Men's Pelvic Health

Men have pelvic floors too. Almost nobody tells them.

Men's Pelvic Health Physiotherapy in Burlington, Ontario

Leaking after prostate surgery, pain that gets labelled prostatitis and treated with antibiotics that never work, groin pain no imaging explains. These are muscular problems with muscular solutions, and they are treated far less often than they should be — usually because no one mentions physiotherapy is an option.

No referral neededDirect billing to most insurersPrivate treatment roomInternal assessment is always optional

Book an Assessment What we treat

What we treat

What we treat.

Most of these come down to pelvic floor muscles that are too tight, too weak, or poorly coordinated — and each of those needs a different plan. The assessment is what tells us which one you're dealing with.

Post-Prostatectomy Incontinence

After prostate surgery many men experience urinary leakage. Pelvic floor rehabilitation before and after surgery helps restore bladder control faster and more completely.

Chronic Prostatitis & Pelvic Pain (CPPS)

Chronic pelvic pain syndrome and non-bacterial prostatitis are often driven by tight, overactive pelvic floor muscles rather than infection. Physiotherapy releases that tension and retrains the patterns behind it.

Male Urinary Incontinence

Leakage during exercise, coughing or daily activity is common and treatable. Targeted retraining builds the strength and coordination needed for reliable control.

Erectile Function & Sexual Health

The pelvic floor muscles play a direct role in erectile function and ejaculatory control. Targeted rehabilitation can support recovery after prostate surgery and improve the coordination involved.

Chronic Pelvic, Groin & Perineal Pain

Persistent pain in the pelvis, groin or perineum often involves tight or overactive pelvic floor muscles. Treatment focuses on releasing tension, restoring normal function and reducing pain.

Post-Radiation Rehabilitation

Radiation therapy for prostate cancer can affect bladder and bowel function. Physiotherapy helps manage those changes and supports recovery.

Bladder Urgency & Frequency

Needing the washroom often or urgently can shape your whole day. Bladder retraining combined with pelvic floor work helps you regain control.

Bowel Dysfunction

Constipation, incomplete emptying and faecal urgency are more common than most men realise. Pelvic physiotherapy addresses the muscle coordination behind them.

Our approach

What the first appointment involves.

Most men arrive having never discussed this with anyone. Here is exactly what happens, and what will not happen without your explicit agreement.

A conversation, fully clothed

Your symptoms, your surgical or medical history, what you have already tried, and what you want back — whether that is dry underwear, sleep, sex, or the gym.

Assessment on your terms

We assess breathing, posture, hips, abdomen and how you move and brace. An internal (rectal) assessment gives the clearest read on pelvic floor tone and coordination, but it is always optional, always explained first, and there is a genuine external alternative. You can decline at any point.

Treatment and a plan you understand

Hands-on release work, breathing and coordination retraining, bladder or bowel strategies, and a progression matched to what we found — not a sheet of Kegels.

Progress you can measure

Pads per day, night-time trips, pain scores, distance run. We track what matters to you and tell you honestly when you no longer need us.

Your team

Who you'll see.

Both physiotherapists hold Pelvic Health Solutions Level 1, 2 and 3 certification and treat men's pelvic health. You will see the same clinician each visit.

Juhi Israni

Registered Physiotherapist

Mondays & Fridays: 11am – 6pm

MPT — Master of Physical Therapy
Pelvic Health Solutions – Level 1, 2 & 3
Pediatric Pelvic Floor Physiotherapy

I take time to know you as a person, not just your symptoms. Every session is one-on-one, unhurried, and built around what actually fits your life.

My approach starts with a thorough assessment to find the driver of your pain — not just where it hurts — followed by hands-on treatment and a progressive exercise plan that evolves as you improve.

Alongside general physiotherapy, I hold advanced certifications in pelvic health, which deepens my assessment of core, hip, and low-back problems.

Devanshi Patel

Registered Physiotherapist

Tuesdays & Thursdays: 9am – 4:30pm

MPT — Master of Physical Therapy
Trauma-informed, biopsychosocial approach to care
Pelvic Health Solutions – Level 1, 2 & 3

My care is one-on-one and patient-centred, grounded in a biopsychosocial, trauma-informed approach. Recovery is rarely only physical — so I pay attention to the emotional and lifestyle factors that shape how you heal, too.

Every plan I build combines hands-on therapy, movement, and education, so the progress you make is meaningful and lasts.

Frequently asked questions

What men ask before booking.

Do I need a referral from my doctor or urologist?+

No. Physiotherapy is direct-access in Ontario, so you can book yourself in. Some extended health plans ask for a referral before reimbursing, so check your specific plan — but you do not need one to be seen.

Is there an internal exam, and can I decline it?+

An internal rectal assessment is the most direct way to evaluate pelvic floor tone, strength and coordination, and it is often what makes treatment specific rather than generic. It is entirely optional. Your physiotherapist explains what it involves and why beforehand, you give explicit consent, and you can decline or stop at any point without it affecting your care. There is a real external assessment pathway if you prefer.

I've been told it's prostatitis and antibiotics didn't help. Is this different?+

Often yes. A large share of chronic prostatitis-type pain is not bacterial — it is chronic pelvic pain syndrome, driven by overactive pelvic floor muscles. That does not respond to antibiotics but frequently does respond to manual therapy, down-training and retraining. If your cultures were negative and antibiotics made no difference, this is worth assessing.

Should I start before my prostate surgery, or wait?+

Before, if you have the time. Starting pelvic floor rehabilitation ahead of surgery is associated with faster and more complete return of bladder control afterwards. If you have already had surgery it is still worth starting — improvement is possible well beyond the first few months.

Is it covered by insurance?+

It is billed as physiotherapy and covered by most extended health plans. We direct bill to most insurers where your plan allows, so you generally pay only any remaining balance at the visit.

All pelvic health articles →

Men Have Pelvic Floors Too! Breaking the Stigma of Male Pelvic Pain

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Life After Prostate Surgery: Regaining Bladder Control and Confidence in Burlington

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Erectile Dysfunction and Pelvic Floor Rehabilitation in Burlington

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