Men's Health

Pelvic Floor & Post-Surgical Physiotherapy

Start Your Recovery

Start Your Recovery text: Men’s health physiotherapy at LPAW is clinical, straightforward, and discreet. We treat pelvic floor dysfunction, post-prostatectomy rehabilitation, and chronic pelvic pain at our Bow and Stratford East Village clinics.

Physiotherapy Hydrotherapy Shockwave Sports Therapy Women's Health Dry Needling Osteopathy Pilates by Physios Babies & Children Men's Health Massage Running Assessments PTNS Post-Op Biofeedback Soft Tissue Therapy Manual Therapy Pre-Op Trigger Point Release Med-X Strengthening Physiotherapy Hydrotherapy Shockwave Sports Therapy Women's Health Dry Needling Osteopathy Pilates by Physios Babies & Children Men's Health Massage Running Assessments PTNS Post-Op Biofeedback Soft Tissue Therapy Manual Therapy Pre-Op Trigger Point Release Med-X Strengthening
Conditions We Treat

Post-Prostatectomy Rehabilitation Urinary incontinence following prostate surgery. Pelvic floor physiotherapy accelerates continence recovery — both pre and post-operatively.

Chronic Pelvic Pain Syndrome (CPPS) Persistent pain in the perineum, lower abdomen, testes, or penis. Often caused by hypertonic (too tight) pelvic floor rather than infection. Responds well to pelvic floor down-training.

Male Urinary Incontinence Urge incontinence, stress incontinence, and post-micturition dribble — all treatable with physiotherapy.

Pelvic Floor Dysfunction Affecting Sexual Function Hypertonic pelvic floor can contribute to erectile dysfunction and painful ejaculation. Physiotherapy addressing muscle tension can make a meaningful difference.

Men’s Health & MSK Overlap Pelvic floor weakness contributing to lower back pain, hip instability, groin pain, and adductor strains.

Radical prostatectomy (surgical removal of the prostate gland), whether for prostate cancer or benign conditions, is one of the most common causes of urinary incontinence in men. Stress urinary incontinence after prostatectomy is caused by damage or disruption to the external urethral sphincter and surrounding pelvic floor structures during surgery.

 

The evidence for pelvic floor physiotherapy in this context is robust: a 2015 systematic review in *European Urology* found that pre-operative pelvic floor rehabilitation and early post-operative physiotherapy significantly accelerates continence recovery following radical prostatectomy.

 

LPAW’s post-prostatectomy rehabilitation programme includes:
Pre-operative physiotherapy (prehabilitation): Beginning pelvic floor rehabilitation before surgery establishes the neural connection and muscle memory needed for post-operative recovery. Men who have undergone pelvic floor physiotherapy before prostatectomy consistently recover continence faster than those who begin post-operatively.

 

Post-operative rehabilitation: Beginning as soon as the catheter is removed, we work with you through a progressive pelvic floor strengthening programme, adapting exercises to your recovery stage and monitoring your response. This is combined with bladder training techniques to manage urgency and reduce leakage episodes.

 

Return to activity: We provide evidence-based guidance on when and how to return to physical activity, exercise, and sport after prostatectomy, including running, gym training, and heavy lifting.

Most men achieve significant continence improvement within 3–6 months of starting post-prostatectomy physiotherapy. Many achieve full continence recovery.

Your initial appointment (45–60 minutes) begins with a conversation, your symptoms, history, surgical or medical background, and your goals. There is no need to minimise or be embarrassed about what you’re experiencing. Your physiotherapist has heard it before, and their only interest is in understanding your situation clearly so they can help. 

hysical assessment for men’s health conditions may include:
External assessment of the perineum and pelvic floor

internal rectal assessment (for pelvic floor tone and trigger points), this is the most informative assessment for many conditions and will be fully explained in advance. It is not compulsory.

