Fundamental Physical Therapy & Pelvic Wellness, San Diego, CA, USA.
Alvarado Hospital, Department of Sexual Medicine, San Diego, CA, USA; University of California, Los Angeles, Department of Urology, Los Angeles, CA, USA.
Sex Med Rev. 2016 Jan;4(1):53-62. doi: 10.1016/j.sxmr.2015.10.001. Epub 2016 Jan 8.
Sexual function is essential to good health and well-being in men. The relationship between male sexual function, pelvic floor function, and pelvic pain is complex and only beginning to be appreciated.
The objectives of the current review are to examine these complex relationships, and to demonstrate how pelvic floor physical therapy can potentially improve the treatment of various male sexual dysfunctions, including erectile dysfunction and dysfunction of ejaculation and orgasm.
Contemporary data on pelvic floor anatomy and function as they relate to the treatment of various male sexual dysfunctions were reviewed.
Examination of evidence supporting the association between the male pelvic floor and erectile dysfunction, ejaculatory/orgasmic dysfunction, and chronic prostatitis/chronic pelvic pain syndrome, respectively.
Evidence suggests a close relationship between the pelvic floor and male sexual dysfunction and a potential therapeutic benefit from pelvic floor therapy for men who suffer from these conditions.
Pelvic floor physical therapy is a necessary tool in a more comprehensive bio-neuromusculoskeletal-psychosocial approach to the treatment of male sexual dysfunction and pelvic pain.
性功能对于男性的健康和幸福至关重要。男性性功能、盆底功能和盆底疼痛之间的关系复杂，目前才刚刚开始被认识。
本综述的目的是探讨这些复杂的关系，并展示盆底物理疗法如何可能改善各种男性性功能障碍的治疗，包括勃起功能障碍以及射精和高潮功能障碍。
回顾了与治疗各种男性性功能障碍（包括勃起功能障碍、射精/高潮功能障碍以及慢性前列腺炎/慢性骨盆疼痛综合征）相关的盆底解剖和功能的当代数据。
分别检查支持男性盆底与勃起功能障碍、射精/高潮功能障碍和慢性前列腺炎/慢性骨盆疼痛综合征之间关联的证据。
有证据表明盆底与男性性功能障碍密切相关，对于患有这些疾病的男性，盆底治疗可能具有潜在的治疗益处。
盆底物理疗法是治疗男性性功能障碍和盆底疼痛的更全面的生物-神经肌肉骨骼-心理社会方法的必要工具。
