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Pelvic Floor Melissa Dessaulles Pelvic Floor Melissa Dessaulles

Male Urinary Incontinence: From Pelvic Floor Physiotherapy to Surgical Options

In Episode 133 of The Pelvic Floor Project, I speak with Dr. Jennifer Locke, a Kelowna-based urologist specializing in functional and reconstructive urology.

We discuss why men experience urinary incontinence, how it's investigated and the full range of treatment options—from pelvic floor physiotherapy to artificial urinary sphincters.

Listen to Episode 133 — https://www.buzzsprout.com/1722389/episodes/19972705

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Pelvic Floor Melissa Dessaulles Pelvic Floor Melissa Dessaulles

Erectile Dysfunction (Part 2): When the Problem Isn’t Just Physical

When men experience erectile dysfunction (ED), the first assumption is often that something is physically wrong.

Maybe it's low testosterone. Maybe it's blood flow. Maybe it's age. Maybe something isn't working the way it should.

And sometimes there is a medical contributor. That's why a medical assessment is an important part of evaluating erectile dysfunction.

But erections don't happen in isolation from the rest of you.

Your nervous system, stress levels, relationships, beliefs about sex, past experiences, expectations, attention, and ability to relax can all influence erectile function.

In Part 1 of this series, I spoke with urologist Dr. Chris Bitcon about the medical considerations associated with erectile dysfunction.

For Part 2, I sat down with Justin Paulson, a registered clinical counsellor, couples counsellor, and clinical sexologist who works extensively with sexual concerns, including erectile dysfunction and performance anxiety.

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Pelvic Floor Melissa Dessaulles Pelvic Floor Melissa Dessaulles

Erectile Dysfunction (Part 1): Why it happens and treatment options

Erectile function depends on communication between multiple systems in the body, including:

  • The brain

  • The nervous system

  • Blood vessels

  • Hormones

  • Emotional health

  • The pelvic floor muscles

In a recent conversation with Kelowna-based urologist, Dr. Chris Bitcon, we explored the medical side of erectile dysfunction (ED), how erections actually work, and why ED is rarely caused by just one thing.

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