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The Male Course, 10 Years Later

In 2007, after only speaking on the phone and never meeting in person, my new friend and colleague Stacey Futterman and I presented at the APTA National Conference on the topic of male pelvic pain. It was a 3 hour lecture that Stacey had been asked to give, and she invited me to assist her upon recommendation of one of her dear friends who had heard me lecture. I still recall the frequent glances I made to match the person behind the voice I had heard for so many long phone calls.

Upon recommendation of Holly Herman, we took this presentation and developed it into a 2 day continuing education course, creating lectures in male anatomy (we definitely did not learn about the epididymis in my graduate training), post-prostatectomy urinary incontinence, pelvic pain, and a bit about sexual health and dysfunction. Although it truly seems like the worst imaginable question, we asked each other “should we allow men to attend?” As strange as this question now seems, it speaks volumes about the world of pelvic health at that time; mostly female instructors taught mostly female participants about mostly female conditions.

Make no mistake- women’s health topics were and are deserving of much attention in our typically male-centered world of medicine and research. Maternal health in the US is dreadful, and gone are the days when providers should allow urinary incontinence or painful sexual health to be “normal”, yet it is often described as such to women who are brave enough to ask for help. Times have changed for the better for us all.

The Male Pelvic Floor Course was first taught in 2008, and so far, 22 events have taken place in 18 different cities. 73 men have attended the course to date, with increasing numbers represented at each course. Rather than 20-25 attendees, the Institute is seeing more of the men’s health course filling up with 35-40 participants. In my observations, the men who attend the course are often very experienced, have excellent orthopedic and manual therapy skills, and have personalities that fit very well into the sensitive work that is pelvic rehabilitation.

"We are creating male pelvic rehabilitation in real time"

The course was expanded to include 3 days of lectures and labs, and this expansion allowed more time for hands-on skills in examination and treatment. The schedule still covers bladder, prostate, sexual health and pelvic pain, and further discusses special topics like post-vasectomy syndrome, circumcision, and Peyronie’s disease. In my own clinical practice, learning to address penile injuries has allowed me to provide healing for conditions that are yet to appear in our journals and textbooks. As I often say in the course, we are creating male pelvic rehabilitation in real time.

Because the course often has providers in attendance who have not completed prior pelvic health training, instruction in basic techniques are included. For the experienced therapists, there are multiple lab “tracks” that offer intermediate to advanced skills that can be practiced in addition to the basic skills. Adaptations and models are used when needed to allow for draping, palpation, and education when working with partners in lab, and space is created for those therapists who want to learn genital palpation more thoroughly versus those who are deciding where their comfort zone is at the time. One of the more valuable conversations that we have in the course is how to create comfort and ease in when for most us, we were raised in a culture (and medical training) where palpation of the pelvis was not made comfortable. Hearing from the male participants about their bodies, how they are affected by cultural expectations, adds significant value as well.

We need to continue to create more coursework, more clinical training opportunities so that the representation of those treating male patients improves. If you feel ready to take your training to the next level in caring for male pelvic dysfunction, this year there are three opportunities to study. I hope you will join me in Male Pelvic Floor Function, Dysfunction and Treatment.

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Upcoming Continuing Education Courses

Pregnancy Rehabilitation - Remote Course (SOLD OUT)

Jan 23, 2021 - Jan 24, 2021
Location: Replacement Remote Course

Yoga for Pelvic Pain - Remote Course

Jan 23, 2021 - Jan 24, 2021
Location: Replacement Remote Course

Mindfulness for Rehabilitation Professionals - Remote Course

Jan 23, 2021
Location: Replacement Remote Course

Pelvic Floor Level 2A - Self-Hosted\ (SOLD OUT)

Jan 23, 2021 - Jan 24, 2021
Location: Self-Hosted Course

Pelvic Floor Level 2A - Portland, OR Satellite Location

Jan 23, 2021 - Jan 24, 2021
Location: Benchmark Physical Therapy

Pelvic Floor Level 2A - Truckee, CA Satellite Location- RESCHEDULED

Jan 23, 2021 - Jan 24, 2021
Location: Tahoe Forest Center for Health and Sports Performance / Alliance Therapy Partners

Pelvic Floor Level 2A - Freehold, NJ Satellite Location

Jan 23, 2021 - Jan 24, 2021
Location: Atlantic PT Center

Pelvic Floor Level 2A - Somerset, NJ Satellite Location

Jan 23, 2021 - Jan 24, 2021
Location: Sports Medicine Institute

Pelvic Floor Level 2A - New York, NY Satellite Location

Jan 23, 2021 - Jan 24, 2021
Location: 5 Point Physical Therapy

Pelvic Floor Level 2A - Phoenix, AZ Satellite Location

Jan 23, 2021 - Jan 24, 2021
Location: Spooner Physical Therapy

Pelvic Floor Level 2A - Richmond, VA Satellite Location

Jan 23, 2021 - Jan 24, 2021
Location: Pivot Physical Therapy

Pelvic Floor Level 2A - St George, UT Satellite Location

Jan 23, 2021 - Jan 24, 2021
Location: Unity Health & Wellness Llc

Nutrition Perspectives for the Pelvic Rehab Therapist - Remote Course

Jan 29, 2021 - Jan 30, 2021
Location: Replacement Remote Course

Postpartum Rehabilitation - Remote Course (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Satellite Lab Course

Jan 30, 2021 - Jan 31, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Oklahoma City, OK Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Oklahoma Physical Therapy

Pelvic Floor Level 1 - Greenville, SC Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Restore Pelvic Health and Wellness

Pelvic Floor Level 1 - Doylestown, PA Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Central Bucks Physical Therapy LLC

Pelvic Floor Level 1 - Annapolis, MD Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Encompass PT

Oncology of the Pelvic Floor Level 1 - Remote Course

Jan 30, 2021 - Jan 31, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Marietta, GA Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Southern Pelvic Health

Pelvic Floor Level 1 - Torrance, CA Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Women's Advantage Inc

Lumbar Nerve Manual Assessment and Treatment - Remote Course

Jan 30, 2021 - Jan 31, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Brooklyn, NY Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: PT of the City

Pelvic Floor Level 1 - Self-Hosted

Jan 30, 2021 - Jan 31, 2021
Location: Self-Hosted Course

Pelvic Floor Level 1 - New Orleans, LA Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Ochsner Therapy and Wellness/Ochsner Health System

Pelvic Floor Level 1 - Metairie, LA Satellite Location

Jan 30, 2021 - Jan 31, 2021
Location: East Jefferson General Hospital

Sexual Medicine in Pelvic Rehab - Remote Course

Feb 6, 2021 - Feb 7, 2021
Location: Replacement Remote Course

Osteoporosis Management - Remote Course

Feb 6, 2021 - Feb 7, 2021
Location: Replacement Remote Course

Manual Therapy for the Abdominal Wall - Remote Course

Feb 7, 2021
Location: Short Form Remote Course