For pelvic floor physiotherapists

Confidence with male patients is a skill. It can be taught.

Continuing education in male pelvic health for pelvic floor physiotherapists. Anatomy, clinical reasoning and hands-on application, taught together and taught toward the decisions you make in front of a patient.

See the training See the LUTS & BPH intensive

Taught by: A clinician who has treated these presentations for over a decade
Built for: Physios who finished the courses and still feel uncertain
Format: Self-paced training, live cohorts, and one-to-one mentorship

The gap

Clinicians arrive here from two directions.

“I don't know what to say when I introduce the exam.”

“I don't have the language to talk with men as comfortably as I do with women.”

“I want to treat men. I just don't feel ready yet.”

“I've been treating men for years. I want to know what the current evidence actually says.”

“I want to see how another clinician drapes and talks through the exam, not just read about it.”

“I know the fundamentals. I want depth on bladder symptoms specifically.”

Some of this is skill you were never taught: the words, the draping, the order of operations. Some of it is depth you now want on a particular presentation, or a look at how another clinician reasons through the same patient. Both are teachable, as deliberately as any anatomy module. That is what these courses set out to do.

Training & mentorship

Three ways to work on your male pelvic health practice.

Start where your gap actually is. The assessment training builds the hands-on foundation; the LUTS intensive covers the anatomy, physiology and clinical reasoning behind male bladder symptoms; mentorship applies both to the patients on your caseload right now.

Available now

Confidently Treating Men: Draping, Assessment & Examination Foundations

A practical walkthrough of the male pelvic health assessment — how to introduce it, how to take informed consent, how to drape and position, and how to move through a structured examination without missing steps.

Introduce sensitive assessments in clear, professional language
Take informed consent with confidence, written and verbal
Drape and position appropriately for male examination
Work from a repeatable assessment checklist, not memory

Format: Self-paced, online
Length: ~80 min
Includes: Assessment checklist
Editable consent template
Enrolment: Open year-round
Price: $97 CAD

Enrol in the training

Registration open

Male LUTS & BPH Clinical Intensive

Lower urinary tract symptoms are among the most common presentations in men and the least covered in pelvic floor training. A live cohort covering assessment, bladder diary interpretation, behavioural and pelvic floor management, and where physiotherapy sits alongside urology.

Assess male LUTS with a structured, reasoned framework
Read and act on a bladder diary, including nocturnal polyuria
Apply behavioural and pelvic floor management with intent
Recognise what to refer, and when to work in parallel with medicine

Format: Live online, Zoom
Structure: 6 modules
+ bladder diary deep-dive
Content: 6 hours
Registration: Open — a few spots left
Live date: Sun 7 Feb 2027
9am–5pm ET

If 7 February does not work, join the waitlist for the Fall 2027 cohort.

By application

One-to-One Clinical Mentorship

Case-based mentorship for clinicians building a male pelvic health caseload. Bring the patients you are stuck on. We work through the assessment findings, the reasoning, the treatment plan, and the conversations that are hard to have.

Work through your own live cases, not hypotheticals
Pressure-test your clinical reasoning with a second opinion
Build a plan for the presentations you see most
Sessions scheduled around clinic hours

Format: One-to-one, online
Focus: Your live caseload
Availability: Limited places

Email me about mentorship

How I teach

Three commitments that shape every course here.

Taught toward the treatment room

Some of this is anatomy and physiology. Some of it is pure hands-on application. Either way it is taught toward a clinical decision rather than toward a slide deck — you should finish each module knowing what you would now do differently on Monday morning.

Beyond the tissues

In the EpiLUTS cohort, 35.9% of men with combined storage and voiding symptoms screened positive for anxiety. An assessment that stops at the pelvic floor misses most of what is driving the presentation. These courses teach a biopsychosocial approach because male pelvic health demands one.

Alongside medicine, not against it

Urology, family medicine and physiotherapy are managing the same patient. The training assumes collaboration: what medical management is doing, what physiotherapy adds, and where the handoffs belong.

Who is teaching

Clinical experience first, teaching second.

Madelaine Golec — RPT, M.Sc.PT, B.A. (Hons). I have spent more than ten years treating pelvic health conditions, and a large share of that caseload has been men: chronic pelvic pain, overactive bladder, post-prostatectomy rehabilitation, persistent genital and perineal pain.

I built a physiotherapy clinic from nothing, ran it for a decade, and sold it. That means the training here is not assembled from textbooks — it comes out of what worked, what did not, and what I wish someone had told me in my first year of treating men.

I teach the things that are hard to look up: how to open a conversation about a rectal examination without either of you flinching, how to structure an assessment when a patient presents with six overlapping symptoms, and how to know when the pelvic floor is not the answer.

Hours & certification

What these courses count for

Every course issues a certificate of completion recording your contact hours, suitable for your professional development portfolio.

Canadian physiotherapy regulators use self-directed, self-reported continuing professional development, so these hours can be logged directly. These courses are not currently approved for US CE credit — if your regulator requires pre-approved credit, please confirm before you register. I would rather you check first than be disappointed after.

Before you register

Questions clinicians ask me.

Do I need experience treating men to take these?

No. The training assumes you have completed foundational pelvic floor education and are working with patients. It assumes nothing at all about your experience with male patients — most people who take it are starting there.

Which one should I start with?

If the hesitation is physical — introducing the exam, draping, positioning, knowing your assessment is thorough — start with Confidently Treating Men. If you are already assessing men and want depth on bladder symptoms specifically, the Male LUTS & BPH Intensive is the one; it is a full clinical course covering anatomy, physiology, assessment and management. They stand alone and can be taken in either order. If you would rather work through your own cases than sit a course, ask about mentorship.

Are these open to physiotherapists outside Canada?

Yes. The self-paced training is available internationally. The live LUTS intensive runs on Zoom. The 7 February 2027 session runs 9am–5pm ET, so check that against your own time zone before registering if you are joining from outside North America.

Are these courses for patients?

No. Everything on this page is written for practising clinicians and includes clinical examination content. If you are looking for help with your own symptoms, the patient side of the site is the right place to start.

What is the refund policy?

Course purchases are final. If you are not sure whether a course fits your practice, email me at madelaine@thepelvichealthlady.com before you register and I will tell you honestly whether it is the right fit.

Registration open

The Male LUTS & BPH Intensive runs on Sunday 7 February 2027.

A full day on Zoom, 9am–5pm ET. The cohort is deliberately small and only a few spots remain. If the date does not work, the waitlist takes you to the next cohort in Fall 2027.