Brief Answer: Special exercises first, surgery possible, later Detailed Answer: Hi and thanks for the query, This is the main muscle supporting the floor of the pelvis. An evaluation by a surgeon or urologist is usually imperative before a decision can be taken, concerning treatment options, in case of weakness or detachment. This is important muscle in male urinary and reproductive/sexual activity. Special exercises are the main option used in strengthening this muscle, generally called the Keggel exercises. Surgery is considered an option only when these special exercises fail. It is worth noting that the results from strengthening exercises could even take up to months before being very visible. You need not get discouraged so early. Special surgical techniques do exist to repair or strengthen the pubococcygeus muscle, but this is always considered as the last resort. A proper clinical review and follow up by a urologist would be very helpful. Thanks and kind regards. Do feel very free asking follow up questions in case you got any specific concerns. Kind regards as I wish you the best of health. Dr Bain

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