One man, three experts, three honest doors....
18 minThe PelvicRounds library
One man, three experts, three honest doors....
18 minA man backed up for twenty years, and an older patient who just needed to walk for ten minutes, the Tribe crowdsources slow-transit constipation, then Steven reads a real bladder...
17 minMost men, even some clinicians, only picture the outside of the penis, and Erica, co-teaching at expert depth, spends this stretch on the tissue that actually holds an erection,...
17 minWhen the bulbospongiosus is fine to touch but won't fire, you don't stretch it, you load it....
14 minThe man who says "I get hard but can't stay hard" and the man with that last little dribble after he zips up share one overlooked muscle, the bulbospongiosus....
16 minA man who spent months dreading a leak finally has one at night, and Woody tells him, I am so happy for you, because the leak is the bladder waking back up....
15 minHow long until I am off this thing?...
15 minOn a full catheter the bladder diary is almost lying, every number is artificial because the catheter keeps interrupting the cycle....
17 minThe most important page in the chart comes back blank, the patient never filled in his diary, so Woody teaches off a real one from another man who could not pee at all....
14 minCathy reaches for a bladder diary the second a hard case lands, and Woody shows the room the framework that instinct lives on: understand the man, diagnose from the diary, then...
14 minA 73-year-old man got by for years on a weak stream and a little straining, then his urologist found two litres sitting in his bladder....
18 minSimon's patient is training toward receptive intercourse and has maxed out the entire dilator set, with a gap left to his partner and real medical trauma underneath, a...
23 minSteven and Erika L take 'orgasm isn't ejaculation' into the hard cases, the man who finishes too fast, the one who can't finish, the one whose pleasure has narrowed to a screen....
14 minGuest teacher Erika L opens on a fifty-six-year-old who asked whether men even have a pelvic floor, then pulls apart the two things almost everyone fuses, orgasm and ejaculation....
15 minSteven runs the male pelvic-floor exam most of us were never taught, the visual one, on a minimal cue of just 'can you squeeze your pelvic floor....
20 minErica's professor has had left-sided pain at the base of the penis a day or two after ejaculating for thirty years....
14 minRick's truck-driver patient has deep inguinal pain after an appendectomy that simply will not reproduce on the table....
17 minKatie brings a man whose cancer surgery left no internal access, leaking constantly yet unable to urinate after overdoing his exercises into the ER....
22 minSteven builds a reusable spine for the dreaded second visit, the Back Pocket Tracker, so you reassess on rails instead of shot-gunning treatment....
18 minThe room gathers around Rick's vulnerable question after prostate surgery, am I doing it wrong, as his erections are not coming back the way he hoped....
17 minA young man's frequency case is stuck at six sessions and the treating clinician feels lost, so the Tribe does the least glamorous thing in pelvic care and reads a three-day...
14 minTwo live male cases that reward looking one room over from the obvious target....
18 minJean asks the practical question, when you check the spine what does that actually mean, and the room gets specific about thoracic versus lumbar and where pain points you....
18 minSteven opens his office hours with the screen most of us skip in a male pelvic case, the spine, and lays two frameworks side by side: the spinal horseman that refers pain into the...
16 minTwo closing conversations on the gap between what we know and what a patient will actually do: why wand compliance falls apart while a graded dilator set gets used, and a fit,...
17 minReshma's patient is six weeks post-prostatectomy, leaking through six pads a day even when he tries the Kegels he was promised would fix it....
20 minNeva's 82-year-old has a bladder, prostate, and bowel all talking at once, with discharge and gas when he voids....
19 minAn 80-year-old man feels finished on the toilet, then has to go again an hour later....
20 minErica tells the room why she screens every male sexual-function client for diabetes, and the reason is grief: her fiance died of undiagnosed diabetes at forty-two, the ejaculatory...
15 minSteven opens his office hours under the erection most clinics chase and finds the metabolism nobody screens: prediabetes....
