Physio Network [Physio Explained] Men’s pelvic health: practical tips for clinicians with Dr David Cowley
7 snips
Jan 21, 2026 Dr. David Cowley, a clinician-researcher specializing in men's pelvic health, shares his expertise in this insightful discussion. He explores the innovative applications of diagnostic ultrasound for assessing male pelvic floor issues. David highlights physiotherapy strategies for post-prostatectomy patients and the effectiveness of manual therapy paired with exercise for pelvic pain. He emphasizes the importance of upskilling physiotherapists in male health, advocating for transabdominal ultrasound training as a key component in their education.
AI Snips
Chapters
Transcript
Episode notes
Transperineal Ultrasound Reveals Deep Pelvic Function
- Transperineal ultrasound reveals bladder, urethra and pelvic muscle movement non-invasively.
- It gives validated measures for striated urethral sphincter, bulbocavernosus and puborectalis function.
Use Ultrasound For Post‑Prostatectomy Rehab
- Use transperineal ultrasound to assess post-prostatectomy incontinence and guide rehab.
- Train clinicians in this technique to improve diagnosis and targeted pelvic floor interventions.
Puborectalis Drives Some Constipation Cases
- Puborectalis dysfunction causes defecatory dyssynergia by failing to relax during defecation.
- Ultrasound biofeedback can teach men to lengthen rather than shorten that muscle to resolve constipation sequelae.