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Male genital anatomy

Prostate massage is the massage or stimulation of the prostate gland in males, for sexual stimulation or medical purposes.

The prostate takes part in the sexual response cycle in males, and is essential for ejaculation. Normally, in mammals found to be most active during the time of ejaculation, this organ also faces many threats from disease. Due to its close proximity to the anterior rectal wall, it can be stimulated manually via the anus. Manual massage may lead to an urge to urinate, excretion of prostatic fluids without orgasm, and pain[citation needed].

Contents

Medical prostate massage

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, some 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, 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

In addition, prostate massage can be risky. Some of the documented consequences are 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, but abandoned as primary therapy in the early 1970s.[8] Continuing research in emerging medical communities [9][10], published articles in non-medical circles [11][12], 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.[13]

Prostate massage as sexual practice

Prostate massage is also used for sexual stimulation, either to achieve a pleasurable orgasm, or to achieve excretion of seminal fluid without orgasm as part of BDSM orgasm denial activities. The term prostate milking is sometimes used in this latter context.

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 intercourse. Men who report the sensation of prostate stimulation often give descriptions similar to females' accounts of G-spot stimulation.[14]

Equipment

A prostate massager refers to set of commercially available instruments used anally, designed to massage 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 is not intended for use in a thrusting manner.

See also


References

  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. ^ 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. 
  10. ^ 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. 
  11. ^ "Prostate Problems? Hidden In More Ways Than One"The American Chiropractor, 2008. accessed 13 October 2007
  12. ^ Williams D (2005). "[Massaging the Prostate]". Alternatives 10 (20): 157–9. 
  13. ^ 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. 
  14. ^ Ladas, AK; Whipple, B; Perry, JD. The G spot and other discoveries about human sexuality. New York: Holt, Rinehart, and Winston. 

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