pelvic floor physical therapy, when promoted as a treatment for hfs, is based entirely on the unfounded assumptions of uninformed and apathetic urologists. change my mind.

for a long time, my general thesis has been that this cycle has played out hundreds, if not thousands, of times before: a young man develops hard flaccid syndrome, consults an apathetic, uninformed urologist who offers no real answers, and is merely referred to pelvic floor physical therapy by pure deduction, meaning there is no logical basis for the referral beyond the urologist's inability to identify any other issues, so they resort to suggesting pfpt as a catch all solution, simply because they couldn't find anything else wrong.

if what I'm saying is true, it raises serious doubts, then, about the reported success rate of pfpt when applied to hfs, which, evidently, is still quite low; emphasis on "reported." so, if referrals to pfpt are essentially arbitrary, driven solely by the urologist's inability to identify or diagnose the underlying issue or whatever, then the effectiveness of pfpt would be no more reliable than any random, non-specific treatment recommendation, like sleeping eight hours a day, getting a back massage, taking cough drops, or anything else that is equally baseless and illogical in the context of treating hfs.

anyway, prove me wrong.

I also just want to clarify that I'm not opposed to pfpt itself, as it's safe, and there's really nothing to lose by giving it a try.