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Prostate massage

body if massage is performed.[4]

1.1.2 History
Once the most popular therapeutic maneuver used to treat
prostatitis, it was abandoned as primary therapy in the
In the late 1990s the ineectiveness of drug treatments for
chronic prostatitis led to a brief resurgence of interest in
prostate massage.[1][2] In a recent trial, however, prostate
massage was not shown to improve outcomes compared
to antibiotics alone.[3]

Male genital anatomy

The practice is still used in some parts of China.[6]

Prostate massage or prostate milking is the massage
or stimulation of the male prostate gland for medical or
sexual stimulation purposes.


The prostate takes part in the sexual response cycle, and

Vigorous prostate massage has been documented to have
is essential for ejaculation. Due to its proximity to the
injurious and life-threatening consequences: periproanterior rectal wall, it can be stimulated from the anterior
static hemorrhage,[7] cellulitis, septicaemia, possible diswall of the rectum or externally via the perineum.
turbance and metastasis of prostate cancer to other parts
of the body, and hemorrhoidal are-up, and rectal ssures.[8][9]


Medical uses

1.3 Electroejaculation

Digital rectal examination (DRE)

Electroejaculation is a procedure in which nerves are

stimulated via an electric probe, which is inserted into
the rectum adjacent to the prostate. The stimulus voltage stimulates nearby nerves, resulting in contraction of
the pelvic muscles and ejaculation. It is most commonly
encountered in animal husbandry for the purpose of
collecting semen samples for testing or breeding. Some
devices are used under general anesthesia on humans who
have certain types of anejaculation.[10] Electroejaculation
is a dierent procedure from manual prostate massage.

Prostate massage is part of the digital rectal examination (DRE) routinely given to men by urologists in order to look for nodules of prostate cancer and to obtain an expressed prostatic secretion (EPS) specimen
for microscopy and microbiological culture to screen for

Therapy for prostatitis

Main article: Prostatitis

2 Prostate massage as sexual practice

In the late 1990s, a small number of doctors tried prostate

massage in conjunction with antibiotics for the treatment
of chronic bacterial prostatitis with uncertain results.[1][2]
In recent trials, however, prostate massage was not shown
to improve outcomes compared to antibiotics alone.[3] As
a consequence of these ndings, prostate massage is not
ocially sanctioned in western medicine for the treatment of any medical disorder today. Prostatic massage
should never be performed on patients with acute prostatitis, because the infection can spread elsewhere in the

2.1 General
Prostate massage is also used for sexual stimulation, often in order to reach orgasm. The prostate is sometimes
referred to as the male G-spot". Some men can achieve
orgasm solely through stimulation of the prostate gland,

such as prostate massage or receptive anal intercourse,
and men who report the sensation of prostate stimulation
often give descriptions similar to females accounts of Gspot stimulation.[11][12] Prostate stimulation can produce
stronger and more powerful orgasms than solely penile


by batteries and oer vibration at the tip, which may be

changed depending on the personal preference. Unlike
vaginal dildos, the anal prostate massager has a ared end
to prevent it from being lost in the rectum.
Some men prefer anal plugs, which are easy to use, can be
inserted freely and left in place while the mans hands are
free for other sexual activities such as masturbation. Anal
plugs also come in various shapes, sizes and designs and
although they are not commonly intended to stimulate the
prostate, newer, more angled models are now available
to provide a more vigorous massage to the prostate.[14]
The new anal plugs have a more curved shape and are
slightly longer than the originals. They commonly have a
narrow neck and a ared end to avoid losing them in the
rectum. Some of the newer models come with batteries
and vibrations that increase sexual pleasure.

