Blog 1. March 2017 A postnatal story
Faecal Incontinence / Loss of Bowel ControlOccurs when there is weakness in your pelvic floor muscles and changes in your stool consistency.
Defecation Dyssynergia (Anismus)Pelvic floor muscle dyssynergia is the condition where the external anal sphincter and the puborectalis muscle of the pelvic floor muscles contract rather than relaxes during an attempted bowel movement. Common symptoms include: incomplete emptying of rectum after defecating, sensation of pushing against a blockage, fecal loading or impaction and soiling of liquid feaces.
WHERE are your pelvic floor muscles?Your pelvic floor muscles lie inside the pelvis. The deeper layer of muscle sits directly underneath the prostate and helps maintain your urinary continence. [caption id="attachment_2259" align="alignright" width="200"] Anatomy of the male reproductive system.[/caption] The more superficial layer you can feel at the base of your testes and it helps with maintaining an erection and pushing out the last few drops in the urine tube. Try to feel for this muscle now – use your index and middle finger and place them at the base of your testes and imagine trying to: 1. Squeeze those last few drops of urine out 2. Lift the base of the penis or 3. Lift your testes to your stomach - you should feel the muscle tightening
WHAT do my pelvic floor muscles do?1. Stop you from leaking urine, stool or wind Holds urine in by closing the urine tube (urethra), holds stool or wind in 2. Maintain normal sexual function Your pelvic floor muscles help pump blood into the erectile tissue of the penis then they help by holding the blood in the inflatable sinuses on either side of the penis. So optimizing pelvic floor function can assist with both the strength of the erection and maintaining it strong.
HOW do I activate my pelvic floor muscles?Below are a few cues to help you activate the different parts of your pelvic floor muscles: Back passage: Helps hold in wind and controls stool. Imagine you are holding wind in or squeeze around your back passage pull up and in Middle passage: Helps remove the last few drops of urine in the 20cm long tube and strengthens the muscles that may prevent blood leakage from an erect penis. Imagine you are lifting your testes towards your stomach
HOW MANY should I be able to do?3 sets of 10 repetitions of 10 second holds in standing Build up slowly and be patient like any muscle training it is progressive
HOW OFTENDaily or train yourself to turn them on whenever you lift – In this way you are doing them functionally throughout every day.
Pelvic floor safe exercises?For men there is negligible risk to the pelvic floor muscles whilst exercising however maintaining cardiovascular health is your greatest protector for optimal sexual health, prostate health and mental health.
Pelvic Floor Dysfunction?
Weak Pelvic Floor MusclesLess common in men and may lead to bladder or bowel leakage, inability to hold wind or decreased erectile rigidity (tumescence).
Overactive Pelvic Floor MusclesPossible Signs and symptoms of an overactive pelvic floor:
- Incomplete emptying of bladder or bowel - due pelvic floor restricting flow.
- Pain with intimacy - often experienced during ejaculation or afterward.
- Pain is felt in the lower abdomen, groin, testicular and or penis.
Peyronies disease occurs when scar from a trauma has not been reabsorbed into the circulatory system but sits in the erectile tissue and hardens over time. It can occur more commonly if there is a familial history of connective tissue disorders, this hardening is called a plaque. The thickened tissue can develop as a result of trauma during intimacy, during life or develop over time without incident. If the thickened tissue progresses it can result in curvature of the penis which may contribute to painful intimacy or difficulty maintaining an erection. Solution: Therapeutic Ultrasound is showing promising evidence as an effective conservative treatment to reduce the size and progression of these plaques. At Pelvic Health Melbourne we use therapeuic Ultrasound which directs the sound waves through the area of thickened tissue to commence reducing the plaque size and thickeness. We Ultrasound the area for 10 minutes 2-3 times a week over 4 weeks and track changes to the plaque area. The patient will then use Vit E oil to massage into the plaque area on the day of treatment and the day after to help maintain the softened tissue and help remove the tissue that has broken down. Call us to Book on 9325 1511