Meet the Expert: Pelvic Floor Physiotherapy Part 3 of 3

Everything else you need to know!

In Part 1 and Part 2 of our 3 part series on Meet the Expert: Pelvic Floor Physiotherapy, Marla Maislin, MPT discussed the conditions a pelvic floor physiotherapist can help with, and why pregnancy and postpartum are important times to consult a pelvic floor physiotherapist.

In this blog, she explains

How children and men can benefit from pelvic floor therapy
What is an internal examination
How long you should expect to see a pelvic floor physiotherapist

Do Children and Men Need to See a Pelvic Floor Physiotherapist?

Children and men may benefit from pelvic floor physiotherapy as well. Aside from the different organs that sit on top of the pelvic floor, male pelvic floor muscles differentiate slightly from female pelvic floor muscles. Here are some common dysfunctions that would suggest a child or male to consult a pelvic floor physiotherapist:

Child

Bedwetting
Constipation
Voiding postponement
Urinary urge/stress incontinence
Fecal incontinence
Pelvic Pain

Male

Post-Prostatectomy
Erectile dysfunction
Pelvic Pain
Chronic Prostatitis
Testicular/Penile Pain
Nocturia
Retention
Constipation

Internal Examinations

In addition to assessment of the outside of the body, unique to pelvic floor physiotherapy is the internal examination. This exam is different than one that your doctor or gynecologist would do. Professionals like Marla, are highly trained, sensitive therapists that will fully discuss this with each client. Clients are made aware when an internal examination is required during the initial assessment. The internal examination is done in a private room where the therapist will assess the external perineal area for asymmetries or inflammation and then proceed to the internal examination. The therapist uses a clean gloved hand and assessment tool (not always necessary) to palpate and assess the health of the internal muscles. If the client is uncomfortable with an internal examination, there can be alternative assessments provided. These assessments may include an external assessment of the low back, pelvis and exercise prescription.

How Long do I need to see a Pelvic Floor Physiotherapist?

Pelvic floor physiotherapy treatment will be unique to each person and circumstance. For standard pregnancy preparation, usually clients will be seen four times around 18 weeks and then again to prepare for labour and delivery around 18 weeks.