15 minSteven reads Rick's question on leakage during sex, the part of recovery post-prostatectomy men are never warned about....
20 minNiva brings two men in their eighties whose urinary and bowel signals are crossing, pressure that stops the stream, discharge, explosive gas while voiding....
16 minMichelle's LUTS patient is too guarded to tolerate any internal work and still voids incompletely, so the Tribe maps the doors around it, external and perianal work, position, and...
18 minA blackjack dealer's testicular pain drops with repeated extension, but his low back digs in and plateaus....
19 minSteven reads a case from Anna, who's absent, about a man in his thirties whose pelvic pain runs on the nervous system, not the mechanics....
15 minThe tracker goes live on Jess's case, a seventy-year-old with an enlarged prostate, no leaking, but a stream that won't fully empty....
16 minErica L. brings a fascial lens to the wave of young men with chronically tight, painful genitals, thinking in layers and glide rather than just relaxing the pelvic floor....
17 minThe moment clinicians new to this work quietly dread, when a male patient's body reacts in the room. Tripti's patient ejaculates during an inguinal exam, and Erica L....
15 minTwo member cases that reward the same move, mapping the symptom along the whole neural axis instead of digging in one spot. Erica V....
20 minSteven opens the Tribe's new case tracker with his own patient, a man with a year of right-testicle pain that, oddly, feels better after sex....
17 minTwo why-questions close the session....
18 minOne thread runs through several men, the pelvic floor pulling everything upward....
29 minTwo cases braid into one skill....
30 minVishwa brings a man with frequency, urgency, and voids running near 790 milliliters, and everyone assumes a storage problem....
17 minErica L. unpacks the day-two dump, the flat, drained feeling some men get after sex, as a real autonomic event: what climbs high has to come back down....
16 minSteven gets frank about what actually happens when a man ejaculates, using two Tribe frameworks: OMG (orgasm, muscle contraction, gush) breaks the act into three separate events,...
20 minErin brings a 67-year-old who was fine until the bed started turning up soaked every night, weeks after prostate radiation....
14 minVishwa brings a 25-year-old whose pelvic pain refuses to sit still, an old L5-S1 disc, perineal numbness, and a pelvic floor that fires and quits at random....
17 minSteven and Erica L. take apart the single script most men were handed for sex, get to the explosion or you failed, and coach toward pleasure over performance....
17 minThe framework the whole session runs on, the Pelvic Fireworks, warm to hot to fire to explosive, and where a man gets stuck tells you erection problem versus ejaculation problem....
16 minSteven opens office hours on the conversation most clinicians dread, erections and orgasms, starting with Erica's 34-year-old who spent a decade sure something was wrong and found...
15 minThe 85-year-old's average void lands at 113 mL against a 330 ceiling, well under the 60 to 70 percent benchmark, so the number tells the truth the symptom hid: a sensory-storage...
19 minJoe asks the question everyone swallows, if diabetes wrecks this much can we even help, and Steven reroutes the room from restorative to adaptive care before handing them an...
18 minSteven works the one man he keeps circling back to, a type 2 diabetic with a Charcot foot and a near-silent bladder, to show the two engines under the fallout: vasculopathy...
20 minClosing the session where arousal meets the nervous system: the three erection types, psychogenic, reflexogenic, and nocturnal, and how to lean on the mind's pathway when a...
15 minThe conversation almost no one has with men after prostate surgery....
15 minThe clinic-craft around the clamp: work the storage strategies first, spine, abdomen, and pelvic floor, and reach for the clamp only if storage will not budge, so you never build...
19 minSteven turns the clamp from a generic gadget into a measured tool, tracking maximal voided volume before, during, and after clamping so you watch storage climb instead of guessing....
13 minSteven admits he used to dread the post-prostatectomy men who leak all day and won't do their exercises....
16 minKathy brings a knotted case, pain on erection, an old low-back fusion, pain that dropped to a three then came roaring back, and Steven's rescue move is to categorize before...
