Pelvic Floor Exercises for Men

Pelvic floor health matters for men too, especially when tightness, back pain, mobility limits, or sexual health concerns appear.

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Sheree DiBiase, PT, PRPC, ICLM

Sheree DiBiase, PT, PRPC, ICLM

Pelvic floor specialist with 40+ years experience. Founder of Lake City Physical Therapy and creator of the Pelvic Floor Pro app.

What This Video Covers

In this video, Sheree works with her son Kyle to demonstrate pelvic floor exercises for men. The transcript focuses on men who are tight and restricted through the pelvic girdle, with pelvic floor muscles that may be short, tight, or overactive rather than simply weak.

Key takeaway: For men, pelvic floor training should include lumbosacral and thoracolumbar mobility, deep abdominal control, posterior pelvic tilt, and separate awareness of penile lift, testicular lift, and anal sphincter contraction.

Start With Spine and Nerve Mobility

Sheree begins with back extension because the lumbosacral spine needs to move well for the nerves that feed the rear pelvic floor, back of the legs, and pelvic tissues. She also includes thoracolumbar extension between the rib area and lumbar spine.

The goal is not aggressive stretching. It is improving the pathway for neurological information so the pelvic floor and surrounding tissues can respond better.

Deep Abdominals and Posterior Tilt

Using the wall, Sheree cues Kyle to stack the upper and lower girdle, engage the deep abdominal muscles, and create a posterior pelvic tilt without driving from the glutes. She explains that deep abdominal power supports the girdle and the pelvic floor.

In this position, the floor should automatically contract. Men can also learn a testicular lift cue, where the testicles lift upward, as a way to identify the correct pelvic floor action.

Different Lifts, Different Muscles

The transcript distinguishes penile lift, testicular lift, and anal sphincter contraction. Sheree explains that some male patients cannot do these separately at first, so they practice them as specific skills.

For men with a tight rear floor, she opens the posterior floor with a wall-supported stretch. That position can train quick anal sphincter contractions, longer holds, and release while the hamstrings, adductors, and posterior floor are lengthened.

What to Watch For

Transcript-informed checkpoints

  • Back extension for lumbosacral nerve mobility
  • Thoracolumbar extension between ribs and low back
  • Wall-supported posterior pelvic tilt from deep abdominals
  • Practice testicular lift, penile lift, and anal sphincter contraction separately
  • Use elongated positions for a tight rear pelvic floor

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How to Use This Guidance Safely

This page summarizes the video for education and search visibility. It should not replace a diagnosis, prescription, or individualized pelvic floor physical therapy plan.

When to Get Help

Pelvic, testicular, genital, rectal, or urinary pain should be evaluated by a qualified healthcare provider. Exercise should not replace medical assessment.

Frequently Asked Questions

Are pelvic floor exercises for men just Kegels?

No. This video includes spine mobility, deep abdominal control, posterior pelvic tilt, penile lift, testicular lift, anal sphincter work, and posterior floor stretching.

Why does Sheree start with back extension?

She explains that lumbosacral motion helps the nerves that feed the rear pelvic floor and back of the legs move and communicate better.

What is a testicular lift cue?

It is a cue for lifting the pelvic floor in men, similar to the way the testicles lift upward in cold water.

What if the rear pelvic floor is tight?

Sheree uses elongated wall-supported positions to open the posterior floor before practicing sphincter contractions and holds.

Sheree DiBiase, PT, PRPC, ICLM

Sheree DiBiase

PT, PRPC, ICLM - Pelvic Floor Specialist

Sheree DiBiase has been a physical therapist for over 40 years, with specialized expertise in pelvic floor rehabilitation, pelvic health education, and whole-person recovery. She is the founder of Lake City Physical Therapy and the creator of the Pelvic Floor Pro app.

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