Male pelvic floor dysfunction is real, common, and almost never addressed. Post-prostatectomy urinary leakage, chronic pelvic pain, age-related pelvic floor weakness, and core instability from years of heavy training — all of these sit in a part of the body most men were never taught had a name, let alone a treatment. Dynamic Core+ addresses it directly, and it does so in 28 minutes a session, fully clothed.
What Male Pelvic Floor Dysfunction Actually Is
Men have a pelvic floor — a sling of muscle and fascia that supports the bladder, rectum, and prostate (if present) and contributes meaningfully to core stability and urinary control. It gets damaged or weakened by surgical trauma (prostatectomy is the biggest driver), chronic pelvic pain syndromes, heavy lifting over decades, cycling-related ischial pressure, and simple age-related atrophy.
Symptoms cluster into three groups. Urinary — leakage with cough, sneeze, exertion; urgency; incomplete emptying. Structural — a sense of weakness or pressure; reduced core stability under load; chronic low back or hip pain that imaging cannot explain. And pain — chronic pelvic, perineal, or groin pain that has been worked up by urology, gastroenterology, and sometimes several other specialties without a clear answer. Many men carry some combination of these for years.
How We Treat It With Dynamic Core+
Dynamic Core+ combines EMSELLA — a High-Intensity Focused Electromagnetic (HIFEM) chair — with focused shockwave to the surrounding structures. One 28-minute EMSELLA session delivers the equivalent of roughly 11,000 voluntary pelvic floor contractions. No man can do 11,000 Kegels. The point is not effort. It is recruiting motor units that voluntary effort alone cannot reach, particularly when the nervous system has lost the wiring after surgery or years of inhibition.
Focused shockwave — Dynamic Shockwave+, delivered on Storz devices, the platform I teach on at ASTI, the American Shockwave Training Institute I founded — addresses the surrounding fascia, ischiorectal tissue, and pelvic ligaments. Radial pressure waves — what most clinics call “shockwave” — scatter at the surface and are not true shockwave. Focused waves reach the structures that EMSELLA’s muscle activation needs to pull against.
For select post-surgical cases with identifiable tissue damage, we add Dynamic PRP+ — concentrating platelets at 12 to 20 times baseline, with over 10 billion platelets extrapolated from research, not the 2 to 3x most clinics produce — under ultrasound guidance into the specific damaged tissue. Dr. Garg sequences what the specific patient needs, not a template.
Over 90% of our patients self-report a 75% or greater improvement following treatment.
For male pelvic floor dysfunction, the combination of EMSELLA and focused shockwave produces measurable improvement most men could not achieve with Kegels, medication, or surgery alone.
Your Recovery Timeline
Pelvic floor tissue responds on a dual track — immediate neuromuscular activation, then slower fascial remodeling. Most men notice functional change inside the first few sessions.
| Phase | Timeframe | What Happens |
|---|---|---|
| Initial activation | Sessions 1–2 | Motor unit recruitment improves |
| Strength gains | Weeks 2–4 | Measurable increase in pelvic floor force |
| Functional return | Weeks 4–8 | Leakage, pressure, pain measurably improve |
| Consolidation | Weeks 8–12 | Gains stabilize, maintenance plan built |
Is It Worth It?
Think about what chronic male pelvic floor dysfunction actually costs. Urology workups. Urodynamic studies. Pharmacologic trials. Years of appointments that end with “let’s just keep watching it.” Post-prostatectomy surgical revision when conservative care fails can run $15,000 to $40,000. Chronic pelvic pain sends men through multiple specialists, multiple imaging studies, and often a pain-clinic cycle nobody wants to be in.
Dynamic Core+ is self-pay. It is a fraction of the cost of the downstream care men end up needing when the dysfunction is left untreated. Cherry Technologies offers payment plans. The dream outcome is not complicated — dry. Strong through the core. No longer planning your day around a bathroom. No longer avoiding the gym, the golf course, or the long car ride. Those are not small things when you have been quietly managing them for years.
A Real Patient Story
K.B. is an established fitness and wellness professional with 25 years in the field. He came in for an ankle injury and was introduced to EMSELLA as an adjunct. His perspective carries weight specifically because he has seen a lot of equipment over a long career. Here is what he shared:
“They also had me test out the Emsella for pelvic floor strengthening, which was a surprisingly powerful add-on. I’ve been in the fitness and wellness space 25 years and have never felt a machine activate deep inner muscles so precisely.” — K.B., Google review
Take the Next Step
Dr. Garg will personally evaluate what is actually driving your symptoms — post-surgical, age-related, pain-syndrome, or something else — and design a protocol that addresses the cause, not just the symptom. He will tell you if Dynamic Core+ is the right path. He will also tell you if you need to see a urologist or other specialist first.
Call: (303) 997-1733
Visit: www.dynamicathlete.com
Email: StayActive@DynamicAthlete.com
Location: 1790 30th Street, Suite 270, Boulder, CO 80301
Insurance is accepted for consultations and office visits, including Medicare and Kaiser. Advanced regenerative treatments are self-pay. Payment plans are available through Cherry Technologies.
FAQs on Male Pelvic Floor Treatment
Is Dynamic Core+ appropriate for men after prostatectomy?
Yes — post-prostatectomy urinary leakage is one of the strongest indications. We typically start 6 to 12 weeks post-surgery after your urologist has cleared you for activity. EMSELLA rebuilds the pelvic floor strength surgery compromised. Focused shockwave addresses the surrounding fascia. Most men see meaningful reduction in leakage within 4 to 6 sessions.
How is the protocol tailored for men?
Every protocol starts with a focused history and physical exam. The EMSELLA intensity curve gets tuned to each patient’s motor threshold. Shockwave targets are selected based on whether the dominant issue is post-surgical, pain-syndrome-related, or age-related. For patients with identifiable tissue damage, Dynamic PRP+ is an adjunct. Dr. Garg sequences what is actually needed.
What results can I expect?
Most men report meaningful functional improvement within 4 to 6 sessions and continued gains over 8 to 12 weeks. The specific change depends on the starting point — men with post-prostatectomy leakage see dryness return; men with chronic pelvic pain see pain decrease and core stability improve; men with age-related weakness regain strength and continence.
Are there risks specific to men?
Men with certain pacemakers or metal implants near the treatment zone, active pelvic infection, or specific pain conditions need screening before proceeding. EMSELLA itself is non-invasive. You remain fully clothed. No sedation, no catheter, no recovery room. Dr. Garg screens for contraindications during consultation.
How long before I return to the activities I care about?
Most men are cleared for full training, lifting, golf, and cycling within 2 to 4 weeks — there is no activity restriction tied to EMSELLA itself. Shockwave sessions do not require downtime. The functional benefits — continence, core stability, pain reduction — build over weeks 4 to 12 as neuromuscular and fascial adaptation compound.
We see patients from across the Front Range — Boulder, Longmont, Lafayette, Louisville, Broomfield, Superior, Denver, Golden, Erie, Westminster, and the mountain communities.