20 minJoe brings an 85-year-old referred for incontinence whose real complaint is nocturia, four-plus trips a night, and Steven reads the three-day bladder diary to find the cause....
15 minSteven walks a real sex-log patient, testicular pain only after sex in a man carrying a testicular-cancer history, and shows why a written log reads patterns memory never could....
14 minSteven opens the year on the subject most clinics avoid, pain with sex in men, and reframes the first question from where it hurts to when, before, during, after, or with...
15 minSimon asks balloon or dilator for a thirty-year-old with lifelong constipation and incomplete emptying....
17 minJoe is seventy-four and leaking after a prostatectomy, so everyone reaches for Kegels....
16 minKevin has had pain across his back, hip, groin, testicle, and penis for twenty years since a car wreck....
23 minErin brings a sixty-four-year-old man up all night with urgency and frequency, no leaking ever, and a three-day bladder diary....
16 minSteven pulls up one gentleman's filled-out sex-range-of-motion chart and reads it aloud, the breathing, the pelvic floor, the two arousal lines....
14 minA man with erectile dysfunction lands on your schedule and you have twenty minutes....
14 minSteven and Erica close the deep-dive on the mindset of premature ejaculation, where one interoception cue, kiss the seat, brings an in-his-head patient back into his body....
13 minJamie asks how to set honest expectations in male sexual-function work, and Steven reframes it around shared decision-making before opening a deeper teaching....
21 minSteven reads Joe's real three-day bladder diary and a storage problem turns out to be hiding as a voiding one, with a weak stream that was worse when the bladder was less full....
17 minAmanda asks Steven to walk the spinal screen start to finish, from seated posture correction through standing range of motion, baselines, and the repeated-movement retest....
14 minA five-year testicular-pain case that improved to 5 out of 10 and then stalled cold....
14 minThe workflow meets four real men, each kept in his own lane: Gene's forty-year-old stalled on pelvic tilts, Joe's mid-thirties patient worse with receptive anal sex, Steven's...
30 minSteven opens office hours with the screen nobody teaches cleanly: how to actually rule out the spine in a man with testicle, penile, and pelvic pain....
24 minThe finale: Eric brings a confident hunch about a chronically tight pelvic floor in a sixty-year-old with decades of retention, and Steven turns the diagnosis back into a workup....
16 minSteven reads Sarah's case of a man who stayed dry after one prostate procedure and started leaking after a second, and lets the timeline be the clue instead of throwing every tool...
15 minSteven works Tracy's case of a young man whose erectile trouble resolved but who is now distressed by his elevated testicles and the look of his erection, with no pain anywhere....
13 minSteven launches a research-review format with a study of ten continent men under transperineal ultrasound, and the one perfect pelvic-floor cue turns out to be a myth....
19 minSteven manages Helen's stuck case where it gets human: a man too sensitized to sit and unwilling to undress....
17 minHelen brings a man in his forties whose pelvic and leg pain started with the pudendal injection meant to fix it and won't budge....
19 minErica's standing somatic practice turns into a clinical lesson on the upregulated male nervous system....
19 minWe cross from Woody's LUTS world into Steven's office hours, where shame is half the problem....
18 minThe room is handed to Erika for a live grounding practice with Steven as the one being guided, building safety from the feet up before the body is ever asked to soften....
22 minSteven names the discomfort clinicians carry into sexual-function work and clears it out, treating ejaculate as just another fluid system and debunking the semen-retention myth....
22 minErika brings Steven a 48-year-old client who was born with one testicle and has hidden a prosthetic for thirty years, and the real treatment turns out to be shame, not anatomy....
17 minThe case part of office hours: Susan's scattered sex-log becomes a window into the soul, a 15-year-old's testicular pain gets an abdominal-wall test instead of a prescription, and...
24 minAva wonders why you'd track energy after sex, and that small question opens the richest stretch of the morning....
13 minVictoria asks whether a man who takes forever is the same as one who never gets there, and Steven keeps delayed and anorgasmic apart....
