How to Properly Do Kegels for Men: Last Longer & Improve Erection Strength
By Rena Malik, M.D.
Summary
## Key takeaways - **Kegels Aren't Just for Women**: Kegel exercises, initially developed for women, are equally important for men to strengthen pelvic floor muscles that support bladder, prostate, and erectile function. [00:08], [01:24] - **Study Shows Kegels Improve ED**: A 2005 study found that men with erectile dysfunction who performed pelvic floor exercises with biofeedback showed significant improvements, with about 40% regaining normal function after six months. [01:43], [02:19] - **Kegels for Premature Ejaculation**: A 2019 systematic review indicated that Kegel exercises generally improved premature ejaculation, with one study reporting a resolution in 55% of men and another increasing ejaculation time significantly. [03:14], [03:40] - **Post-Prostatectomy Benefits**: Kegel exercises are commonly prescribed after prostate surgery to decrease urinary leakage, with studies showing that guidance from a certified pelvic floor physical therapist yields the best results. [03:54], [04:16] - **How to Find the Right Muscles**: To perform a Kegel, locate the perineum (the area between the scrotum and anus) and feel for a tightening or bulging sensation when contracting these muscles, avoiding clenching the buttocks or abdomen. [06:23], [08:00] - **Consistency is Key for Results**: Strengthening the pelvic floor requires consistent daily practice, starting with simple contractions without holding them, and being patient as results may take time to manifest. [02:44], [12:48]
Topics Covered
- Men Need Kegels Too: Understanding Your Pelvic Floor
- Beyond Bladder Control: Kegels' Surprising Benefits for Men
- Are You Doing Kegels Wrong? The Critical Self-Check Method
- The "Flick On, Flick Off" Rule: Why Holding Kegels is Counterproductive
Full Transcript
you guys might have heard about Keele
exercises but how exactly do you do one
i'm Dr mina Malik urologist and pelvic
surgeon and today we're talking about
Keele exercises for men yep you guessed
it they aren't just for women if you've
ever wondered how to improve your
bladder control support your prostate or
even turn up the heat in the bedroom
you're in the right place in this video
we're going to talk about what Keull are
why the science says they work who
they're great for and who should skip
them plus I've brought an expert on
pelvic floor exercises a pelvic floor
physical therapist Eric Leki who's going
to teach you step by step how to perform
Keele exercises so what are Keele
exercises so think about your pelvic
floor like a hammock of muscles or a
bowl of muscles running from your
tailbone to your pubic bone these
muscles specifically one the pubo
coxyius or PC muscles support your
bladder prostate and rectum they're
important for the ability to urinate and
hold your stool in to have good sex and
they're part of your core they're
important for stability and normal
function keele exercises are simple
exercises that are used to strengthen
this hammock they were named after Dr
arnold Kele who introduced them in 1948
and they're essentially a form or one
exercise part of pelvic floor muscle
training now this was initially
developed for women to address leakage
of urine after childirth however they
are as important in men because just
like in women in men these muscles can
weaken due to things like aging prostate
surgery diabetes and this can lead to
issues like leakage with urination and
sexual problems now the good news is
there are several studies that have
looked at the effectiveness of exercises
like Keeles for men in 2005 a study
looked at the role of pelvic floor
exercises in restoring erectile function
now this was a randomized control trial
with 55 men who had ED the intervention
group received pelvic floor exercises as
well as BOF feedback which is
essentially using patches to let you
know what you're doing and how strong
the contractions are and the control
group had lifestyle advice and after 3
months of this the group that had the
intervention showed significantly better
improvements in erectile function
compared to the control group and after
6 months about 40% had regained normal
function they also saw a significant
improvement in that postvoid dribble so
that little dribble that comes out after
you urinate in the intervention group
now this all sounds amazing but I want
to be sure to tell you the limitations
the study did have a large number of
patients who dropped out before the end
of the study about 40% now this is
important because these exercises are
just like any other exercise you need to
stick with them do them consistently
otherwise they don't work and they can
be time inensive and for some people
they feel like they're not seeing
improvement quickly enough and they'll
give up just like anything else some
muscles will be harder to get larger for
some people than others especially if
they are very weak to begin with so this
is just to tell you that this is
something that you really have to work
for if you want to see improvement let
me share another study with you in 2019
a systematic review was done by Meyers
