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How long is the appointment?
An initial Men's Health appointment at Brisbane Pelvic Physiotherapy is always an hour in length, but may be up to 1 hour and 15 minutes.
What does the appointment include?
We start off with a thorough history taking. We discuss important aspects around your problem, and how it affects you. Our goal is to get a good concept of your concerns. We then do an assessment, and that usually includes some diagnostic real-time ultrasound imaging. At the end of the appointment, we start working on your management plan. Every patient receives a printed resource pack with all the necessary information to start their recovery.
What do I need to wear to the appointment?
Comfortable clothes are always recommended. In most cases, we use an ultrasound technique at some stage during the appointment where we place the probe just under your scrotum. For this part of the session, we keep you in your underwear/shorts, and we work around your clothing to place the probe with a little bit of ultrasound gel on the skin. This procedure is non-invasive and does not hurt. We do recommend that patients bring along an extra pair of underwear to their session.
Do you do internal pelvic floor treatments?
Yes, our therapists are specially trained and experienced at doing all aspects of Men's Health, including internal treatment of the pelvic floor muscles if it is required, and if you as the patient consent to this treatment. It is a perfectly normal part of the medical management of some patients with severe pelvic pain. These treatments are not normally required for incontinence or prostatectomy patients.
What are the most common conditions you treat?
Prostatectomy patients- Ideally 4-6 weeks before your surgery, and wishing 3 days after your catheter removal.
Brachytherapy/Prostate Radiation patients
Urinary Incontinence- Any type of Urinary incontinence whether it is stress, urge or mixed incontinence
Pelvic Floor Dysfunction
Erectile Dysfunction (any penis/orgasm/ejaculation dysfunction/hard flaccid syndrome etc)
Sexual Dysfunction (Pain/Climacturia etc.)
Penile and Scrotal Pain
Pelvic Pain
Pudendal Neuralgia/Chronic Prostatitis/Chronic Pelvic Pain Syndrome
Cycling pain/Numb Bum/Genitals syndrome
Unresolved hip/or back pain.
How often do I need an appointment, and how many follow ups do I need?
This largely depends on your condition, but at Brisbane Pelvic Physiotherapy we believe in self-management, and empowering our patients to get better themselves.
If you have had a prostatectomy, you should have 1-2 sessions before your surgery, and then a session every few weeks , progressing to a session every six weeks, then possibly a follow-up after 6 months. If you have chronic pelvic pain, you may require weekly sessions over a 6-week period for the optimal results to be achieved. Incontinence patients may only need a few sessions spread out over a few months.
Does Pierre Roscher only treat men?
Yes and No
Pierre splits his clinical time between Men's Health Patients and Musculoskeletal Patients, so he actually treats and manages many ladies in the clinic. When it comes to Women's Pelvic Health issues, I will gladly refer you on to Mandy Roscher (my wife and business partner), who is a brilliant and experienced Women's Pelvic Health Clinician.
Disclaimer:
This blog is informative in nature, and not meant as direct medical advice to you. Please ensure to see an appropriate medical practitioner and be appropriately advised on any medical conditions you may present with.
*Pierre Röscher is an experienced Male Pelvic and Musculoskeletal Physio and has been practicing for over 13 years. Pierre has been seeing patients with Men’s Health patients for the last 8 years and dedicates most of his clinical time helping men recover from male pelvic-related conditions.