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I am 87 years old, with a problem of the prostate gland. Before I met Dr. Baum, I went to the bathroom every 30-60 minutes. After Dr. Baum's treatment on my prostate, I go only 5 times per day and only 1 time at night! You turned my life around. I am so very grateful!

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-Gerald Wallace


Kegel exercises have been helpful for women with urinary incontinence and have been used for years with favorable success. Recently, these same exercises have been useful for men suffering from erectile dysfunction, urinary incontinence, and premature ejaculation.

This article will review the purpose of Kegel exercises and how they are effective for treating erectile dysfunction, premature ejaculation, and dribbling after urination.

Kegel exercises focus on the muscles of the pelvic floor, which supports the bladder, the prostate gland and the bowel and is made up of layers of muscle that stretch from the tailbone at the back to the pubic bone in front. Exercising these muscles will increase the support of the prostate gland, the bladder, and improve the blood supply to the penis, and increase the tone of the urinary sphincter or the muscle that surround the urethra and helps control urination.

By regularly performing Kegel exercises men report improvement in their erections and even in the quality of their orgasms. A European study surveyed 55 men with an average age of 59 who had erectile dysfunction. The study demonstrated that 40 per cent of the men regained normal erectile function and 35.5 per cent improved. Perhaps the most dramatic finding was the improvement resulting from pelvic floor exercises compared to the use of Viagra - the results were the same.

Approximately 10% of men will have some mild urinary incontinence after surgical removal of their prostate gland for prostate cancer. This is usually temporary and subsides after several months. The period of incontinence can be significantly shortened if the men practice Kegel exercises before the surgery and immediatley after the surgery.

Pelvic floor rehabilitation is also effective for premature ejaculation, the condition when ejaculation occurs within seconds after vaginal penetration. This is a condition that is very common and is a source of anxiety and disappointment for the man who has the problem and also for his partner. Men who do Kegel exercises can expect a 50% improvement in time from vaginal penetration to ejaculation.

How to find and use the muscles of the pelvic floor

The pubococcygeal muscle and other muscles in the pelvis support the bladder, prostate gland, the urinary sphincter which is responsible for control of urination. As men age, or after surgery, especially for prostate gland surgery, these muscles become weakened and men will have problems controlling urination andor erectile dysfunction. This group of muscles can be strengthened by performing Kegel exercises.

In men, this exercise lifts up the testicles, also strengthening the cremaster muscle, as well as the anal sphincter, as the anus is the main area contracted when a Kegel is done. This is because the pubococcygeus muscle begins around the anus as well as around the urinary sphincter.

How to find the pelvic floor muscles

To find your pelvic floor muscles, you should sit or lie comfortably with the muscles of your thighs, bottom and stomach relaxed. You should then tighten the ring of muscle around your anus without squeezing your bottom. To feel these muscles, try to stop your flow of urine mid-stream, and then restart it. Although the exercises have to be learned (possibly over a matter of days), with practice they can be carried out while watching TV or while waiting for the light to turn from red to green.

Getting started

First, go to the bathroom and empty your bladder. Next tighten the pelvic floor muscles as if you were preventing gas from escaping from your rectum and hold for a count of 10. Then relax the pelvic muscles completely for a count of 10. Repeat this cycle 9 more times. Do this same exercise 3 times a day (morning, afternoon, and night).

You can also identify the pubococcygeus muscle when you are urinating over a toilet by starting and stopping the flow of urine. You can do the same exercise when you are not urinating.

You can do these exercises at any time and any place. Most people prefer to do the exercises while lying down or sitting in a chair. After 4 - 6 weeks, most people notice some improvement. It may take as long as 3 months to see a major change.

Bottom Line: Erectile dysfunction, premature ejaculation, and dribbling after urination are all amenable to strengthening the pelvic floor muscles. This can be accomplished by performing Kegel exercises. Remember a Kegel 3 times a day, keeps the doctor away!