Male Pelvic Floor Function, Dysfunction and Treatment

Level: Beginner

Suggested Pre-reading: 

• Gray's Anatomy for Students by Richard Drake, Wayne Vogl and Adam Mitchell.  
• Pelvic Dysfunction in Men:  Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction by Grace Dorey, 2006. 
• Headache in the Pelvic, 4th Edition, by David Wise and Rodney Anderson.  
• The following links are useful as an overview or introduction to the course topics:  http://kidney.niddk.nih.gov/kudiseases/pubs/prostate_ez/
• http://kidney.niddk.nih.gov/kudiseases/pubs/impotence/

Audience: Seminar content is targeted to physical therapists.

Cost: $550

Contact hours: 14.75

CEUs vary by state

Course Overview

This two day seminar is designed for the physical therapist who may be starting to treat men in their current pelvic rehabilitation program or for experienced therapists who are ready to advance their knowledge and tools for treating the male patient. In increasing numbers, men are seeking qualified therapists to treat conditions of the male pelvis such as urinary incontinence, pelvic pain and sexual dysfunction. This course teaches internal rectal examination techniques.

For these conditions the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; perform physical therapy examination techniques and perform a suggested protocol of treatment interventions. Current medical evaluation, management, evidence-based references and case studies will be presented. Clinical treatment interventions will include therapeutic exercise, SEMG Biofeedback, internal rectal and external manual therapies, patient related education/behavioral instructions and electrotherapeutic modalities.

Objectives

• Identify anatomy and physiology of the male urogenital systems with reference to male pelvic floor dysfunction.
• List key medical diagnostic procedures for male urologic, sexual and pelvic pain conditions.
• Perform external and internal (rectal) examinations of the pelvis to identify specific pelvic floor muscles, ligaments, nerves, and key bony landmarks.
• Perform pelvic floor muscle assessment procedures  to identify strength, tone, length and coordination.
• Demonstrate psoas muscle examination and treatment, and describe its potential role in referral of symptoms into the pelvis.
• Instruct male patients in an in home program and behavioral education for urologic, sexual, and pelvic pain conditions.
• Design treatment plans for male chronic pelvic syndromes, erectile dysfunction and post-prostatectomy dysfunctions.
• Perform external and internal male pelvic floor myofascial treatment techniques.

Special Considerations

As this course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course.). Internal rectal pelvic floor muscle examinations will be taught in labs. As this is a male course, please be aware that the instructors encourage male attendees.

Course content is targeted to physical therapists. Content is not intended for use outside the scope of the learner's license or regulation. Clinical continuing education should not be taken by individuals who are not licensed or otherwise regulated; except as they are involved in a specific plan of care.

Course Schedule

Day 1:
8:00am – 9:00am    Introduction, and categories of male pelvic dysfunction
9:00 – 10:00    Male Anatomy Overview, Anatomy, Physiology and Functions of the Male Urinary System
10:00 – 10:15    Break
10:15 – 11:30    Male Urinary Dysfunctions and Medical Examination
11:30 – 12:30pm    Lecture & Lab Male Pelvic Floor Muscle Strength and Tone Testing, Identification of landmarks
12:30 – 1:30    LUNCH
1:30 – 2:30    Physical Therapy Evaluation and Rehabilitation of Male Urinary Dysfunction
2:30 – 3:15    Male Urinary Dysfunction Case Study
3:15 – 3:30    Break
3:30 – 4:15    Anatomy and Physiology of the Male Reproductive System
4:15 – 5:00    Male Sexual/Reproductive Dysfunctions and Medical Examination
5:00 – 5:15    Break
5:15 – 5:45    Rehabilitation for Male Sexual Dysfunction
5:45pm – 6:00pm    Questions/Wrap-Up

Day 2:
8:00am – 8:15am    Review
8:15 – 9:15    Male Pelvic Pain: Musculoskeletal
9:15 – 10:30    Male Pelvic Pain Dysfunctions and Medical Examination
10:30 – 10:45    Break
10:45 – 11:45    Physical Therapy Evaluation and Rehabilitation of Male Pelvic Floor Pain
11:45 – 12:45pm    Male Pelvic Floor Muscle Mapping
12:45 – 1:15    LUNCH
1:15 – 2:15    External Connective Tissue Treatments for Male Pelvic Pain (psoas release, skin rolling, ischiorectalfossa release)
2:15 – 2:45    Pelvic Pain Case Study
2:45pm – 3:30pm    Marketing/ Billing, Questions/Wrap-Up

All participants are expected to stay through the entire course to receive their CEUs.

Certificates

All participants completing the seminar will receive a certificate of attendance with continuing education contact hours and a checklist of skills learned for examination and treatment in the seminar labs.

 

 To Register, please select the link for the specific course date and location below.

Unless otherwise noted, all course dates listed below are open and still have space for more registrants. Once a course becomes full, it will be noted on the course event page. 

Scheduled Course Dates & Locations