Prostate massage

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
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
1960s.[5]

Male genital anatomy

Prostate massage or prostate milking is the massage In the late 1990s the ineectiveness of drug treatments for
or stimulation of the male prostate gland for sexual stim- chronic prostatitis led to a brief resurgence of interest in
ulation purposes.
prostate massage.[1][2] In a recent trial, however, prostate
The prostate takes part in the sexual response cycle, and massage was not shown to improve outcomes compared
[3]
is essential for ejaculation. Due to its proximity to the to antibiotics alone.
anterior rectal wall, it can be stimulated from the anterior The practice is still used in some parts of China.[6]
wall of the rectum or externally via the perineum.
Prostate massage was explored as a medical procedure
but there is no evidence it is eective and in certain conditions it is dangerous.

1.2 Risks

Medical uses

Vigorous prostate massage has been documented to have

injurious and life-threatening consequences: periprostatic hemorrhage,[7] cellulitis, septicaemia, possible dis1.1 Digital rectal examination (DRE)
turbance and metastasis of prostate cancer to other parts
body, and hemorrhoidal are-up, and rectal sProstate massage is part of the digital rectal examina- of the[8][9]
sures.
tion (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.

1.3 Electroejaculation

1.1.1

Therapy for prostatitis

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.

Main article: Prostatitis

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
1

REFERENCES

Prostate massage as sexual practice

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
2.1 General
and are intended to stimulate the prostate by simple masProstate massage is also used for sexual stimulation, of- saging or vibrating. They are used during foreplay by
ten in order to reach orgasm. The prostate is sometimes many couples.
referred to as the male G-spot". Some men can achieve Prostate dildos are similar to vaginal dildos, but they tend
orgasm solely through stimulation of the prostate gland, to be more curved, slimmer and with a softer texture.
such as prostate massage or receptive anal intercourse, Some of the new prostate dildos on the market are driven
and men who report the sensation of prostate stimulation by batteries and oer vibration at the tip; the speed or inoften give descriptions similar to females accounts of G- tensity of which may be changed depending on the subspot stimulation.[11][12] Prostate stimulation can produce jects personal preference. Unlike vaginal dildos, the anal
stronger and more powerful orgasms than solely penile prostate massager has a ared end to prevent it from being
stimulation.[11]
fully inserted and 'lost' inside the rectum.
Prostate massage may also be a common sexual practice Some men prefer butt plugs, which are easy to use, can
in couples sexual lives. The advent of equipment and be inserted freely and left in place while the mans hands
products for prostate massage encourages people to try are free for other sexual activities such as masturbation.
it. Many couples though do not purchase such devices Anal plugs also come in various shapes, sizes and debut use a nger for anal penetration and prostate stim- signs and are not commonly intended to stimulate the
ulation to enhance the mans orgasm. The nger or the prostate. Newer, more angled models (second generaprostate massager is introduced into the rectum through tion) of prostate massagers have been developed to prothe anus and the prostate gland is gently massaged. The vide a more direct and thorough massage of the prostate
main problem in using the nger is that it may be too short gland.[14] These new devices feature a more curved shape
to reach the prostate gland. Prostate massage can be per- and are slightly longer than the originals. They comformed individually or with the help of a partner. Some monly have a narrow neck and a ared end to avoid losmen prefer being anally stimulated by their partner during ing them in the rectum. While many massagers rely upon
foreplay or after their main form of sexual activity.
the bodys own natural muscular contractions of the anal
There are safety matters relating to prostate stimulation sphincter and anal wall to stimulate the prostate, some of
and anal penetration. It is strongly recommended that the newer models come with vibrators built into them to
plenty of lubricant is used with prostate massagers to pre- increase sexual pleasure.
vent rectal lining damage. A smaller instrument or nger A G-spot vibrator can be used as a prostate massager as
may be introduced gradually to minimize the discomfort long as it is handled carefully and is provided with a safety
that some may feel. Massagers may be used with or with- base that will not allow it to be lost in the rectum. Vibraout a condom; however, because of the bacteria found in tors for prostate stimulation usually have a pronounced
the rectum, if a condom is not used, it is very important curve at the end.
to clean the tool with antibacterial soap before use in another orice or by a partner. Receiving anal stimulation
may cause feelings of having to go to the bathroom. More
3 In popular culture
often than not, this is just a feeling that the stimulation
causes and may take some getting used to.[13]
In Fargo season 1, episode 9 (A Fox, A Rabbit, and
a Cabbage), Lorne Malvos ance, Jemma, promises:
Later, I'm going to stick my whole thumb up your
2.2 Equipment
ass.[15][16][17]
A prostate massager is a device for massaging the prostate In the Todd Philips production Road Trip (2000) the
gland. The shape of a prostate massager is similar to a n- character E.L. (Sean William Scott) receives a prostate
ger, since prostate massages are traditionally given digi- massage from a nurse at a sperm donation facility.
tally (for example, via ngering). They usually have a
slightly curved head to eectively massage the prostate.
Lubricant is necessary before inserting anything into the 4 References
anus, so a lubricant is used. Caution should be exercised
when a prostate massager is used because of the sensitiv- [1] Nickel JC, Downey J, Feliciano AE, Hennenfent B (1999).
ity of the prostate. Correct use involves a medium to light
Repetitive prostatic massage therapy for chronic refracrepetitive massage, or circular motionthe device being
tory prostatitis: the Philippine experience. Techniques in
used to administer the massage should not thrust.
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
18597833.
[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
2013-11-04.
[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

6 TEXT AND IMAGE SOURCES, CONTRIBUTORS, AND LICENSES

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6.2

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6.3

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