15 minA 35-year-old office worker can't reach orgasm, and Steven hands the Tribe a map for it....
17 minAn open-floor hour with three Tribe members and three different men: Victoria's rising delayed-ejaculation referrals, Marcy's rare case where the penile skin will not retract...
21 minVishwa brings a man whose penis has felt retracted and contracted since a vasectomy last November, a case his GP pinned on pelvic-floor spasm....
24 minCarl is 28, a school counselor self-diagnosing hard flaccid, with pain that spread from pelvic and penile into his back and neck....
18 minSimon's case is a 66-year-old man three months post-prostatectomy, leaking on standing, with a Tagalog language barrier Steven treats as part of the clinical problem....
15 minTwo Tribe questions back to back: Ava's patient who can clench everything except the superficial floor and is deaf to verbal cues, and Max's testicular pain that doesn't trace to...
15 minErica L. brings a man in his late fifties whose erectile treatment was going fine until his vision dropped out for hours and bloodwork came back with secondary polycythemia....
16 minCarl is a 28-year-old school counselor with years of pain during sex and urination and nothing on the scans, the man we get stuck on because we can't rule the spine in or out....
28 minThe most sensitive stretch of the session, handled tightly clinically....
22 minSusan brings a 27-year-old runner tangled in constipation, reflux, and bloating that a previous therapist had waved off as not pelvic-floor related....
21 minStaying with the 52-year-old leaker, Steven turns the endurance finding into a prescription he calls the Pelvic Floor Kama Sutra, training continence in the exact positions where...
21 minA 52-year-old man is dry all night and tests a textbook 5-out-of-5 pelvic floor, yet still leaks when he bends, cleans the garage, or rakes leaves....
18 minWoody closes the loop with the last two I's: voiding diagnosed through the post-void residual, and why incontinence, the most embarrassing of all, gets treated dead last....
25 minThe water is ruled out, so the bladder itself goes in the chair....
20 minWoody lays out the four I's, the map the whole Tribe navigates by, and teaches the first one, fluid imbalance, read straight off the 24-hour output and the nocturnal polyuria...
23 minWoody reopens Max's case and makes the quiet radical move: the symptoms aren't the diagnosis, the function is....
30 minThe payoff episode and the hard ones the Tribe shows up for....
17 minBefore any fancy intervention, Woody almost always changes how a man drinks....
18 minThree or four trips a night and the bladder takes all the blame....
20 minWoody takes apart the label almost everyone would slap on Mr. Samuel, overactive bladder, walking it from a disease to a syndrome to a symptom complex....
23 minWoody opens a new Mastermind format, one real case the Tribe follows over months, with Mr. Samuel, a 42-year-old teacher with three years of urinary trouble....
16 minWoody walks Amanda's hardest patient, a man with years of obstruction, self-catheterization, a suprapubic tube, and a prostatectomy, through the four I's, and refuses to chase the...
15 minAmanda joins late from the Saturday symposium with a knotty case, and Woody uses it to teach the heart of the Wizard of LUTS: symptoms lie, so diagnose by function....
16 minA thin-attendance morning becomes a framework teach....
14 minGina asks how to help men who are dry by day and soak the bed at night, and Woody widens past the bladder to overnight urine, fluid timing, and ruling out sleep apnea....
13 minA rapid drill of teaching cases where the same-sounding complaint needs the pressure pushed in opposite directions: an overactive bladder you calm down, an insensitive bladder you...
21 minFive breathing patterns, four that bring pressure down to store and one, abdominal, that brings it up to void, plus the 80 percent squeeze guardrail....
19 minMax names the four things that crank up belly pressure and the one rule that decides everything, bladder pressure versus urethral pressure, storage down and voiding up....
17 minCathy's post-prostatectomy patient stays dry on a slow squeeze but leaks like a faucet on quick contractions....
15 minCathy's patient takes forty-five seconds to empty, so Woody runs the slow voider down the zones in order and brings out the Cup Test, two cheap cups and a documented protocol that...
