Prostate massage


Prostate massage
Male genital anatomy

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

The prostate takes part in the sexual response cycle, and is essential for ejaculation. Due to its close proximity to the anterior rectal wall, it can be stimulated from the anterior wall of the rectum or externally via the perineum.

Contents

Medical uses

Digital rectal examination (DRE)

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 prostatitis.

Prostatitis

In the late 1990s, 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 findings, prostate massage is not used in the treatment of any medical disorder today[citation needed], and prostate massage should never be performed on patients with acute prostatitis, because the infection can spread elsewhere in the body if massage is performed.[4]

Risks

Vigorous prostate massage has been documented with consequences that are health- and life-threatening: periprostatic hemorrhage,[5] cellulitis, Fournier's gangrene,[6] septicaemia, possible disturbance and metastasis of prostate cancer to other parts of the body, and hemorrhoidal flare-up.[7]

Animal husbandry

Electroejaculation is a procedure in which nerves are stimulated via an electric probe, which is inserted into the rectum adjacent to the prostate. It is most commonly encountered in animal husbandry for the purpose of collecting semen samples for testing or breeding.

Prostate massage as alternative therapy

Prostate massage was once the most popular therapeutic maneuver used to treat prostatitis.[8] According to the Prostatitis Foundation,[9] "it used to be, in the age before antibiotics (before about 1960 for prostatitis), doctors performed massage when their patients had prostatitis. In some cases it was enough to cure them of the disease. ... it fell out of common practice with the advent of antibiotics. It's much easier to prescribe a pill and send the patient home." However, according to WebMD,[10] in many prostatitis cases antibiotics do not work because the swelling and inflammation caused by the infection closes off the acini (or sacs), causing the acini not to "shed" bacteria, and protecting the bacteria inside from antibiotics and the body's own immune cells.

Continuing research in emerging medical communities,[11][12] published articles in non-medical circles,[13][14] and anecdotal evidence on the Internet shows that there is still interest in the technique as alternative therapy.

In China, a 2008 survey of 627 urologists found that prostate massage is used prevalently as a nonpharmacological therapy for chronic prostatitis.[15]

Prostate massage as sexual practice

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 are able to achieve orgasm solely through stimulation of the prostate gland, such as prostate massage or receptive anal sex. Men who report the sensation of prostate stimulation often give descriptions similar to females' accounts of G-Spot and Anal stimulation.[16]

Prostate massage is an uncommon sexual practice in couples' sexual lives although some men may achieve intense pleasure from it. Also, the advent of equipment and products for prostate massage encourages people to try it. Many couples though do not purchase such devices but use the finger for anal penetration and prostate stimulation to enhance the man's orgasm. The finger or the prostate massager is introduced into the rectum through the anus and the prostate gland is gently massaged. The prostate can also be simulated externally by pressing against the area behind testicles and near the anus, which is preferable by most men who are interested in prostate massages as it feels more comfortable and less painful. The main problem in using the finger is that it may be too short to reach the prostate gland.[17]

Prostate massage can be performed individually or with the help of a partner. Some men prefer being anally stimulated by their partner during foreplay or after intercourse. Men can excite their own prostates while masturbating using anal penetration devices.

There are a few safety matters concerning prostate stimulation and anal penetration. It is strongly recommended that plenty of lubricant is used with prostate massagers to prevent rectal lining damage. A smaller instrument or finger may be introduced gradually to minimize the discomfort that many may feel. Massagers may be used with or without a condom; however, because of the bacteria found in the rectum, if a condom is not used, it is very important to clean and disinfect the tool before use in another orifice or by a partner. A good method for this is gently placing toys in boiling water for 60 seconds and promptly removing them.

Equipment

A prostate massager refers to devices for massaging the prostate gland, mainly for sexual purposes.

The shape of a prostate massager is similar to a finger, since prostate massages are traditionally given digitally. They usually have a slightly curved head to effectively massage the prostate. Lubricant is usually inserted into the anus. A prostate massager should be used with care because of the sensitivity of the prostate. Correct use involves a medium to light repetitive massage, or circular motion—the tool should not be thrusted.

Prostate 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 some[citation needed] couples.

