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Prostate massage

From Wikipedia, the free encyclopedia
(Redirected from Prostatic massage)

Stimulation of the prostate via the rectum

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

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

Medical uses

[edit]

Digital rectal examination

[edit]

Prostate massage is part of the digital rectal examination (DRE) routinely given to males by urologists 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.

Therapy for prostatitis

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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 findings, prostate massage is not officially sanctioned in medicine for the treatment of any medical disorder. 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]

History

[edit]

Once the most popular therapeutic maneuver used to treat prostatitis, it was abandoned as primary therapy in the 1960s.[5]

In the late 1990s, the ineffectiveness 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]

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

Risks

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Vigorous prostate massage has been documented to have injurious consequences: periprostatic hemorrhage,[7] cellulitis, septicaemia, possible disturbance and metastasis of prostate cancer to other parts of the body, and hemorrhoidal flare-up, and rectal fissures.[8][9]

Electroejaculation

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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 collecting semen samples for testing or breeding. Some devices are used under general anesthesia on humans who have certain types of anejaculation.[10] Electroejaculation may also be used for posthumous sperm retrieval in humans.[11]

As a sexual practice

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General

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Perineal massage can trigger sexual arousal or enhance it.
The prostate, a small roundish organ, can be massaged together with the penis

Prostate massage is also used as an erotic massage for sexual stimulation, often to reach orgasm. The prostate is sometimes referred to as the "male G-spot"[12] or "P-spot".[13] Some males can achieve orgasm through stimulation of the prostate gland, such as prostate massage or receptive anal intercourse, and males who report the sensation of prostate stimulation often give descriptions similar to females' accounts of G-spot stimulation.[14][15] Prostate stimulation can sometimes produce a strong, powerful orgasm.[14] However, all male orgasms, including those by penile stimulation, involve muscular contractions in the prostate gland.[16] It is possible for some males to achieve orgasms through prostate stimulation alone.[14][17]

There are safety matters relating to prostate stimulation and anal penetration. It is recommended that plenty of lubricant be used with prostate massagers to prevent rectal lining damage. Because of the bacteria found in the rectum, there are also hygiene risks. Receiving anal stimulation may cause feelings of having to defecate; prostate stimulation in particular may cause the feeling of having to urinate.[18][19]

Equipment

[edit]
Vibrator for prostate stimulation

A prostate massager, or prostate stimulator, is a device for massaging the prostate gland.[20]

See also

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References

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  1. 1 2 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. 1 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. 1 2 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. ↑ 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.
  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): 548–51. 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 and English). 42 (1): 78–9. doi:10.1007/s00120-002-0189-z. PMID 14655640. S2CID 13104100.
  8. ↑ "Prostatitis Prostate Massage or Drainage". Prostatitis Network. Retrieved 1 October 2009.
  9. ↑ "Medical Tests for Prostate Problems". NKUDIC. Archived from the original on 26 August 2014. Retrieved 24 October 2014.
  10. ↑ "Electroejaculation". Cornell Urology. Archived from the original on 10 May 2014. Retrieved 24 October 2014.
  11. ↑ Shefi, Shai; Raviv, Gil; Eisenberg, Michael L.; Weissenberg, Ruth; Jalalian, Liza; Levron, Jacob; Band, Gili; Turek, Paul J.; Madgar, Igael (1 November 2006). "Posthumous sperm retrieval: analysis of time interval to harvest sperm". Human Reproduction. 21 (11): 2890–2893. doi:10.1093/humrep/del232. ISSN 0268-1161. PMID 16959804.
  12. ↑ Levin, R. J. (2018). "Prostate-induced orgasms: A concise review illustrated with a highly relevant case study". Clinical Anatomy. 31 (1): 81–85. doi:10.1002/ca.23006. PMID 29265651.
  13. ↑ Saleh, Naveed (3 October 2014). "Hitting the P-Spot". The Red-Light District. Psychology Today.
  14. 1 2 3 Rosenthal, Martha (2012). Human Sexuality: From Cells to Society. Cengage Learning. pp. 133–135. ISBN 978-0-618-75571-4.
  15. ↑ Ladas, Alice Kahn; Whipple, Beverly; Perry, John D. (1982). The G spot and other recent discoveries about human sexuality (1st ed.). New York: Holt, Rinehart, and Winston. p. 55. ISBN 978-0-03-061831-4. Men report that the orgasm they experience as a result of stimulation of the prostate gland is more like the pushing-down feeling reported by women in connection with the stimulation of the G spot.
  16. ↑ Blesi, Michelle (15 June 2021). Medical Assisting: Administrative & Clinical Competencies. Cengage Learning. p. 390. ISBN 978-0-357-50294-5. Retrieved 13 September 2021.
  17. ↑ Wibowo, Erik; Wassersug, Richard J. (2016). "Multiple Orgasms in Men—What We Know So Far". Sexual Medicine Reviews. 4 (2): 136–148. doi:10.1016/j.sxmr.2015.12.004. PMID 27872023 – via ResearchGate.
  18. ↑ Thompson, Zahra (31 March 2016). "How to Give a Mind-Blowingly Hot Prostate Massage". SELF. Retrieved 20 June 2025.
  19. ↑ "The male hot spot: Massaging the prostate". Go Ask Alice!. Columbia University. Retrieved 11 September 2021.
  20. ↑ "Prostate Massager Guide: 6 Tips for Using a Prostate Massager". MasterClass. Retrieved 22 June 2024.
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