My commitment to pelvic floor physical therapy is not simply because it is one of many treatment options—it is because I have experienced firsthand how understanding the body’s movement can change everything. Physical therapy is not just about muscles or exercises; it is about unlocking the body’s full potential through science, awareness, and connection.

■ The Early Days as a Urologist — and My Inner Struggle

When I first became a urologist, I was far from the doctor I wanted to be. I was young, inexperienced, and focused only on completing the tasks assigned to me. At the same time, I had an entirely unrelated personal dream: to win a sports tournament someday.

In high school, I played tennis; after becoming a doctor, I took up golf. Despite my effort, I often lost in the first or second round. My body didn’t move the way I imagined. I struggled with shoulder injuries, back pain, and a deep frustration that my “mind and body” were out of sync.

■ The Turning Point — Meeting a Physical Therapist

Everything began to change when I met the woman who would later become my wife—a physical therapist. She introduced me to the concept of “kinetic chain,” the interconnection of movements from one part of the body to another.

She helped me see that a perfect tennis swing or golf drive doesn’t come from arm strength alone—it starts from the ground up. From the feet, through the pelvis, core, shoulders, and hands, every segment must work in harmony.

Once I began to analyze my form and understand my balance, I started to move differently—more efficiently, more powerfully, more naturally.

■ Learning PNF — Understanding What It Means to “Use the Body”

Driven by curiosity, I attended a PNF (Proprioceptive Neuromuscular Facilitation) training course, becoming one of the first physicians to do so at the time. There, I learned not just theory, but the feeling of proper movement.

It was an eye-opening experience—understanding with my body what my mind already knew. For the first time, movement made sense.

And the results spoke for themselves: I won both a city tennis tournament and the national medical tennis championship. More than the trophies, what mattered was realizing that hard work only pays off when it’s directed correctly.

■ Surgery, Rehabilitation, and Prevention Are All Connected

That realization transformed how I practiced medicine. The same principles of movement and coordination that apply to sports also apply to surgery.

The surgeon’s posture, muscle control, and precision all affect not just the operation itself, but also patient recovery and long-term outcomes.

By learning to understand the body as an integrated system, I became more aware of how rehabilitation, postoperative care, and prevention must all be linked.

■ Why Pelvic Floor Physical Therapy Matters

Urinary incontinence and pelvic organ prolapse affect both men and women. These are not simply “weak muscle” problems—they are problems of coordination.

Many people attempt to “tighten” their pelvic floor muscles but end up pushing down instead of lifting up, worsening their symptoms. The key lies in learning how to use the muscles correctly and harmoniously.

That is why I established the Nihonbashi Pelvic Floor Clinic—to create a space where patients can receive, learn, and integrate pelvic floor physical therapy.

It is not just a treatment site but a place of education, collaboration, and transformation—for patients, therapists, and physicians alike.

■ The Foundation Beneath All Treatments

Surgery, laser therapy, magnetic stimulation, PRP injections—each has its role. But none can achieve lasting success without the foundational support of proper pelvic floor training.

Without it, recurrence is common, and treatment effects fade. With it, all therapies—surgical or regenerative—reach their full potential.

■ In the End — “Correct Effort” Leads to Healing

Pelvic floor physical therapy represents something much greater than a medical intervention. It empowers patients to rediscover their own strength and regain control over their lives.

As a surgeon, I have learned that mastering technique is not enough; understanding movement and function is what brings true healing.

From the heart of Nihonbashi, I hope our work helps spread the foundation of proper pelvic rehabilitation—building a future where healing lasts, recurrence fades, and every person can move, live, and smile with confidence once again.