in other parts of the country Pelvic/ perineal pains Pelvic/ perineal pains OAB where medication alone isn't working OAB where medication alone isn't working

9. …….. The End Faster Higher Stronger!!!