Prostate stimulation is thought to produce stronger and more powerful orgasms similar to orgasms in women produced by G-spot stimulation and Anal simulation.

Prostate dildos are similar to the 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 by batteries and offer vibration at the tip, which may be changed depending on the personal preference. Unlike the vaginal dildos, the anal prostate massager has a flared end to prevent it from being lost in the rectum.

Some men may prefer butt plugs,[citation needed] which are easy to use, can be inserted freely and left in place while the man's hands are free for other sexual activities such as masturbation. Anal plugs come also in various shapes, sizes and designs and although they are not commonly intended to stimulate the prostate, newer models of more angled butt plugs are now developed to provide a more vigorous massage to the prostate. The new butt plugs have a more curved shape and they are slightly longer than the regular anal plugs. They commonly have a narrow neck and a flared end to prevent losing it in the rectum. Some of the newer models come with batteries and vibrations that increase sexual pleasure.

The G-spot vibrator can be used as a prostate massager as long as it is handled carefully and are provided with a safety base that will not allow it to be lost in the rectum. Vibrators for prostate stimulation usually have a pronounced curve at the end.

Prostate, or anal, toys may be covered with a condom for both safety (protection against nicks or rough edges) and hygiene (the condom makes a toy easier to clean). Additionally, the open end of a condom may remain outside the body and used to facilitate extraction of the object from the rectum.

References

Notes
  1. ^ Nickel JC, Downey J, Feliciano AE, Hennenfent B (1999). "Repetitive prostatic massage therapy for chronic refractory prostatitis: the Philippine experience". Techniques in urology 5 (3): 146–51. 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): 159–162. 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): 674–8. 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): 737–51. doi:10.1016/S0094-0143(05)70215-9. PMID 10584615. 
  5. ^ Buse S, Warzinek T, Hobi C, Ackerman D (2003). "[Prostate massage with unwanted consequences. Case report]" (in German). Der Urologe. Ausg. A 42 (1): 78–9. PMID 14655640. 
  6. ^ Sengoku A, Yamashita M, Umezu K (1990). "[A case of Fournier's gangrene: was it triggered by prostatic massage?]" (in Japanese). Hinyokika kiyo. Acta urologica Japonica 36 (9): 1097–100. PMID 2239620. 
  7. ^ "Prostatitis Prostate Massage or Drainage". www.chronicprostatitis.com. http://www.chronicprostatitis.com/massage.html. Retrieved 2009-10-01. 
  8. ^ Nickel JC, Alexander R, Anderson R, Krieger J, Moon T, Neal D, Schaeffer A, Shoskes D (1999). "[Prostatitis unplugged? Prostatic massage revisited.]". Tech Urol. 5 (1): 1–7. PMID 10374787. 
  9. ^ http://www.prostatitis.org
  10. ^ http://www.webmd.com
  11. ^ Churakov AA, Popkov VM, Zemskov SP, Glybochko PV, Bliumberg BI (2007). "[Combined physiotherapy of chronic infectious prostatitis]" (in Russian). Urologiia (1): 61–5. PMID 17472003. 
  12. ^ Shen SL, He DL, Luo Y (2006). "[Clinical trials of combined therapy of an oral Chinese medicine with massage for chronic nonbacterial prostatitis]" (in Chinese). Zhonghua Nan Ke Xue 12 (9): 851–3. PMID 17009541. 
  13. ^ "Prostate Problems? Hidden In More Ways Than One"The American Chiropractor, 2008. accessed 13 October 2007
  14. ^ Williams D (2005). "[Massaging the Prostate]". Alternatives 10 (20): 157–9. 
  15. ^ 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): 548–51. doi:10.1016/j.urology.2008.03.061. PMID 18597833. 
  16. ^ Ladas, AK; Whipple, B; Perry, JD (1982). The G spot and other discoveries about human sexuality. New York: Holt, Rinehart, and Winston. ISBN 0440130409. 
  17. ^ "Prostate Orgasm". http://www.prostate-massage-and-health.com/prostate-orgasm.html. Retrieved 2010-04-12. 

External links

  • Aneros, the only patented prostate massager



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