Men's Health Physiotherapy in Bristol & Bath

Bladder & bowel concerns

• Urinary urgency and frequency
• Stress and urge incontinence
• Incomplete emptying / hesitancy
• Bowel urgency and incontinence
• Constipation, anismus and dyssynergic defecation

Pelvic and genital pain

• Chronic pelvic pain syndrome (CPPS)
• Pudendal neuralgia
• Hard flaccid syndrome
• Post-vasectomy and post-hernia pain
• Coccydynia (tailbone pain)

Sexual function

• Erectile dysfunction
• Peyronie’s disease (where physiotherapy and focused shockwave have a role)
• Pain with arousal or ejaculation

Pre- and post-surgical rehabilitation

• Pre- and post-prostatectomy pelvic floor rehabilitation
• Recovery from pelvic, hernia or genitourinary surgery

Pelvic floor dysfunction

• Overactive (tight) pelvic floor
• Underactive (weak) pelvic floor
• Coordination problems affecting bladder, bowel or sexual function

A full history. We start by talking. Bladder, bowel, sexual function, pain, lifestyle, work, sleep, exercise, surgery, medication — the picture matters. Most men have never been asked these questions in any detail before; we take the time to do it properly.

A physical assessment. Depending on your symptoms, this may include looking at how you move, how you breathe, hip and lower back mobility, and the muscles around the abdomen and pelvis. Where it’s clinically appropriate and only with your explicit consent, an internal (ano-rectal) examination allows us to assess pelvic floor tone, strength and coordination directly. We will always explain what we’re proposing, why, and what the alternative is. Nothing happens without your agreement.

A clear plan. You’ll leave with a working diagnosis (or a short list of what we need to rule in or out), a treatment plan that fits the rest of your life, and an honest sense of how long things are likely to take.

Pelvic health physiotherapy is based on exercise, manual therapy and education — with a small number of advanced tools used where the evidence supports them. Your plan may include:

• Pelvic floor retraining — strengthening, relaxation, or coordination work depending on what your muscles actually need. A weak pelvic floor and an overactive pelvic floor look similar from the outside; they need very different programmes.
• Manual therapy — hands-on work for the muscles, joints and connective tissue around the pelvis, hips and abdomen.
• Biofeedback and real-time feedback — so you can see and feel what your pelvic floor is doing.
• Bladder and bowel retraining — practical, evidence-based techniques that retrain habits and urgency.
• Breathing and nervous-system work — particularly for pelvic pain and overactive pelvic floor.
• Focused shockwave therapy (also called LiESWT) — where it’s appropriate, particularly for erectile dysfunction and Peyronie’s disease. Read more about our shockwave therapy.
• Lifestyle and education — fluids, fibre, training load, sleep, stress and the small day-to-day changes that often move things further than any single technique.

If your symptoms suggest something outside the scope of physiotherapy, we’ll say so and help you find the right specialist.

Most men benefit from a short, well-designed home programme rather than a long, vague one. We’ll show you exactly what to do, how often, and what good technique feels like. For pelvic floor exercises specifically, we often recommend the NHS-supported Squeezy for Men app to help you stay consistent.

Please see our pricing page for more information. We are also recognised by most major insurers.

No. You can self-refer and book directly with us. We’re happy to liaise with your GP, urologist or consultant if you’d like joined-up care.

Not always. An internal (ano-rectal) examination is the most accurate way to assess pelvic floor tone and coordination, but we’ll only suggest it if it’s clinically helpful and you’ll always be in full control of whether it happens. Many people are assessed and treated effectively without one.

It depends on the problem. Many men see meaningful change within 4–6 sessions; some conditions (chronic pelvic pain, post-prostatectomy rehab, ED) need a longer course. We’ll give you an honest estimate at your first appointment.

Yes — when pelvic floor dysfunction, vascular factors or post-surgical change are contributing to the problem. ED can have many causes, so we work alongside your GP or urologist where medical causes need to be ruled out first. Where physiotherapy is appropriate, we use a combination of pelvic floor work, lifestyle change and, where indicated, focused shockwave therapy. Read more on our Erectile Dysfunction page.

Starting pelvic floor rehabilitation before surgery (pre-habilitation) is associated with faster continence recovery afterwards. We’d typically recommend a single pre-op session followed by structured post-op rehab. Read more on our Post-prostatectomy Rehabilitation page.

Yes. Your records, the conversation, and everything in your appointment is private. We’ll only share information with other clinicians with your explicit written consent.

Comfortable clothing. We’ll let you know in advance if a specific assessment requires anything different.

We’re recognised by most major insurers. Please get in touch to discuss your individual arrangements or you can book online.

Conditions: Erectile Dysfunction | Post-prostatectomy Rehabilitation | Pelvic Pain | Urinary Incontinence | Bowel Urgency & Incontinence | Constipation | Dyssynergic Defecation/Anismus

Treatments: Shockwave Therapy | Scar Therapy