Functional tests of the hip, lumbar spine, and associated musculature
Bladder diary review if applicable (you may be asked to complete one before your appointment)

You will leave your first appointment with a clear explanation of what has been found and a specific treatment plan.

[Percutaneous Tibial Nerve Stimulation (PTNS)] is available at LPAW for men as well as women with overactive bladder or urgency urinary incontinence. PTNS is a NICE-approved, office-based treatment that involves stimulating the tibial nerve at the ankle, which modulates bladder overactivity. It is effective, minimally invasive, and does not involve any pelvic contact. A typical course is 12 weekly sessions of 30 minutes.

Post-Prostatectomy Rehabilitation Urinary incontinence following prostate surgery. Pelvic floor physiotherapy accelerates continence recovery — both pre and post-operatively.

Chronic Pelvic Pain Syndrome (CPPS) Persistent pain in the perineum, lower abdomen, testes, or penis. Often caused by hypertonic (too tight) pelvic floor rather than infection. Responds well to pelvic floor down-training.

Male Urinary Incontinence Urge incontinence, stress incontinence, and post-micturition dribble — all treatable with physiotherapy.

Pelvic Floor Dysfunction Affecting Sexual Function Hypertonic pelvic floor can contribute to erectile dysfunction and painful ejaculation. Physiotherapy addressing muscle tension can make a meaningful difference.

Men’s Health & MSK Overlap Pelvic floor weakness contributing to lower back pain, hip instability, groin pain, and adductor strains.

Radical prostatectomy (surgical removal of the prostate gland), whether for prostate cancer or benign conditions, is one of the most common causes of urinary incontinence in men. Stress urinary incontinence after prostatectomy is caused by damage or disruption to the external urethral sphincter and surrounding pelvic floor structures during surgery.

The evidence for pelvic floor physiotherapy in this context is robust: a 2015 systematic review in *European Urology* found that pre-operative pelvic floor rehabilitation and early post-operative physiotherapy significantly accelerates continence recovery following radical prostatectomy.

LPAW’s post-prostatectomy rehabilitation programme includes:
Pre-operative physiotherapy (prehabilitation): Beginning pelvic floor rehabilitation before surgery establishes the neural connection and muscle memory needed for post-operative recovery. Men who have undergone pelvic floor physiotherapy before prostatectomy consistently recover continence faster than those who begin post-operatively.

Post-operative rehabilitation: Beginning as soon as the catheter is removed, we work with you through a progressive pelvic floor strengthening programme, adapting exercises to your recovery stage and monitoring your response. This is combined with bladder training techniques to manage urgency and reduce leakage episodes.

Return to activity: We provide evidence-based guidance on when and how to return to physical activity, exercise, and sport after prostatectomy, including running, gym training, and heavy lifting.
Most men achieve significant continence improvement within 3–6 months of starting post-prostatectomy physiotherapy. Many achieve full continence recovery.
Your initial appointment (45–60 minutes) begins with a conversation, your symptoms, history, surgical or medical background, and your goals. There is no need to minimise or be embarrassed about what you’re experiencing. Your physiotherapist has heard it before, and their only interest is in understanding your situation clearly so they can help. 
hysical assessment for men’s health conditions may include:
External assessment of the perineum and pelvic floor

internal rectal assessment (for pelvic floor tone and trigger points), this is the most informative assessment for many conditions and will be fully explained in advance. It is not compulsory.

Functional tests of the hip, lumbar spine, and associated musculature
Bladder diary review if applicable (you may be asked to complete one before your appointment)
You will leave your first appointment with a clear explanation of what has been found and a specific treatment plan.
[Percutaneous Tibial Nerve Stimulation (PTNS)] is available at LPAW for men as well as women with overactive bladder or urgency urinary incontinence. PTNS is a NICE-approved, office-based treatment that involves stimulating the tibial nerve at the ankle, which modulates bladder overactivity. It is effective, minimally invasive, and does not involve any pelvic contact. A typical course is 12 weekly sessions of 30 minutes.

