Presentation
Don’t forget about the males: Evidence Based Physical Therapy Interventions for Male Pelvic Floor Dysfunctions.
American Physical Therapy Association Combined Sections Meeting
(2018)
Abstract
Course Description
Many physical therapists working in the women’s health arena are also seeing male clients with an array of pelvic floor dysfunctions which primarily include urinary incontinence, erectile dysfunction and chronic pelvic pain. In fact, a new Description of Specialty Practice (DSP) includes male pelvic floor dysfunction as a condition representative of women’s health specialty practice. The effects of pelvic floor dysfunction for men can be as debilitating as it is for women resulting in emotional and physical distress in addition to substantial costs on the health care system. Estimates of the prevalence of stress urinary incontinence (SUI) after radical prostatectomy has been reported to be 2.5% to 90% at a cost burden of $19 to $32 billion in the United States.1Furthermore, erectile dysfunction prevalence range from 9% to 40% of men by age 40, and generally increase by 10% in each decade of life thereafter with chronic prostatitis/chronic pelvic pain syndrome affecting from 2 – 10% of men worldwide.2,3
For the clinician interested in treating these patients/clients anatomical knowledge is crucial to ensure competent assessment, examination and choice of appropriate intervention as many of these conditions overlap.4
This presentation will provide an in depth review of male anatomy in addition to the its association with male pelvic floor dysfunction. Evidence based assessment and interventions will be presented in addition to validated objective clinical outcome measures.5
Course Objectives: Upon Completion of this session, participants will be able to:
- Review and identity the anatomy and physiology relevant to pelvic floor dysfunction in males.
- Describe and classify the pathophysiology of common diagnoses associated with male pelvic floor dysfunction.
- Apply the best available evidence to enhance clinical reasoning in the assessment and management of pelvic floor dysfunction in males
- Examine the different treatment options to treat stress urinary incontinence, erectile dysfunction and chronic prostatitis/chronic pelvic pain in males.
- Identity appropriate validated outcome measures.
REFERENCES
- Yafi FA, Powers MK, Zurawin J, Hellstrom WJ ContemporaryReview of Artificial Urinary Sphincters for MaleStress Urinary Incontinence.Sex Med Rev. 2016 Apr;4(2):157-166.
- Magistro G, Wagenlehner FM, Grabe M, Weidner W, Stief CG, Nickel JC. Contemporary Management of Chronic Prostatitis/Chronic Pelvic Pain Syndrome. Eur Urol. 2016 Feb;69(2):286-97.
- Potts JM. Male Pelvic Pain: Beyond Urology and Chronic Prostatitis. Curr Rheumatol Rev. 2016;12(1):27-39.
- Hoyland K, Vasdev N, Abrof A, Boustead G. Post-radical prostatectomy incontinence: etiology and prevention. Rev Urol; 2014;16(4):181-188.
- Campbell SE, Glazener CM, Hunter KF, Cody JD, Moore KN. Conservative management for postprostatectomy urinary incontinence. Cochrane Database Syst Rev. 2012 Jan 18;1:CD001843.
Course/Session Format
Session outline: 2 hours
0 - 10 Introduction
10 - 40 Male anatomy and neurophysiology
40 - 60 Pathophysiology of diagnoses associated with male pelvic floor dysfunction
60 - 90 Clinical application of evidenced based treatment options for males with pelvic floor
dysfunction
90 – 100 Use of appropriate validated outcome measure in males with pelvic floor dysfunction
100 – 120 Opportunity for questions/discussion
Disciplines
Publication Date
Winter February 23, 2018
Location
New Orleans, Feb 21 - 24, 2018
Citation Information
Ruth M Maher, Julie Peterson and A J Threlkeld. "Don’t forget about the males: Evidence Based Physical Therapy Interventions for Male Pelvic Floor Dysfunctions." American Physical Therapy Association Combined Sections Meeting (2018) Available at: http://works.bepress.com/ruth-maher/20/