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Pelvic Floor Muscle Training & Exercise in Prostate Cancer

Pelvic Floor Muscle Training & Exercise in Prostate Cancer

Pelvic Floor Muscle Training & Exercise in Prostate Cancer

This course includes
3:03:31 of Course Material (View)
Lifetime access after purchase
Certificate of completion
This course was recorded in May 2020


This online physiotherapy course is an introduction to pelvic floor muscle training in men with a focus on Prostate Cancer (PCa).

1 in 6 men will be diagnosed with PCa globally. Physiotherapists have a significant role to play in the pre and rehabilitation of men requiring treatment. Despite more than 45 RCTs, there has been limited evidence to support PFM training in men due to mixed efficacy.

However, building on 15 years of clinical expertise and having recently completed her Ph.D., Dr. Jo Milios will share her recently published high-intensity protocols for continence and erectile function recovery following Radical Prostatectomy. These are a world first and based on functional training aligned to clinical presentations.

Historically, men have had very minimal support in preparation for PCa treatment - including surgery and radiation patients, however educating urologists is a responsibility physiotherapists can now adopt, utilizing this robust new scientific evidence.

This online course will tour the history of PCa management from both a clinical and research perspective and will cover both urinary incontinence and erectile dysfunction, as most men undergoing treatment will experience both.

For those undergoing radiation therapy, evidence is sparse, however, further research is being developed, as many men will also experience bowel dysfunction and this is an additional quality of life impact.

Whole-body exercise prescription for men diagnosed with PCa will also be presented, based on the work of Jo’s not-for-profit charity ‘PROST! Exercise 4 Prostate Cancer Inc'. and the vast body of evidence already in existence to support this.

Physiotherapists can add so much value to this patient caseload and links to a new online program will be introduced, that can be immediately translated to practice.



This online course is open to physiotherapists (physical therapists), nurses, nurse practitioners, occupational therapists, naturopaths, chiropractors, medical doctors, and any other licensed health care provider. 

The instructors
Pelvic Health Solutions

Pelvic Health Solutions (PHS) is an evidence-based teaching company that aims to educate and empower physiotherapists, healthcare professionals, and everyday people about pelvic health.

PHS was founded in 2010 out of the need to develop pelvic health resources in Ontario at a time when it was an under-serviced health concern. PHS provides continuing education courses, mentoring, and clinical resources for a variety of practitioners with the goal of equipping them to deliver evidence-based, biopsychosocial assessment and treatment of pelvic health problems in our province and abroad.

Our company also exists as a way to connect people experiencing pelvic health concerns to pelvic health physiotherapists in their area. PHS has ultimately blossomed into a community of curious people who are committed to providing hope and healing to those who suffer from pelvic health issues.

Dr. Jo Milios
Men's Health Physiotherapist

Jo Milios is an Australian Physiotherapist who has a special interest in Men’s Health, focusing on Prostate Cancer (PCa), Urinary and Erectile Dysfunction, Pelvic Pain, Peyronie’s disease (PD), Exercise and Yoga. Graduating with a Bachelor of Science (Physiotherapy) in 1993, the big gap seen in Men’s Health proved pivotal in her decision to specialize from 2005. Recently completing PhD studies at the University of Western Australia , Jo investigated quality of life outcomes in men undergoing surgery for PCa via a large randomized controlled trial aimed at reducing the impact of urinary continence and erectile dysfunction. A second RCT utilizing therapeutic ultrasound to treat scar tissue in the 1 in 6 men who develop Peyronie’s disease following treatment for PCa was also completed.

Jo has presented her research findings at several international conferences including WCPT15, 17 & 19, APCC 2014-18, CSM 2020 and locally at Men’s Sheds , Prostate Cancer Foundation of Australia and ANZUS Conferences 2011-2018. Recent publications include papers in the ANZ Continence Journal (2018, 2019) and BMC Urology (2019) with further papers in review, Jo provides workshops throughout Australia and internationally, lectures at Charles Sturt and Curtin University and in 2012 established, ‘PROST! Exercise 4 Prostate Cancer Inc.’a not-for profit organization, which provides an exercise and peer support program for ANY man diagnosed with PCa.

Jo’s passion is education and she will happily provide this in any forum- in person, on-line , via TeleHealth or through the Men’s Health Physiotherapy Facebook group which Physiotherapists can access.

Course Material included in this course
  • The Male Pelvic Floor
  • Clinical Presentation Upon PCa Diagnosis
  • Side Effects of Treatment
  • Men and the Pelvic Floor
  • Understanding the Male Pelvic Floor
  • Urinary Incontinence
  • Feedback
  • A Deeper Look at Prostate Cancer
  • Original Research Pt1
  • Original Research Pt2
  • Why Men Leak
  • How Does Post-RP Erectile Dysfunction Present?
  • Feedback
  • Treatment Options
  • Treating Leaks
  • Alternative Treatments for Leaking
  • Exercise for Men with Prostate Cancer
  • Practical Session
  • Feedback
  • Q&A
  • Questions Part 1
  • Questions Part 2
  • Congrats and Resources
  • Feedback
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