The Essential Tools You Need for Treating Male Pelvic Health
What you need in clinic for your day-to-day male pelvic health practice.
Maxime Campbell, PT
Every week in pelvic health clinics, some version of the same moment happens.
A man arrives for an appointment he didn’t really want to book. He sits down, polite but guarded. He describes symptoms in vague, careful language. And while you’re asking the usual questions — frequency, urgency, pain, function — he’s often asking a different one in his head:
What are they going to do to me today?
Many men walk into pelvic physical therapy or OT with exactly one reference point for anything “pelvic”: an uncomfortable, clinical exam at a doctor’s office. They may assume pelvic PT/OT is simply a longer, more personal version of that experience. So they brace. They tense. They prepare to endure.
What’s striking is how often that fear has nothing to do with what you actually plan to do.
Because male pelvic health physiotherapy and occupational therapy is rarely about doing “the most invasive thing.” In many first sessions, an internal exam isn’t needed. Sometimes it’s not needed at all. But if patients don’t know that — if they can’t picture what’s happening, why it matters, and what choices they have — their nervous system will behave as if the threat is real.
This is one reason male pelvic health can feel like such a leap for physical therapists and occupational therapists, even those who are experienced and confident in other areas. The anatomy isn’t new. The physiology isn’t new. What’s new is the context: the sensitivity, the assumptions, the embarrassment, the quiet panic that can sit in the room without being named.
And in that context, technical skill is only part of the work.
The other part is translation.
Confidence doesn’t come from knowing everything. It comes from having a few reliable tools that help you explain what’s happening, set expectations, and track progress in a way that makes sense to both you and your patients.
If you’re thinking, How do I do this well without making it weird — and without running over time? you’re exactly who this is for.
Male pelvic health is broad. In clinic, we often group presentations into urinary symptoms, pelvic/genital pain, sexual function concerns, bowel or anal issues, and mixed cases where several systems overlap. This article focuses on three tools we use every day because they make complex anatomy and sensitive conversations easier to carry — for you and for the patient.
What I Say Early (So the Whole Session Runs Smoother)
Before tools, techniques, or assessment, I set the tone. Not in a dramatic way — in a practical way. Three sentences can change the whole session:
“You’re in control today. I’ll explain options first, and you can tell me what you’re comfortable with.”
“An internal exam is never assumed. It’s one option, and we can talk about it later.”
“My job is to make sure nothing feels surprising.”
Once that’s in place, the rest of your work becomes easier.
Tool 1: The Whiteboard (Or Any Surface You Can Draw On)
Most patient anxiety comes from uncertainty.
A simple drawing turns a complicated explanation into something clear and medical. It also slows the conversation down just enough for the patient to stop imagining worst-case scenarios.
You don’t need to be an artist. You need a consistent map.
In the first session, we usually draw the same basics: bladder, urethra, prostate (if relevant), rectum, pelvic floor. Then we explain the core concept that quietly organizes most male pelvic presentations:
The pelvic floor needs to do two things well — support and relax.
That may sound obvious. But it’s where many people (including clinicians early in this work) can accidentally oversimplify. Not every pelvic floor problem is about weakness. In male pelvic health, coordination and persistent tension can be just as relevant. And how you frame that matters, because it changes what the patient thinks the solution will be.
If he arrives believing, I’m broken, your job is to offer a more accurate model: this may be a coordination and nervous system problem, not a character flaw.
A line you can borrow:
“Let me draw a quick map. Most of the confusion goes away once the pelvic floor stops feeling mysterious.”
If you want to see how this plays out with a real patient, watch the whiteboard video. It follows a classic “big bundle” presentation — back pain, abdominal surgery, high urinary frequency, nocturia, small bladder capacity — and shows how a simple sketch can turn overwhelm into a clear game plan the patient can actually follow.
Using the whiteboard
Tool 2: The Male Pelvic 3D Model
The whiteboard gives the patient a map.
The model gives him a place in it.
Many patients can follow your explanation in two dimensions and still feel unsettled, because they can’t picture where anything actually is. They nod, they say they understand — and you can still see the question behind their eyes: Where is that? What does that mean for me?
A 3D model changes the conversation. It makes anatomy tangible. It turns a sensitive topic into something concrete. And it helps patients understand that the pelvic floor isn’t one muscle doing one job — it’s a region with layers and different roles.
In clinic, we use a male pelvis model to show a few basics that are difficult to convey with words alone:
where the pelvic floor sits and what it supports
what “pelvic floor muscles” really refers to (a region, not a single muscle)
what “muscle function” means in pelvic health — not just strength, but also relaxation, timing, endurance, and symptom response
It also helps you explain assessment without making it the center of the visit. The patient can see the area you’re talking about, which tends to remove a lot of the uncertainty — and the tension that comes with it.
A line you can borrow:
“I use this model so you can see exactly what we’re assessing and why. Nothing about this should feel surprising.”
If you want to see why this tool quickly becomes hard to practice without, watch the pelvic floor model video.
It follows a case that is easy to underestimate until you’ve met the person living with it: a man in his 30s with post-void dribbling — the kind that leaves spots on underwear, sends people back to the bathroom “just in case,” and quietly erodes confidence. He had already spent a year and a half in pelvic physiotherapy. Other things improved. This didn’t.
In the video, you’ll see the moment the model changes the logic of the problem — because it makes the target obvious. The pelvic floor is not one muscle, and not one job. Layers matter. Targets matter. And sometimes the missing piece isn’t more treatment. It’s the right target — plus one practical strategy that helps immediately while you build the long-term fix.
Using the male pelvic model