30 minA June BPH case referred by urologist Dr. Zorn for physio before surgery, where the man's own bladder diary makes a recommendation almost nobody expects, stand to void....
23 minWoody maps the four mechanical zones, spine, abdomen, pelvic floor, and bladder, and shows why the bladder stands alone as the one smooth muscle you can't boss....
16 minWoody opens the Wizard of LUTS by refusing to chase symptoms....
14 minSpine first, because it carries the nerves and sets the pressure, and a man's daily variation is the pattern, not the noise....
21 minEach of the four zones gets a storage move and a voiding move, and the trap is starting a storage-impaired man on voiding work....
15 minWoody makes it physical: a bladder is a smooth muscle that has to be stretched before it can squeeze, so storage genuinely comes before voiding....
15 minTwo men in their late sixties walk in the same week with the same complaints, and the bladder diary splits them in half: one is storage-poor, one is voiding-poor....
19 minWoody opens the Wizard of LUTS with a deceptively simple claim: a man's own symptoms lie about what his bladder is doing....
18 minThe closer: a hand-and-fist trick that makes a man understand his whole bladder system in seconds, the Kegel cautions that matter most, including never Kegel with a catheter in,...
13 minWoody calls male BPH a level-five problem because men carry a prostate that can block the road and suffer more bladder dysfunction on top of it....
13 minThe engine room of Woody's approach: fluid, storage, voiding, and incontinence, checked in that order every time, with incontinence dead last because the leak is usually a symptom...
18 minA man hands you slow stream, urgency, dribbles, and four trips a night, and you don't know which thread to pull first....
16 minThe finale carries the rule Woody most wants the Tribe to keep: never hand Kegels to a man who cannot empty, because the squeeze that rescues a post-urethrotomy patient pushes an...
14 minA Tribe member asks whether these bladders simply fatigue, and Woody answers with the micro-motion idea and a tired-engine analogy: with obstruction the engine revs but the gate...
17 minThe episode the Tribe loves: Woody plays six pee videos and quizzes the room on whether each bladder is obstructed or underactive....
20 minWoody puts two men with the exact same 80-gram prostate side by side, a 64-year-old with diabetes and chronic back pain and a 73-year-old with heavy nocturia, and reads everything...
22 minWoody opens the BPH huddle on Erica's husband Tom, 55 with a prostate over 100, who still cannot sit through a TV show....
17 minThe endgame is the last few drops, and this is where it is easy to do harm....
14 minThe spine cleared, Woody climbs the mechanical zones in order: lateral-costal breathing to drop the pressure on the bladder, then a pelvic floor assessed standing because that is...
14 minMax admits he never measured a post-void residual, and Woody turns it into a lesson: a dribble that stays steady no matter how full the bladder is, with a normal stream, clears...
14 minInside the bladder diary, Woody turns a page of numbers into a plan: cut fluid quantity before timing, count a milky latte fully but an espresso barely at all, and read the...
15 minA manual therapist in the Tribe, Niva, says the quiet part out loud: what if the pelvic-floor work she teaches is causing the leak....
14 minWoody tours the male lower urinary tract to find where the last drops hide, landing on the bulbospongiosus, the small muscle that clears the horizontal bulbar urethra....
14 minWoody and a Tribe member named Max open a post-radical-prostatectomy case by doing the thing most of us skip: defining the dribble before treating it....
17 minWoody ties the whole case together with the anatomy of the dribble: a tight bulbospongiosus lets urine pool in the mid-urethra and release later, and the same muscle sustains an...
16 minWoody builds the fix and it starts with how the man drinks, not just how much....
14 minThe numbers land, and two of the four I's resolve in ways you would not guess for a fit young man....
19 minWoody asks the room whether post-micturition dribble is a storage problem or a voiding problem, and the answer flips how you treat it....
14 minA 23-year-old delivery driver walks in swearing his post-zip dribble is nothing, and everyone before Woody waved it off....
