Chronic Pelvic Pain Syndrome ("CPPS") Chronic Pelvic Pain Syndrome, or CPPS, is most likely to affect males 35-45 years old. Studies have shown that patients with CPPS have increased pelvic muscle tenderness and pelvic floor dysfunction. Biofeedback combined with education and pelvic floor muscle exercise has been shown to decrease pain and increase quality of life.
Pudendal Neuralgia is a cause of chronic pelvic pain. It typically presents in the penis, scrotum, perineum, or anorectal area for men, and can be aggravated by prolonged sitting. Conservative treatment including electrical stimulation has been shown to decrease pain and increase quality of life for these patients.
Urinary Incontinence after Prostate Surgery The prevalence of urinary incontinence after radical prostatectomy is as high as 60%. While some of these cases resolve with time, many men experience incontinence for years afterwards. Treatments recommended are usually conservative and include pelvic floor muscle training and education and electrical stimulation.
Fecal Incontinence and Constipation Patients with chronically dysfunctional lower gatrointestinal tracts tend to show uncoordinated relaxation of one or both of these muscles, or no relaxation at all. Physical therapy is an effective treatment for this pelvic floor diagnosis.
Pre-operative/Post-operative Education and Bladder Training If a patient has a weak external urethral sphincter before radical prostatectomy, he will need to strengthen it to optimize the resolution of incontinence post-operatively. Possible reasons for weak sphincter include: disuse, back injury with neuropathy, neurologic disease, poor body awareness, valsalva habit with function, and generalized trunk weakness.
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Fax: 920.338.9680
Email: feelbetter@inspiritpt.com
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Inspirit Therapy Associates
3208 East River Drive
Green Bay, WI 54301
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