Prostate massage 238129 222629993 2008-06-30T10:11:17Z Darrenhusted 1716541 /* Sexual prostate massage */ [[Image:Male anatomy.png|thumb|300px|Male genital anatomy]] '''Prostate massage''' and '''prostate [[milking]]''' are terms used to describe the [[massage]] or stimulation of the [[prostate]] gland (also referred to colloquially as the "P-spot", or the "male [[G-spot]]") in males, either for medical or [[sexual]] purposes. The [[prostate]] is a part of the [[Human sexual response cycle|sexual response cycle]] in males, and is a key contributor to male [[orgasm]]. Located adjacent to the [[rectum]], it can be stimulated manually. Seminal fluids collected in the prostate are released during [[orgasm]]. ==Medical 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 expressed prostatic secretions (EPS) for examination under [[microscope]]. A few doctors, for a short period in the late 1990s, tried prostate massage in conjunction with antibiotics for the treatment of [[Prostatitis#Category_II:_Chronic_bacterial_prostatitis|chronic bacterial prostatitis]] and benign prostatic hyperplasia ([[BPH]]).<ref name="pmid10527258">{{cite journal |author=Nickel JC, Downey J, Feliciano AE, Hennenfent B |title=Repetitive prostatic massage therapy for chronic refractory prostatitis: the Philippine experience |journal=Techniques in urology |volume=5 |issue=3 |pages=146–51 |year=1999 |pmid=10527258 |doi=}}</ref><ref name="pmid12496826">{{cite journal |author=Shoskes DA, Zeitlin SI |title=Use of prostatic massage in combination with antibiotics in the treatment of chronic prostatitis |journal= Prostate Cancer and Prostatic Diseases|volume=2 |issue=3 |pages=159–162 |year=1999 |pmid=12496826 |doi=10.1038/sj.pcan.4500308}}</ref> However, in more recent trials, prostate massage was not shown to improve outcomes compared to antibiotics alone.<ref name="pmid16566972">{{cite journal |author=Ateya A, Fayez A, Hani R, Zohdy W, Gabbar MA, Shamloul R |title=Evaluation of prostatic massage in treatment of chronic prostatitis |journal=Urology |volume=67 |issue=4 |pages=674–8 |year=2006 |pmid=16566972 |doi=10.1016/j.urology.2005.10.021}}</ref> In addition, prostate massage can be ''extremely risky''. Some of the documented consequences are life-threatening periprostatic [[hemorrhage]],<ref name="pmid14655640">{{cite journal |author=Buse S, Warzinek T, Hobi C, Ackerman D |title=[Prostate massage with unwanted consequences. Case report] |language=German |journal=Der Urologe. Ausg. A |volume=42 |issue=1 |pages=78–9 |year=2003 |pmid=14655640 |doi=}}</ref> [[cellulitis]], [[Fournier's gangrene]],<ref name="pmid2239620">{{cite journal |author=Sengoku A, Yamashita M, Umezu K |title=[A case of Fournier's gangrene: was it triggered by prostatic massage?] |language=Japanese |journal=Hinyokika kiyo. Acta urologica Japonica |volume=36 |issue=9 |pages=1097–100 |year=1990 |pmid=2239620 |doi=}}</ref> [[septicaemia]], possible disturbance and [[metastasis]] of [[prostate cancer]] to other parts of the body, and [[hemorrhoid]]al flare-up. Therefore, prostate massage is not used to treat any medical condition today. Prostate massage should ''never'' be performed on patients with [[Prostatitis#Category_I:_Acute_prostatitis_.28bacterial.29|acute prostatitis]], because the infection can spread elsewhere in the body if massage is performed. ==Sexual prostate massage== {{refimprovesect|date=February 2008}} Done internally either by lubricated finger(s), a prostate massager or other medical instrument, prostate massage may result in ejaculation without any genital stimulation. The prostate can also be indirectly massaged externally through the [[perineum]], although this may not be effective in the removal of fluid. No more pressure should be used than for rubbing an eyeball. The procedure is initially undertaken gently using the index finger and a latex [[glove]] by massaging the lobes on either side of the prostate, taking care not to rub vigorously on the nerves in the middle. If the prostate is full and stimulated sexually in some cases it may consciously and voluntarily be contracted, thereby emptying itself in the same way as during ejaculation but with none of the surrounding organs stimulated, without actually squeezing it digitally. [[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 samples for testing or breeding. Prostate milking is also encountered as part of sexual activities, particularly involving the use of [[erotic sexual denial|sexual denial]]. Prostate massage, in the sexual context, can refer firstly to the stimulation of the prostate as part of conventional sexual activity - for example, as part of [[autoeroticism]]/[[masturbation]], or as performed by a sexual partner on a male as part of normal, non-[[Sexual fetishism|fetishistic]] sexual intercourse, in which case the purpose is predominantly the enhancement of sexual pleasure in the male - stimulation of the prostate and anus in itself, tends to increase the intensity of male [[ejaculation]] and [[orgasm]]; additionally, massaging the prostate tends to increase the volume of fluid that is accumulated in the prostate prior to ejaculation, thus increasing the volume of ejaculation and the pleasure that is associated with ejaculation. A second, alternative type of prostate massage, also referred to as "prostate milking", predominantly refers to the sexual practice, common within the [[BDSM]] community, of relieving the buildup of seminal fluids within the prostate, by discharging the fluid through massage, without the male experiencing [[orgasm]]. Prostate milking is commonly practised by/upon participants of a [[Sexual fetishism|sexual fetish]] known as [[erotic sexual denial]] that involves abstention from orgasm and ejaculation for considerable periods of time (often many weeks or months). In such cases, the purpose of the massage is to temporarily reduce the level of [[sexual arousal]] in the male recipient by prompting the release of the prostatic fluid that was accumulated during the period of time in which the male had not ejaculated. The term "prostate milking" appears to carry a more specialized [[Eroticism|erotic]] meaning as compared to the general term of "prostate massage", since it specifically invokes a [[Sexual fetishism|fetishism]] of the male seminal fluids (i.e. to "milk"); and as such, the term "prostate milking" is seldom used, if at all, outside of the communities which are involved in the sexual fetishes in question. When referring to stimulation of the prostate under more conventional circumstances (i.e. enhancement of the immediate orgasm as part of normal sex), the more general term "prostate massage" would probably be more appropriate. In the [[BDSM]] realm, the term "sissy milking" also refers specifically to prostate milking, as part of [[Feminization (activity)|feminization]], where 'feminized' males are popularly called "sissies" by others who share the fetish. == Risks == Even a non-invasive prostate massage may carry a risk, which is increased if the massage is 'vigorous'[http://www.chronicprostatitis.com/massage.html]. Bacteria or cancer cells may be liberated and spread through the blood stream; prostatic calculi if present, may tear delicate membranes within the prostate, an internal massage may result in perforation of bowel and/or contamination; it may cause a hemorrhoid flare-up. ===Equipment=== A ''prostate massager'' is an instrument used anally, designed to massage the prostate gland. 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. ==Footnotes== {{reflist}} ==External links== *[http://www.chronicprostatitis.com/massage.html Prostate massage], the medical procedure [[Category:urology]] [[Category:andrology]] [[Category:Anal eroticism]] [[Category:Massage]] [[de:Prostatamassage]] [[cs:Orgasmus]] [[es:Masaje prostático]] [[it:Postillonage]] [[zh:前列腺按摩]]