Male pelvic floor physical therapy examination?

I have a pelvic physical floor therapy appointment coming up for frequent urination, pelvic spasms, ejaculation pain, and general pelvic aching. My urologist was frank and told me that this will include both external and internal examination. Has anyone else had one of these examinations? What can I expect?

They'll palpate and evaluate the pelvic floor muscles on the outside and then rectally (assuming no vagina, vagina owners get a choice) as far as they can. Then they'll probably massage out the tight muscles as well as giving you stretching exercises. I need to be "done" again, but mine is tight up high so not sure how that will be checked.

If you are tight enough to need it it will be uncomfortable, and there probably won't be much stimulation of the organs (my last time was mostly palpation off to the sides).

While there were no prep instructions I did take an enema because I tend to constipation and stool in the rectum would both be unpleasant as well as making it harder for the PT to do their job.

Any more specific questions?

Mine was on my side.

I am currently having physical therapy to strengthen my "pelvic floor muscle structure" following a TURP procedure to reduce the size of my prostate.

The doctor said the surgery was a"success" but I continued to have urine leakage and found a female urologist who arranger for me to have physical therapy. After a lot of questions and conversation with the young female therapist who then instructed me to remove my clothing from the waist down and began an extensive rectal probe with her talented finger; probing and evaluating my muscle tone; her most continuing request was for me to bear-down and tighten my urinary tract. In one position and then another, including a deep probe while I was on all fours. Interesting, I never became erect during the entire procedure. And then we scheduled a series of follow-up exercise sessions where I am learning to do exercises to improve my pelvic floor muscles. After every three sessions the therapist conducts a re-assessment of my progresswith her well lublicated finger.

3 visits in with my female therapist. Same issues presenting. No rectal yet, but last time she did have me strip down and put on a gown. On my back on the table she did a quick genital exam and spread my cheeks to look at my anus. Her office is very small and I did hear her tell the female patient before me that she was going to do a rectal exam on her…not sure where this is going for me.

I have a pelvic physical floor therapy appointment coming up for frequent urination, pelvic spasms, ejaculation pain, and general pelvic aching. My urologist was frank and told me that this will include both external and internal examination. Has anyone else had one of these examinations? What can I expect?

You most likely will get a rectal exam, as that's about the only way for the therapist to feel how tense your muscles are in there.

I've had pelvic floor therapy twice, because I had this annoying nagging cramping feeling up my backside. I've had loads of fingers up my bum to have a feel around, so that I could tell where the spot was that gave me issues. Sadly the first therapist wasn't able to provide me any relief. The second was a lot more elaborate. It also involved electric stimulation to try to get the muscles in there to loosen up. Sadly this did not help either.

Turned out that it is stress related. (duh, of course, in hindsight......) What annoys me is that neither of the therapists even discussed this with me.

Basically what happens is that I subconsciously tighten up my pelvic floor muscles when I am stressed / anxious causing a mild cramping in my anus. It gives me a rather unpleasant feeling of having to poop all the time.

Sadly this cramping also makes me rather sensitive up there, making having any anal fun rather difficult.

So the cure is to have no more stress / anxiety. Now wouldn't that be lovely 😉