14 minThe bladder's 1-2-3-4 sensation map, when to breathe, when to bring the floor in, apical vs abdominal breathing, and a closing reflection on the privilege of this work.
22 minThe pressure formula in vivo, a man goes from a 150 mL to a 250 mL void in one session through breathing + pelvic-floor timing, and the bladder that works fine but empties early...
19 minThree techniques for post-void dribble, squeeze, milk, shake, and why squeezing an underactive bladder backfires. Plus the ultrasound gallery: eggplant, pancake, sea-star.
18 minSamuel's real numbers, capacity 170, storage-dominant, why a proud 700 mL void is a warning not a win, the healthy 260 to 350 range, and cluster drinking to retrain the bladder.
16 minThe pressure formula behind every decision (vesical = abdominal + detrusor, vs urethral), why a Kegel can backfire, and why Woody rules out the spine before he touches the pelvic...
14 minMeet Samuel, and the four I's, why you treat a man's bladder in order (fluid, storage, voiding, incontinence), and why the leak comes last....
21 minThe series closes with how Woody actually runs a first hour: history, a quick pressure and spine screen, the functional diagnosis, and only then treatment....
17 minTwo real Tribe cases where the framework meets messy reality: a man ten years past prostate surgery who leaks the moment he is aroused, and a patient on heart medication and a...
14 minWoody lays out the whole map of male leakage, stress, urge, mixed, postural, overflow, insensible, continuous, and the sex-related ones, and sorts which are yours to treat, which...
17 minThe third and fourth I's, voiding and incontinence, and why Woody treats the leak dead last....
17 minWoody opens the symposium with a real 32-year-old's bladder diary and his four I's framework, worked in order: fluid, storage, voiding, incontinence....
13 minA man's anal burning gets worse with soft stool and eases when it is firmer, and Steven uses him to open the spinal zone for the bowel that almost nobody tries: extension-based...
17 minThe room subtypes the same tip-of-the-penis pain in real time, using whether it is worse standing or lying down to tell spine from pelvis, then splitting the pelvic floor into the...
14 minA 72-year-old former triathlete has burning at the tip of the penis that arrives hours after ejaculation, and a urologist's ultrasound found nothing....
16 minSteven premieres the Magical Fours, his graded-exposure framework for desensitizing raw, hypersensitive tissue, and shows it live on a post-prostatectomy case whose incision...
23 minA rapid-fire Q&A on three separate patients: a man leaking badly after prostatectomy sorted by storage versus control and the cup test, a spinal-pain case that needs lateral...
18 minA live case: Victoria brings a surgeon who can hold a scalpel steady for hours but can't finish in bed....
22 minErika walks the pleasure-mapping practice step by step, hunting nerve endings in the palms, ears, soles and genitals and coaching a man to say 'that's nice' out loud....
14 minBefore any hands-on work, Erika teaches you to help a guarded man harvest joy....
19 minTwo psychosocially heavy cases close the session: a man producing far more pre-ejaculate than usual while starting trauma therapy, and Marlise's returning patient with constant...
17 minA frank, clinical look at a man eight months post-prostatectomy who leaks urine at orgasm, what he calls a hose....
20 minTwo stubborn cases where careful sequencing, not a clever technique, is the real work....
17 minThe wrestler case resolves, and the culprit is not the spine....
15 minA 19-year-old wrestler shows up with two weeks of testicular pain and no mechanism, and Steven hands the whole room the case to crack live....
16 minA thirty-year-old cable lineman's inguinal hernia blows out from a single cough, and the room wrestles whether it is theirs or the surgeon's....
16 minA full case clinic on a man around 80, incontinent day and night for over a year, who can store but cannot empty....
20 minSteven's signature teach on the Greatest Symphony Orchestra, where breath, pelvic floor, and pelvic movement learn to play together....
25 minThinking about bringing point-of-care ultrasound into your pelvic PT clinic?...
13 min