Happy Pride Month! Let’s Talk Treating & Examining Males
By: Nataliya Zlotnikov, HBSc, MSc
By: Nataliya Zlotnikov, HBSc, MSc
The Many Celebrations of June (In July)
June is a month in which we celebrate and pay homage to a few profoundly important subjects (even though we are publishing this blog in July).
In today's blog, we will not be addressing Indigenous History Month. This subject deserves a complete blog and much much more, and we will not do it justice by speaking about it in brief.
This blog will however touch on Pride Month and several issues related to men's** health.
The health content of today's blog is derived from Dr. Holly Herman's very entertaining and informative online healthcare course on Embodia, Highlights of Examining and Treating Males.
**We understand that the binary terms male/female and men/women are imperfect concepts and don't accurately reflect the diversity of gender-diverse individuals' bodies or identities. In the absence of more appropriate terminology, these terms are used here when necessary.
Brief History of Canadian Pride
2021 - This year Pride Toronto celebrates its 40th anniversary. Happy Anniversary, Pride!! You've come a long way.
To all those, both present and past, who have championed this cause over the past few decades, thank you. Your unrelenting efforts have brought the LGBT2Q+ community to where it is today.
In light of this event, we decided to bring you a brief timeline of notable events in Canadian Pride history.
A more complete timeline can be found here.
As I mentioned above, I find Dr. Herman to be a real pleasure (and riot) to listen to. I wanted to give you all the pleasure of listening to her speak (in case you have not yet had that pleasure). So whenever I could, I put in little video tidbits from her course. I had to exercise some restraint and stop at 2.
Here is the first little snippet of Dr. Herman discussing the male anatomy.
About The Course:
This online physiotherapy course highlights important issues to cover when examining and treating males.
This course is a highlight course and therefore does not delve too deeply into the topics, however, it does provide an excellent overview and is an excellent place for clinicians to start.
Some specific topics in this course include:
- Pre and post-prostatectomy
- Erectile dysfunction
- Premature ejaculation
- Peyronie's disease
- Hard/flaccid conditions
- Testicular pain
- Ejaculatory pain
- Urinary frequency and retention
- Anal fissures
- How orthopedic impairments throughout the body can influence these conditions
- And more
Testicular Pain, Football, Rockclimbing & More
Now, that you know what's in the course, let's briefly discuss a few of the above topics starting with testicular pain.
Chronic scrotal or testicular pain is found in up to 4.75% of men, yet there is little written about its impact on quality of life (Aljumaily et al., 2017) or even about the subject itself. A PubMed search for "chronic scrotal pain" yields only 318 results.
As physiotherapists, there is so much that we can do to help persons suffering from testicular pain.
Here is another snippet from the course in which Dr. Herman discusses football, rock climbing, testicular pain and more.
Tucking: What Is It and How to Do It Safely
Switching our gears a little, let's discuss tucking.
What is tucking?
Tucking is defined as ways one can hide the penis and testes, such as moving the penis and scrotum between the buttocks or moving the testes up into the inguinal canals.
Tucking can lead to some painful problems because of the suspensory ligament.
The suspensory ligament is highlighted in the image below:
Image source: Mayo Clinic
Why? Well, you can visualize that tucking can pull on the suspensory ligament and lead to quite a bit of injury.
When palpating, you want to palpate for that and there should be no pain or discomfort.
Beyond palpating, we can also provide education and teach how to tuck safely.
Here is a wonderful resource that I stumbled upon from the Gender Clinic of the Doernbecher Children’s Hospital in Portland Oregon which discusses safe tucking and provides some local as well as online resources.
The Prostate, Its Really Important
Back to anatomy 101.
What does the prostate do?
"The prostate’s most important function is the production of a fluid that, together with sperm cells from the testicles and fluids from other glands, makes up semen.
The muscles of the prostate also ensure that the semen is forcefully pressed into the urethra and then expelled outwards during ejaculation." (NCBI, 2020).
Those are big roles!
Look below! It's the important gland for a refresher:
Image source: WebMD
Prostatitis: What Happens When Things Go Wrong?
Prostatitis, along with prostate cancer and non-cancerous prostate enlargement make up the three most common forms of prostate disease (Better Health Channel, 2020).
Let's talk prostatitis, what is it?
Prostatitis refers to four different conditions that affect the prostate gland
Men with prostatitis may have infection, inflammation and/or pain. Adult men of any age can get prostatitis (Cleavland Clinic, 2021).
Classifications of Prostatitis
There are 4 classifications of prostatitis:
- Category I: Acute bacterial
- Category II: Chronic bacterial
- Category III: Chronic prostatitis/chronic pelvic pain syndrome (CPPS)
- Category IV: Asymptomatic
Let's discuss yet another prevalent yet often under-discussed issue affecting male health - climacturia.
Climacturia is defined as orgasm-associated urinary incontinence. It often affects men following prostatectomy (partial or complete removal of the prostate).
"Reported prevalence rates of climacturia, reveal a great variability, ranging between 15.7% and 93%. This wide range could be attributed to the lack of a standardized and validated assessment method for climacturia diagnosis and also in the variability" (Mykoniatis et al., 2021).
Often, males feel very nervous and anxious about it.
But guess what, physios can help!
Physios for Climacturia
It has been found that men who underwent a 3-month pelvic floor muscle training (PFMT) program saw greater improvements in climacturia and erectile function compared to men who received no treatment.
Here is a great patient resource from the International Society for Sexual Medicine containing excellent up-to-date information on various sexual health conditions (both male and female).
This resource is an excellent tool for clients and clinicians alike.
More Courses & Blogs
If you'd like to see more courses on the subject, take a look at
You can also read our blog about this course, LGBTTIQQ2SA and Cultural and Religious Competencies in Healthcare.
Thanks for Stopping By
Thank you for joining us today!
What better way to finish off today's blog than an entertaining video about what gay guys think about vaginas.
Pride Season (not month) actually spans June-September in Canada.
Happy Pride Season, Canada!
Date written: 23 June 2021
Last update: 1 July 2021
DPT PT MS OCS WCS BCB-PMD IF CSC PRPC