Men's Therapy Services

Men have unique challenges and symptoms when it comes to bladder and bowel control. The staff of Infirmary Therapy Services has a special interest in men’s health, and advanced training, making them experts in their field. Our therapists help restore men to their normal functions. Specifically designed therapies are available for the following disorders:   

Urinary incontinence is the accidental leaking of urine. It's not a disease. It's a symptom of a problem with a man's urinary tract. 

 Urine is made by the kidneys and stored in a sac made of muscle, called the urinary bladder. A tube called the urethra leads from the bladder through the prostate and penis to the outside of the body. Around this tube at the base of the bladder is a ring of muscles called the urinary sphincter. There is another set of muscles called the pelvic floor muscles that you can actively contract to help close off the urethra and prevent urinary leakage.  As the bladder fills with urine, nerve signals tell the sphincter to stay squeezed shut and the pelvic floor muscles tight while the bladder stays relaxed. The nerves and muscles work together to prevent urine from leaking out of the body. 

When you have to urinate, the nerve signals tell the muscles in the walls of the bladder to squeeze—this forces urine out of the bladder and into the urethra. At the same time the bladder squeezes, the urethral sphincter and the pelvic floor muscles relax. This allows urine to pass through the urethra and out of the body. There are different kinds of urinary incontinence. The most common types are: 

Stress urinary incontinence occurs when you laugh, cough, sneeze or lift something that increased your pressure on your bladder. If you don’t contract your pelvic floor muscles or they are not strong enough, the pressure pushes the urine out. 

Urge urinary incontinence occurs when you have a strong urge and the bladder contracts unexpectedly and urine leaks out. This is characterized by strong urges, frequent trips to the bathroom both day and at night. 

Overflow incontinence occurs when there is a blockage that prevents the bladder from emptying completely and sometimes it fills so full it overflows causing leakage. This too is characterized by frequent trips to the bathroom both day and night. 

Incontinence can happen for many reasons: 

  • If your bladder squeezes at the wrong time, or if it squeezes too hard, urine may leak out.
  • If the muscles around the urethra are damaged or weak, urine can leak out even if you don't have a problem with your bladder squeezing at the wrong time.
  • If your bladder doesn't empty when it should, you are left with too much urine in the bladder. If the bladder gets too full, urine will leak out when you don't want it to.
  • If something is blocking your urethra, urine can build up in the bladder. This can cause leaking.

 Urinary incontinence happens more often in older men than in young men. But it's not just a normal part of aging. Whatever the cause, it is not normal to leak urine and you should check with your doctor to see if therapy can help.

 Fecal Incontinence is the inability to control bowel movements, causing stool (feces) to leak unexpectedly from the rectum. Also called bowel incontinence, fecal incontinence ranges from an occasional leakage of stool while passing gas to a complete loss of bowel control.

 Common causes of fecal incontinence include diarrhea, constipation and muscle or nerve damage. The muscle or nerve damage may be associated with injury, long-term habit of straining at the stool, radiation or diseases that affect the nerves such as diabetes or stroke. Whatever the cause, fecal incontinence can be embarrassing. But don't shy away from talking to your doctor. Infirmary Therapy Services offers treatment options that can improve fecal incontinence and your quality of life.

 Constipation is one of the most common gastrointestinal complaints is characterized by having a bowel movement less than 3 x/ week, persistent straining to pass stool, a feeling of incomplete emptying, bloating and sometimes pain with bowel movements. Stools are usually hard and dry and difficult to eliminate. Diet usually plays a role in preventing constipation. It is common complaint with older adults. Infirmary Therapy Services can help with this annoying and sometimes painful problem.

 Pelvic Pain in men can be due to injury, falls, or persistent non-bacterial prostatitis, anorectal pain from chronic constipation or muscle spasms. The muscles of the pelvic floor can become chronically tight and can become pain generators. Any pain should be evaluated by your physician to determine the cause. Physical therapy may be an option to help manage your pain.