Question 1

What is men's pelvic floor physical therapy?

Accepted Answer

It is physical therapy that focuses on the muscles, nerves, and movement patterns of the pelvis, hips, abdomen, and low back. Treatment may address strength, coordination, muscle tension, breathing, pressure management, and bladder or bowel habits.

Question 2

Do men have pelvic floor muscles?

Accepted Answer

Yes. Men have a pelvic floor that supports the bladder and bowel, helps control urination and bowel movements, contributes to sexual function, and works with the abdominal and breathing muscles to manage pressure.

Question 3

What conditions can pelvic floor physical therapy help with?

Accepted Answer

Men commonly seek care for urinary leakage, urgency and frequency, post-prostatectomy symptoms, pelvic or perineal pain, pain with sitting, bowel coordination difficulty, and pelvic muscle tension. Whether therapy is appropriate for you depends on your evaluation.

Question 4

Do I need a referral from my doctor?

Accepted Answer

In Texas, you can access physical therapy through direct access without a physician referral. Some insurance plans may still require a referral for coverage, so we recommend checking with your plan beforehand. Many men are also referred by a urologist, primary care physician, or surgeon, and we are glad to coordinate with your medical team.

Question 5

Do you accept insurance?

Accepted Answer

We accept only Blue Cross Blue Shield in network. We are an out-of-network provider for other insurers, which allows us to dedicate a full hour to one-on-one care without restrictions. We provide detailed superbills you can submit for potential reimbursement, and payment is due at the time of service.

Question 6

What if my insurance doesn't cover pelvic floor therapy?

Accepted Answer

Self-pay options are available, along with a superbill you can submit for out-of-network reimbursement. Pricing is discussed transparently upfront before your first visit.

Question 7

What should I do to prepare for my first visit?

Accepted Answer

Complete your intake forms online beforehand, bring a list of medications and any relevant medical reports or imaging, wear comfortable clothing, and come with your questions.

Question 8

How long is the first appointment?

Accepted Answer

The initial evaluation is typically 60 to 90 minutes.

Question 9

What should I expect at my first appointment?

Accepted Answer

Expect a conversation first. We review your symptoms, history, and goals, then assess movement, breathing, posture, hips, and abdominal wall as appropriate. Findings and next steps are explained before you leave.

Question 10

What is the consent process like?

Accepted Answer

You are always in control. Your therapist explains every interaction beforehand and questions are encouraged. You can say no to any part of the exam or end it at any point.

Question 11

Will I need an internal exam during my first visit?

Accepted Answer

Not necessarily. An internal exam is performed only when it is clinically appropriate and only with your full consent. You may decline any part of the exam.

Question 12

Is the internal exam painful?

Accepted Answer

It should not be. Gentle techniques are used with ongoing communication throughout. Tell your therapist about any discomfort so the approach can be adjusted.

Question 13

What if I am nervous or embarrassed?

Accepted Answer

That is completely normal and understood. The focus is solely on your musculoskeletal health, handled in a professional, clinical manner. You set the pace.

Question 14

Is everything I share confidential?

Accepted Answer

Yes. Your information is protected under HIPAA, and the clinic is a private, judgment-free space.

Question 15

Can I bring someone with me?

Accepted Answer

Yes. A support person can wait in the seating area, or join the session if discussed with your therapist beforehand — this is usually accommodated.

Question 16

Do you treat men after prostatectomy?

Accepted Answer

Yes. Post-prostatectomy rehabilitation is a core focus of this practice, including urinary control, pelvic floor coordination, pressure management, and returning to walking and exercise.

Question 17

When should pelvic floor therapy begin after prostate surgery?

Accepted Answer

Timing depends on your surgeon's clearance and your individual recovery. Some men benefit from education before surgery, and many begin rehabilitation once their medical team says it is appropriate.

Question 18

Is pelvic floor therapy just Kegel exercises?

Accepted Answer

No. Repeated squeezing is only one possible tool, and it is not right for everyone. Many men need work on relaxation, coordination, breathing, mobility, and graded loading rather than more contractions.

Question 19

Can having an overly tight pelvic floor cause symptoms?

Accepted Answer

It can. Pelvic floor muscles that stay overactive or guarded may contribute to pain, urinary urgency, incomplete emptying, and discomfort with sitting. In those cases strengthening alone may not help.

Question 20

How many sessions will I need?

Accepted Answer

It varies with your condition, your goals, and how consistently you complete your home exercise program. You receive a plan of care and expected timeline after your initial evaluation.

Question 21

Do you offer virtual or telehealth appointments?

Accepted Answer

Yes, for appropriate cases and subject to insurance coverage. Virtual visits work well for follow-ups, exercise instruction, and men who are more comfortable starting outside a clinical setting.

Question 22

What should I wear?

Accepted Answer

Comfortable, easy-to-move-in clothing that is simple to change in and out of, such as athletic shorts or loose pants and a t-shirt.

Question 23

What is your cancellation policy?

Accepted Answer

We ask for 24 hours' notice to cancel or reschedule. Late cancellations and no-shows may incur a $50 fee.

Question 24

Where is the clinic and how do I get there?

Accepted Answer

The clinic is inside Caddo Office Reimagined in Flower Mound, Texas, on the second floor in Suite 247, with elevator access. Enter the main lobby, take the elevator up, exit left, then right, left, and left. A “Please Don't Disturb” sign means your therapist is with a patient — text 214-425-0236 when you arrive.

Questions Men Ask Before Starting

24 questions, answered plainly

You don't have to keep navigating this alone.