Urology, University Medical Centre Groningen, Groningen, the Netherlands. h.nugteren@alumni
BJU Int. 2009 Dec 7. doi: 10.1111/j.1464-410X.2009.09094.x.
There is limited knowledge about the exact role of the pelvic floor in male sexual functioning. Pelvic floor muscle function might be involved in the enhancement of blood flow to the penis, and evidence suggests an active role for the ischio- and bulbocavernous muscles and other pelvic floor muscles in the initiation and maintenance of erection. Increased activity of pelvic floor muscles might also be preparatory to ejaculation. Studies have shown positive results after physical therapy for erectile dysfunction, premature ejaculation and chronic pelvic pain syndrome. However, the methodological quality of some of these studies is poor and further research validating specific physical therapies in the assessment and treatment of male sexual function is necessary. In this respect physical therapists have a potential role as integral members of healthcare teams involved in the improvement of male sexual health.
关于骨盆底在男性性功能中的确切作用，目前的了解十分有限。骨盆底肌肉功能可能参与了阴茎血流的增强，并且有证据表明坐骨海绵体肌和其他骨盆底肌肉在勃起的开始和维持中发挥积极作用。骨盆底肌肉的活动增加也可能是射精的准备。对勃起功能障碍、早泄和慢性骨盆疼痛综合征进行物理治疗后，研究显示出积极的结果。然而，这些研究中的一些方法学质量较差，需要进一步研究验证特定的物理疗法在男性性功能评估和治疗中的作用。在这方面，物理治疗师作为参与改善男性性健康的医疗保健团队的不可或缺的成员，具有潜在的作用。