and Smith that looked at 10 studies and
found that generally speaking Keigull
improved erectile dysfunction as well as
premature ejaculation for erectile
dysfunction all five trials showed
improvement and some even saw cure rates
up to 47% when paired with BOF feedback
or stimulation of the muscles and in
terms of premature ejaculation one study
reported that 55% of men 43 out of 78
completely resolved their premature
ejaculation and another study saw that
ejaculation time increased from 39.8
seconds to 146.2 seconds in 40 men now
the most common place us urologists will
prescribe these kind of exercises after
a prostatctomy or surgical removal of
the prostate because some men will
develop urinary leakage after surgery
which is occurs when they cough sneeze
or lift heavy things and multiple
studies have found that doing these
exercises does decrease the amount of
leakage they have over 24 hours however
they found that doing it with a
certified pelvic floor physical
therapist actually shows the best
results that's like going to the gym
with a trainer now lastly while there's
not a lot of scientific evidence about
this it may help with orgasmic intensity
and this is because stronger pelvic
floor muscles might actually help with
pleasure what happens when you climax
well your pelvic floor contracts and
when those muscles are stronger they can
contract more powerfully meaning that
you might ultimately have a more
powerful and satisfying climax so who
are these exercises good for they're
good for men who have ED who might have
premature ejaculation who have urinary
leakage or other postproctomy issues now
before Eric teaches you how to do these
exercises I want to make sure to tell
you who should avoid keigull first and
foremost is anyone who might have pelvic
floor dysfunction so how might you know
if you have pelvic floor dysfunction so
if you have chronic pain in your
genitals or your pelvic area if you have
pain with orgasm ejaculation or erection
if you have chronic constipation if you
have a lot of urinary issues like
urinary frequency and urgency I would
get evaluated first to rule out any
pelvic floor dysfunction before you
start doing keigull on your own at home
now if you had a recent surgery or a
urinary tract infection again hold off
until you see your doctor and get
cleared and your UTI has
resolved hi everyone my name is Eric
Leki i'm a pelvic floor physical
therapist i'm a fellow YouTuber and I
help guys just like you get rock hard
and stay lef free now today I am going
to teach you how I like to coach my
clients through a pelvic floor
contraction also known as a Keigull
exercise so now first of all first
things first we need to understand what
muscle group we're actually
strengthening up because for a lot of us
guys we didn't even realize we had a
pelvic floor so excuse the visual but
this is the muscle group we're working
on so if I pull my leg up here the
muscle group right down here below your
scrotum in that crotch that groin region
that's called your paranneeium so if you
lift your scrotum up there's a a spongy
piece of skin right underneath again
excuse the visual but I know everyone's
going to want to know what exactly I'm
talking about that's your paranneeium
that's the muscle group that we're
trying to strengthen up to get rock hard
erections and to stop any urine dripple
that's also the area that we need to
feel also called palpate to make sure
that we are doing these exercises
correctly because if you don't know what
to feel where to feel how much to feel
you can't be certain that you're
actually strengthening up the right
muscles so how do we know what to feel i
want you to take two fingers on your
dominant hand so I'm right-handed so I
got my index finger middle finger like
this in the position as if you were
about to take your pulse now no we're
not taking your pulse in this video but
we're going to use these fingers to feel
our paranneeium so if you're sitting
down watching this video on a couch or
on an office chair wherever scooch all
the way to the front of the chair so
that your scrotum and your penis is
hanging off okay so just your sitbone
should be in contact with the chair next
take your two fingers lift your scrotum
up and place those two fingers directly
over top of your paranium like this if
you can see my fingers you're just
pressing up you don't want to dig in
you're holding them there good okay now
with your free hand just place it on
your knee and I just want you to relax
take a deep breath in and
out now we are ready to go so you're
probably wondering Eric why in the world
do I have my two fingers down there well
one what you should be feeling for is
either a bulging out into those fingers
or a tightening of the skin underneath
them so if you can feel anything moving
at all underneath these two fingers you
are contracting your pelvic floor that
is what we're aiming for if you can't
that's okay don't worry it's just going
to take a little bit more practice but I
always like to have the two fingers
there to make sure I'm doing it properly
okay two fingers in place over top of
the paranium free hand on your knee
you've relaxed now we need to use a
phrase that you're going to say to
