Deborah Cohen1, Joshua Gonzalez2, Irwin Goldstein3. 1. Fundamental Physical Therapy & Pelvic Wellness, San Diego, CA, USA. Electronic address: debbiecohen@gmail.com. 2. Alvarado Hospital, Department of Sexual Medicine, San Diego, CA, USA; University of California, Los Angeles, Department of Urology, Los Angeles, CA, USA. 3. Alvarado Hospital, Department of Sexual Medicine, San Diego, CA, USA.
Abstract
INTRODUCTION: Sexual function is essential to good health and well-being in men. The relationship between male sexual function, pelvic floor function, and pelvic pain is complex and only beginning to be appreciated. AIM: The objectives of the current review are to examine these complex relationships, and to demonstrate how pelvic floor physical therapy can potentially improve the treatment of various male sexual dysfunctions, including erectile dysfunction and dysfunction of ejaculation and orgasm. METHODS: Contemporary data on pelvic floor anatomy and function as they relate to the treatment of various male sexual dysfunctions were reviewed. MAIN OUTCOME MEASURES: Examination of evidence supporting the association between the male pelvic floor and erectile dysfunction, ejaculatory/orgasmic dysfunction, and chronic prostatitis/chronic pelvic pain syndrome, respectively. RESULTS: Evidence suggests a close relationship between the pelvic floor and male sexual dysfunction and a potential therapeutic benefit from pelvic floor therapy for men who suffer from these conditions. CONCLUSION: Pelvic floor physical therapy is a necessary tool in a more comprehensive bio-neuromusculoskeletal-psychosocial approach to the treatment of male sexual dysfunction and pelvic pain.
INTRODUCTION: Sexual function is essential to good health and well-being in men. The relationship between male sexual function, pelvic floor function, and pelvic pain is complex and only beginning to be appreciated. AIM: The objectives of the current review are to examine these complex relationships, and to demonstrate how pelvic floor physical therapy can potentially improve the treatment of various male sexual dysfunctions, including erectile dysfunction and dysfunction of ejaculation and orgasm. METHODS: Contemporary data on pelvic floor anatomy and function as they relate to the treatment of various male sexual dysfunctions were reviewed. MAIN OUTCOME MEASURES: Examination of evidence supporting the association between the male pelvic floor and erectile dysfunction, ejaculatory/orgasmic dysfunction, and chronic prostatitis/chronic pelvic pain syndrome, respectively. RESULTS: Evidence suggests a close relationship between the pelvic floor and male sexual dysfunction and a potential therapeutic benefit from pelvic floor therapy for men who suffer from these conditions. CONCLUSION: Pelvic floor physical therapy is a necessary tool in a more comprehensive bio-neuromusculoskeletal-psychosocial approach to the treatment of male sexual dysfunction and pelvic pain.
Authors: Irwin Goldstein; Barry R Komisaruk; Rachel S Rubin; Sue W Goldstein; Stacy Elliott; Jennifer Kissee; Choll W Kim Journal: Sex Med Date: 2017-07-12 Impact factor: 2.491
Authors: Nicole D S Grunstra; Frank E Zachos; Anna Nele Herdina; Barbara Fischer; Mihaela Pavličev; Philipp Mitteroecker Journal: Am J Hum Biol Date: 2019-02-27 Impact factor: 1.937
Authors: Samuel Sorkhi; Christopher Cano Sanchez; Min Chul Cho; Sung Yong Cho; Hong Chung; Min Gu Park; Susan Lahey; Tung-Chin Hsieh; Valmik Bhargava; Mahadevan Raj Rajasekaran Journal: World J Mens Health Date: 2022-01-02 Impact factor: 6.494