A full-day deep-dive into male LUTS for pelvic floor physiotherapist— bladder diary interpretation, differential diagnosis, and the biopsychosocial model applied to benign prostatic hyperplasia and OAB.
Let me ask you something…
When a male client presents with LUTS, do you treat in general principles? But what about...
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If you feel unsure, you're in the right place.
But here's the reality: BPH affects over 50% of men by age 60. These men are already in your caseload. They deserve clinicians who can go deeper than general LUTS principles — clinicians who can reason through the BPH-specific complexity their presentation actually carries.
When my caseload changed to supporting men with BPH, I had so many questions, but no course that packaged this information nicely into something I could take. So I built it.
That's the level this course operates at. Not "how to treat men." Not male pelvic anatomy from scratch. Those courses exist, and most of you have already done them. This one goes deep on BPH and OAB — so the men you already see get care that matches the specificity of what they're living with.
And once you see how to read a bladder diary properly — how to spot nocturnal polyuria vs reduced bladder capacity vs fluid mobilization vs an upper-tract pattern — you'll wonder how you ever practiced without it.
What You'll Walk Away With
This isn't just a lecture you sit through and forget.
By the end of this course, you’ll be able to:
• Interpret a bladder diary
• Recognize red flags and when to refer
• Make sense of the medical workup and collaborate credibly with physicians
• Select and interpret the right questionnaires
• Distinguish OAB from BPH-driven storage symptoms
• Prescribe conservative care safely modified for BPH
• Apply a biopsychosocial approach and integrate with the wider care team
MODULE 1: Anatomy & Pathophysiology
Anatomy of Urinary System and Physiology: To help us understand the difference of Upper Urinary tract vs lower urinary tract causes of symptoms.
Understand WHY BPH causes urgency, frequency, and nocturia
Static vs dynamic obstruction — and why this matters for your treatment choices
Pathophysiology and mechanisms for OAB
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MODULE 2: Medical & Surgical Management (Know the Landscape)
Understand medical work ups and medications — so you can work WITH the medications, not around them
Modern surgical options your clients may ask about or recently underwent
When to refer, when to collaborate, when to lead
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MODULE 3: Subjective Assessment, Questionnaires
A structured subjective assessment framework for male LUTS
Use outcome measures that matter
• IPSS scoring, severity bands and the minimal important difference
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★ Bladder Diary Interpretation — Deep Dive
The 5-step systematic framework that turns a confusing diary into a clear clinical picture
Identify 4 distinct nocturia patterns and know exactly which one to treat (and which to refer)
Key calculations: NPi, functional bladder capacity, output-per-kg and input:output ratio
Breakout group practice with real case studies so you leave CONFIDENT, not just informed
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MODULE 4: Physiotherapy Assessment & Conservative Management
A systematic objective assessment (external and internal PFM, activation and relaxation cueing)
Bladder retraining, urge suppression and PFMT — with BPH-specific modifications and safety limits
Fluid, lifestyle, exercise advice for LUTS
Medical massage for BPH, release techniques, prostate specific Qi Gong
The evidence for adjuncts: medical massage, tai chi / qigong and structured behavioural therapy
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MODULE 5: The Biopsychosocial Model for Male LUTS
The bidirectional link between psychological distress and LUTS
Central sensitisation and the autonomic (stress–bladder) connection
Applying the Fit-for-Purpose model and spotting catastrophising / fear-avoidance
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This Course Is For You If…
You already treat male clients and want BPH-specific depth
You can interpret a bladder diary at a basic level but want to go deeper on nocturia patterns, upper-tract vs LUTS, and red flags
Want to know treatment contraindications in this population
You want to confidently distinguish OAB from BPH-driven storage symptoms in a male presentation
You want tools for evaluating sensitization and applying a biopsychosocial lens to male LUTS
You want the mixed storage-plus-obstruction picture demystified — clear reasoning, not guesswork
This Is NOT For You If…
FAQ's
Q: Do I need prior experience in male pelvic health?
A: This course assumes you already see male clients or have foundational pelvic health training. You don't need to be a male health specialist — but this isn't the place to learn male pelvic anatomy or basic assessment from scratch. We move efficiently through foundations so we can go deep on BPH-specific clinical reasoning.
Q: Will I receive a certificate?
A: Yes.
• Certificate of completion for 6 CPD contact hours
• Awarded on achieving 80% (16/20) on the course quiz; one retake permitted
• Supports Canadian physiotherapists’ self-directed continuing-competence records
• US CE approval to come in the future— join the waitlist to be notified first
Q: What's the difference between this and a general male pelvic health course?
A: A general male pelvic health course gives you breadth — post-prostatectomy, chronic pelvic pain, sexual dysfunction, with BPH as one piece. This course gives you depth on one condition. You'll leave able to distinguish OAB from BPH, interpret bladder diaries with nuance (including upper-tract vs LUTS patterns), recognise when bladder retraining is contraindicated, evaluate for sensitisation, and apply a biopsychosocial lens to male LUTS. If you already treat men with BPH and feel like you're working in general terms, this is built for you.
Q: Is this course live or pre-recorded? And When?
A: Live and interactive. The breakout groups, case study discussions, and Q&A are a core part of the learning experience. This is not a passive webinar.
Exact date to be determined. Jan/Feb 2027 likely
Q: What if I can't attend the live date?
A: A recording will be available for a limited time (2 weeks) after the event. However, the live experience — especially the breakout groups — is where the real learning happens. We strongly recommend attending live.
Q: What is the benefit of joining the waitlist?
Those on the waitlist will be given first change to sign up at a founding members price. There will be limited seats available at a highly discounted rate for the pilot launch, in exchange for feedback and testimonials, to make the course better.
What What Happens Next
cohort Winter 2027.
About the Instructor
Madelaine Golec is a pelvic health physiotherapist with over 10 years of clinical experience treating both men and women with bladder, pelvic pain, and post-surgical conditions. She provides mentorship to physiotherapists seeking practical confidence in male pelvic health assessment and treatment.
Confidence starts here:
All prices in CAD