Pelvic floor physiotherapy is an essential part of managing men’s health. Lower urinary tract symptoms are very common. In conjunction with medications and/or surgery, pelvic floor and bladder training can assist with both obstructive and overactive bladder symptoms.

Pelvic floor training is also essential prior to treatment for prostate cancer. A high quality pelvic floor exercise programme before radical prostatectomy helps urinary control return much faster. Physiotherapy is also essential with radiotherapy and helps to maintain muscle and bone strength especially on hormonal treatment (androgen deprivation, where the testosterone level is reduced with medication).

Dr Arianayagam also sees a lot of women with urinary tract infections (UTI) and urinary symptoms. Physiotherapy and medications can help immensely as a first line treatment. If surgery is required for either organ prolapse (where the bladder or rectum falls into the vagina) patients are referred to colleagues who specialise in the area (reconstructive surgeons).

Stress incontinence (leakage when coughing or sneezing) can also be treated with physiotherapy. Surgery may be indicated if conservative measures are not successful and again, patients are referred to colleagues who are experts in this form of surgery (Reconstructive surgeons).

Dr Arianayagam works exclusively with Sydney West Physio, with branches in Bella Vista, Westmead, Blacktown and Penrith.

The men’s health team is led by A/Prof Sean Mungovan and Mr Nick Toose as well as Christopher Han and Daniel Vukovic.

The female pelvic floor team consists of Samantha Khanna, Heather Minnich and Lara Pogorelsky.

Click on any of the above names to view their profiles.

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