Sexual Dysfunction

• Pelvic floor therapy has been shown to improve control over ejaculatory delay and allow significant increase in intravaginal/intrarectal ejaculatory latency times in men with pelvic floor muscle dysfunction. Strong Bulbospongiosus contractions may enhance and intensify orgasmic pleasures during ejaculations.

Erectile dysfunction is a male sexual dysfunction defined as a consistent or recurrent inability to attain or maintain an erection sufficient for sexual intercourse.

The pelvic floor muscle and erections

- Penile erection requires the presence of a pressurized and closed hydraulic system within the 2 top sponges of the penis (corpora cavernosa).

- Contraction of the Ischiocavernosus muscles participates in the process of enhancing erectile rigidity.

- The Bulbospongiosus muscle encircles 33-50% of the base of the penis and is responsible for preventing blood from escaping during an erection and it also assist the pumping action during ejaculation

Male pelvic floor muscle training has been shown to increase penile rigidity and hardness in some men with erectile dysfunction, potentially facilitating penetration during thrusting.

Use it or lose it: Strengthen the pelvic floor muscle if weakness is the reason but remember the resting phase acter a contraction.

Erectile dysfunction can also be treated by using low-intensity shockwave therapy or ultrasound to increase blood circulation.

There is an association between erectile dysfunction and post micturition dribble caused by pelvic floor muscle weakness, this can be the cause of some types of ejaculatory dysfunction.

Current Physiotherapy treatment options for Peyronie's disease include:

Physiotherapy: to reduce the plaque formation

- Myofascial release

- Scar tissue massage, cross frictions to plaques

- Pubic symphysis alignment

- Therapeutic Ultrasound

- Shockwave therapy

- Vacuum pump 3-5x/week

- Traction devices