Prostate massage may also be a common sexual practice

in couples sexual lives. The advent of equipment and
products for prostate massage encourages people to try
it. Many couples though do not purchase such devices
but use a nger for anal penetration and prostate stimulation to enhance the mans orgasm. The nger or the
prostate massager is introduced into the rectum through
the anus and the prostate gland is gently massaged. The
main problem in using the nger is that it may be too short
to reach the prostate gland. Prostate massage can be performed individually or with the help of a partner. Some A G-spot vibrator can be used as a prostate massager as
men prefer being anally stimulated by their partner during long as it is handled carefully and is provided with a safety
foreplay or after their main form of sexual activity.
base that will not allow it to be lost in the rectum. VibraThere are safety matters relating to prostate stimulation tors for prostate stimulation usually have a pronounced
and anal penetration. It is strongly recommended that curve at the end.
plenty of lubricant is used with prostate massagers to prevent rectal lining damage. A smaller instrument or nger
may be introduced gradually to minimize the discomfort 3 In popular culture
that some may feel. Massagers may be used with or without a condom; however, because of the bacteria found in
In Fargo season 1, episode 9 (A Fox, A Rabbit, and
the rectum, if a condom is not used, it is very important
a Cabbage), Lorne Malvos ance, Jemma, promises:
to clean the tool with antibacterial soap before use in anLater, I'm going to stick my whole thumb up your
other orice or by a partner. Receiving anal stimulation
may cause feelings of having to go to the bathroom. More
often than not, this is just a feeling that the stimulation In the Todd Philips production Road Trip (2000) the
character E.L. (Sean William Scott) receives a prostate
causes and may take some getting used to.[13]
massage from a nurse to produce ejaculate at a sperm donation facility. Though other help was in mind, the au2.2 Equipment
dience is led to believe he is immensely satised by the
alternative approach. The end of the lm conrms this
A prostate massager is a device for massaging the prostate suspicion as E.L. directs his girlfriend (Deborah Zoe) to
gland, mainly for sexual purposes. The shape of a use three ngers for a prostate massage rather than two.
prostate massager is similar to a nger, since prostate This implicates a desire for further experimentation remassages are traditionally given digitally (for example, sulting from his previously positive experience.
via ngering). They usually have a slightly curved head to
eectively massage the prostate. Lubricant is usually inserted into the anus. A prostate massager should be used 4 References
with care because of the sensitivity of the prostate. Correct use involves a medium to light repetitive massage, or
[1] Nickel JC, Downey J, Feliciano AE, Hennenfent B (1999).
circular motionthe tool should not thrust.
Repetitive prostatic massage therapy for chronic refracProstate massage equipment ranges from dildos to butt
plugs and G-spot vibrators. When used in sexual practice,
prostate massagers are commonly referred to as prostate
toys, prostate sex toys", and anal toys. These prostate
massagers are inserted into the rectum through the anus
and are intended to stimulate the prostate by simple massaging or vibrating. They are used during foreplay by
many couples.
Prostate dildos are similar to vaginal dildos, but they tend
to be more curved, slimmer and with a softer texture.
Some of the new prostate dildos on the market are driven

tory prostatitis: the Philippine experience. Techniques in

urology 5 (3): 14651. PMID 10527258.
[2] Shoskes DA, Zeitlin SI (1999). Use of prostatic massage in combination with antibiotics in the treatment of
chronic prostatitis. Prostate Cancer and Prostatic Diseases 2 (3): 159162. doi:10.1038/sj.pcan.4500308.
PMID 12496826.
[3] Ateya A, Fayez A, Hani R, Zohdy W, Gabbar MA, Shamloul R (2006). Evaluation of prostatic massage in treatment of chronic prostatitis. Urology 67 (4): 6748.
doi:10.1016/j.urology.2005.10.021. PMID 16566972.

[4] Nickel JC (November 1999). Prostatitis: evolving management strategies. The Urologic clinics of North America 26 (4): 73751. doi:10.1016/S0094-0143(05)702159. PMID 10584615.
[5] Nickel JC, Alexander R, Anderson R, Krieger J, Moon
T, Neal D, Schaeer A, Shoskes D (1999). "[Prostatitis
unplugged? Prostatic massage revisited.]". Tech Urol. 5
(1): 17. PMID 10374787.
[6] Yang J, Liu L, Xie HW, Ginsberg DA (2008). Chinese
urologists practice patterns of diagnosing and treating
chronic prostatitis: a questionnaire survey. Urology 72
(3): 54851. doi:10.1016/j.urology.2008.03.061. PMID
[7] Buse S, Warzinek T, Hobi C, Ackerman D (2003).
"[Prostate massage with unwanted consequences. Case
report]". Der Urologe. Ausg. A (in German) 42 (1): 78
9. PMID 14655640.
[8] Prostatitis Prostate Massage or Drainage. Prostatitis
Network. Retrieved 2009-10-01.
[9] Medical Tests for Prostate Problems. NKUDIC. Retrieved 2014-10-24.
[10] Electroejaculation. Cornell Urology. Retrieved 201410-24.
[11] Rosenthal, Martha (2012). Human Sexuality: From Cells
to Society. Cengage Learning. pp. 133135. ISBN
0618755713. Retrieved May 18, 2014.
[12] Ladas, AK; Whipple, B; Perry, JD (1982). The G spot
and other discoveries about human sexuality. New York:
Holt, Rinehart, and Winston. ISBN 0440130409.
[13] The male hot spot Massaging the prostate. Retrieved
[14] Aneros Helix. Retrieved 2010-04-12.
[15] Dawson, T. Dawson (June 11, 2014). Fargo review: A
Fox, a Rabbit, and a Cabbage"". GAMbIT Magazine.
[16] Guerrero, Danger (June 11, 2014). "Fargo Discussion:
Lester, Is This What You Want?". Uproxx.
[17] Dodger, Jimmie (June 20, 2014). Fargo Episode 9 A
Fox, A Rabbit And A Cabbage. Need to Consume.

External links
Prostate massage, the medical procedure


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