yourself to elicit the muscle
contraction because remember we can't
see these muscles it's not like our
biceps or our triceps where we can tell
them to contract clearly need to work on
my biceps and we can we can tell them to
relax we need a little bit more focus
with these exercises so when I say so
you're going to close your eyes but
don't do it just yet two fingers in
place free hand on the knee sitting
upright feet space shoulderwidth on the
floor now the first phrase is I want you
to imagine you are stopping the flow of
urine imagine you're standing in front
of a urinal and I want you to stop and
then relax so watch me you're going to
close your eyes you're going to breathe
in you're going to breathe out let all
the air out of the lungs and once all
the air is out of the lungs stop the
flow of urine let it go and relax
breathe in
again breathe out let all the air out
once all the air is out of the lungs
stop the flow of urine relax you should
feel a flicker a bulging out a
tightening of skin underneath those two
fingertips now for those of you that are
just starting out and are beginning your
journey with pelvic floor strengthening
it's okay if you didn't feel a strong
contraction these muscles need
strengthening hence why you're watching
this video that's okay don't stress over
time that contraction strength you'll
feel it more and more and more now if
you didn't feel it at all I'm going to
take you through one more phrase that I
find also works well this phrase is I
want you to close your eyes and imagine
that you're walking out into a freezing
cold ocean as soon as your scrotum hits
the water that feeling where your it
feels like your genitals suck up into
your stomach that's what I want you to
replicate so let's try it again fingers
over the paranneeium free hand on the
knee sitting up nice and tall big breath
in big breath out now once all the air
is out of the lungs you say to yourself
"Lift your nuts to your guts let it go
one more big breath
in big breath
out lift your nuts to your guts and let
it go it should feel like it's all
moving in sync and then letting go." So
that's the second phrase that I use i
love what Eric is saying here here's one
more way I like to help guys visualize
what to do to do a kele exercise and
that is imagine that you're lifting your
penis off the ground without touching it
or you're holding in a fart the
important thing is to make sure you're
not clenching your butt muscles or your
abdominal muscles so that you don't are
really focused on just those pelvic
floor muscles also I like to tell people
to start these lying down so you're not
activating any other muscles and you
really can just focus on your pelvic
floor muscles once you get good at those
then you can start doing them sitting
and then ultimately standing now what I
like to get my guys started with is
doing a set of 10 of these sitting down
so that's 10 breathing cycles breathe in
breathe out either stop the flow of
urine or lift your nuts to your guts
relax it's like you're flicking on a
light switch flick it on flick it off do
not hold a contraction just yet you're
not ready for it and if you try to do
too much you're actually tensing up the
pelvic floor and that is
counterproductive to trying to
strengthen it so let's start slow let's
close our eyes when we do them and let's
focus on quality not quantity and you
should have your fingers over top of
your clothes and over top of the
paranium every single time to make sure
you're getting those quality reps now I
have a ton of videos on how to progress
your pelvic floor strengthening
exercises over on my YouTube channel
which I'm sure uh Dr malik will
reference down below in the description
um of this video i wanted to say thank
you so much to Dr malik for inviting me
on her amazing YouTube channel and
getting to talk with all of you and one
thing I want to leave you with is trying
to strengthen up your pelvic floor
muscles it can be a pretty frustrating
experience especially if you're just
getting started you need to give
yourself some slack cut yourself some
slack breathe be patient and dedicate a
small amount of time every single day to
doing your Keele exercises i like to
start with only 30 reps a day if you're
just getting started 10 reps in the
morning a flick on flick off 10 reps in
the afternoon sitting down and then
maybe another 10 reps at night sitting
down 10 reps flick on flick off 30
repetitions until you can get the hang
of it how you know you're ready to
progress is when you can really engage
that contraction and feel it clearly let
go it's going to take a little bit of
time and for a lot of us men we want to
rush this process but unfortunately with
the pelvic floor it's not something that
we can rush so be patient with yourself
a big thank you to Eric for joining our
channel and helping us teach you all
about Keele exercise if you want to
learn more from him check out his
YouTube channel and guys if you have not
yet subscribed I don't know what you're
waiting for it is free guys it is
completely free hit the subscribe button
and as always we're going to take care
of yourself because you're worth
Loading video analysis...