Meet our team of experts

LPAW’s clinical team includes 19 practitioners, many holding postgraduate qualifications from UCL, King’s College London, and Guy’s and St Thomas’. Lead clinician Mr Arjun Viswanath MSc, MCSP, MPPA – Co-Founder and Consultant Physiotherapist – brings 25+ years of NHS and private experience including BMI London Independent Hospital and Harley Street.

Every clinician joining LPAW completes a mandatory intensive shadowing placement with our Consultant Physiotherapist before seeing patients independently. This is not a standard practice at most clinics – it’s our way of maintaining clinical consistency across the team.

What Our Patients Say

From the moment I walked into this clinic, I knew everything was going to be okay. After seeing many physios, Priyanka, the pelvic specialist, was the first one to properly diagnose my back injury and choose exercises that were actually right for my condition.

I HIGHLY recommend hydrotherapy. This clinic has truly been life-changing for me. When you live with constant pain, finding real relief is priceless.

Thank you for the care, professionalism, and for giving me hope again ❤️
Molly W. profile picture
Molly W.
1 month ago
We had 6 of their amazing physiotherapist support London’s Air Ambulance Charity’s post-race reception for the 2026 London Marathon. Their communication before and during the event was excellent and all our runners have commented on how much their post-race massage has helped them with their recovery. We hope to work with them again in the future
Percy C. profile picture
Percy C.
2 months ago
Extremely impressed by the service offered. I injured my knee a while ago and they have been amazing in helping me with me recovery. Uzair Ahmed is very knowledgable and I really trust him with my recovery journey. Would highly recommend!
Ziya H. profile picture
Ziya H.
2 months ago
Been coming here for over a year every six weeks. Very professional and friendly at the same time. Can highly recommend. Big shout out to Mohammed and great reception service.
Kevin P. profile picture
Kevin P.
2 months ago
Fantastic treatment available! Enquired at short notice and they had a superfast response, and the treatment was excellent. Thank you!!
James L. profile picture
James L.
2 months ago
The team were highly professional, pleasant and helpful throughout my process of physiotherapy. I highly recommend this therapy clinic!
Em H. profile picture
Em H.
2 months ago
Had a couple of excellent sessions with Priyanka Shah, with really useful exercises and advice. Highly recommend!
Nicola W. profile picture
Nicola W.
3 months ago
Helpful and knowledgeable. Thank you!
Richard T. profile picture
Richard T.
3 months ago
I suffer with lower back disc bulges pinching my muscles and severely limiting my mobility, stability, and indeed causing agonising pain at the worst of times. I received a kind, patient and conscientious home visit at first before being invited to hydrotherapy at the clinic. 2 sessions in and I'm loving it so much, I'm determined to get one of these pools for myself later on in life. Couldn't recommend them highly enough.
Chris C. profile picture
Chris C.
3 months ago
Miracle workers!! Great gym rehab facilities patience to really understand the problem. Would highly recommend for anyone with chronic neck or back pain who are prepared to do some work on themselves.
Arif H. profile picture
Arif H.
3 months ago
Have been attending sessions for Physiotherapy here twice a week for many weeks now. Everyone is very patient and understanding. My treatment is going exceptionally well so far and Im already seeing massive progress from before my first ever session.

Would definitely recommend this clinic for anyone who needs rehabilitation or treatment!
D.Iyalla 1 profile picture
D.Iyalla 1
4 months ago
I’ve been attending London Physiotherapy And Wellness Stratford for 3 weeks now and already there are improvements in the areas I had problems with.
The physiotherapist is very knowledgeable and passionate about how he can help to improve & build your strength.
To help you recover is his main focus.
Not only is the physiotherapists customer service is great the admin team is also.
I personally recommend.
Ollie S. profile picture
Ollie S.
4 months ago
I had to visit the clinic for a hip injury I received from running. I started physio with Anup back in November and started with hydrotherapy, moving into physio in the new year. I've had a great experience with Anup and now I'm well on the road to recovery, I've started running again and I know what strength workouts I should be doing to keep up my recovery. So glad I found Anup and the clinic and would recommend them to anyone who has an injury!
无颜Music profile picture
无颜Music
4 months ago
The location is really convenient for me. The physiotherapist was very knowledgeable. He helped me identified the root cause of my heel pain and provided me with a clear pathway to my recovery.
Will recommend them ????????
Ervis L. profile picture
Ervis L.
6 months ago
I was assisted by Priyanka while recovering from a torn quad, and I couldn’t have asked for a better physiotherapist. She was incredibly supportive during a moment of real vulnerability, and I always felt truly taken care of. Her focus during every session was exceptional she even kept counting my reps to make sure I stayed on track!

Priyanka is a wonderful asset to the team, and I feel very lucky to have had her during my recovery. Highly recommended.
andrea B. profile picture
andrea B.
8 months ago
Best Physio ever. I visited the clinic after I damaged the ACL ligament practicing judo. I was unable to walk, using crutches and couldn't bend the leg. I was initially told by the doctor to wait at least 6/7 months to be fully recovered and the physiotherapy was the only way to get better. Thanks to the skilled clinic and very professional physiotherapist, they managed to get me back on trainings after 3/4 months only having now a stronger knee than before. I was assisted my Mohammed N R and his job was beyond the expectations. They have specific equipment to practice a high variety of exercises and furthermore they are super friendly and easy reachable by email or phone for last minute doubts. I cannot thank more for the assistance received for a faster recovery they granted me. I fully recommend them.

Frequently Asked Questions

Some incontinence does improve spontaneously after prostatectomy, particularly in the first 3–6 months. However, physiotherapy consistently accelerates this recovery and improves outcomes — the evidence is clear. You do not need to wait and see. Many men also benefit from an assessment to confirm they are performing pelvic floor exercises correctly, since it is very common to do them incorrectly without guidance.
No — it is not compulsory. However, an internal rectal assessment is the most direct and accurate way to assess pelvic floor tone, strength, and trigger points in men. Your physiotherapist will explain why they are recommending it and will only proceed with your consent. If you decline, external assessment methods are available.
For ED with a pelvic floor component — particularly in cases associated with hypertonic pelvic floor, post-surgical changes, or pelvic pain — physiotherapy can help. It is not appropriate for all causes of erectile dysfunction (such as purely vascular or hormonal causes), and your physiotherapist will be honest about whether physiotherapy is likely to help in your specific case.
Post-prostatectomy rehabilitation typically involves 6–12 sessions over 3–6 months, depending on baseline function and surgical factors. CPPS treatment is more variable — some patients respond quickly; others require a longer course. Overactive bladder treated with PTNS follows a 12-session weekly protocol.
No. You can self-refer directly to LPAW. If you are using private health insurance, check whether your policy requires GP referral or pre-authorisation. For post-prostatectomy referrals, your surgical team may refer you directly.
We will accommodate your preference where possible. Please let us know when booking if you have a preference for a male or female clinician.

Onward Referrals

Related Treatments

Men’s health physiotherapy at LPAW connects directly with our PTNS service for overactive bladder, and with our wider physiotherapy and MSK services for pelvic floor and back pain overlap.

If your symptoms suggest a cause beyond physiotherapy such as prostate pathology, urological investigation, or hormonal factors we will say so clearly and help facilitate the appropriate referral to the right specialist.

Onward Referrals

Men’s health physiotherapy at LPAW connects directly with our PTNS service for overactive bladder, and with our wider physiotherapy and MSK services for pelvic floor and back pain overlap.

If your symptoms suggest a cause beyond physiotherapy, such as prostate pathology, urological investigation, or hormonal factors, we will say so clearly and help facilitate the appropriate referral to the right specialist.

Ready to bounce back better?