Prostate Massage

Prostate massage 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] 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]

Male genital anatomy

The practice is still used in some parts of China.[6] Prostate massage or prostate milking is the massage or stimulation of the male prostate gland for medical or 1.2 sexual stimulation purposes.

Risks

The prostate takes part in the sexual response cycle, and Vigorous prostate massage has been documented to have is essential for ejaculation. Due to its proximity to the injurious and life-threatening consequences: periproanterior rectal wall, it can be stimulated from the anterior static hemorrhage,[7] cellulitis, septicaemia, possible diswall of the rectum or externally via the perineum. turbance and metastasis of prostate cancer to other parts of the body, and hemorrhoidal flare-up, and rectal fissures.[8][9]

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1.1

Medical uses

1.3 Electroejaculation

Digital rectal examination (DRE)

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 different procedure from manual 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 an expressed prostatic secretion (EPS) specimen for microscopy and microbiological culture to screen for prostatitis. 1.1.1

Therapy for prostatitis

Main article: Prostatitis

2 Prostate massage as sexual practice

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 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

2.1 General 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 can achieve orgasm solely through stimulation of the prostate gland, 1

2 such as prostate massage or receptive anal intercourse, and men who report the sensation of prostate stimulation often give descriptions similar to females’ accounts of Gspot stimulation.[11][12] Prostate stimulation can produce stronger and more powerful orgasms than solely penile stimulation.[11]

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REFERENCES

by batteries and offer vibration at the tip, which may be changed depending on the personal preference. Unlike vaginal dildos, the anal prostate massager has a flared end to prevent it from being lost in the rectum. Some men prefer anal plugs, 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 also come in various shapes, sizes and designs and although they are not commonly intended to stimulate the prostate, newer, more angled models are now available to provide a more vigorous massage to the prostate.[14] The new anal plugs have a more curved shape and are slightly longer than the originals. They commonly have a narrow neck and a flared end to avoid losing them in the rectum. Some of the newer models come with batteries and vibrations that increase sexual pleasure.

Prostate massage may also be a common sexual practice in couples’ sexual lives. The advent of equipment and products for prostate massage encourages people to try it. Many couples though do not purchase such devices but use a 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 main problem in using the finger is that it may be too short to reach the prostate gland. Prostate massage can be performed individually or with the help of a partner. Some A G-spot vibrator can be used as a prostate massager as men prefer being anally stimulated by their partner during long as it is handled carefully and is provided with a safety foreplay or after their main form of sexual activity. base that will not allow it to be lost in the rectum. VibraThere are safety matters relating to prostate stimulation tors for prostate stimulation usually have a pronounced and anal penetration. It is strongly recommended that curve at the end. 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 3 In popular culture that some may feel. Massagers may be used with or without a condom; however, because of the bacteria found in In Fargo season 1, episode 9 (“A Fox, A Rabbit, and the rectum, if a condom is not used, it is very important a Cabbage”), Lorne Malvo’s fiancée, Jemma, promises: to clean the tool with antibacterial soap before use in an“Later, I'm going to stick my whole thumb up your other orifice or by a partner. Receiving anal stimulation ass.”[15][16][17] may cause feelings of having to go to the bathroom. More often than not, this is just a “feeling” that the stimulation In the Todd Philips production Road Trip (2000) the character E.L. (Sean William Scott) receives a prostate causes and may take some getting used to.[13] massage from a nurse to produce ejaculate at a sperm donation facility. Though other help was in mind, the au2.2 Equipment dience is led to believe he is immensely satisfied by the alternative approach. The end of the film confirms this A prostate massager is a device for massaging the prostate suspicion as E.L. directs his girlfriend (Deborah Zoe) to gland, mainly for sexual purposes. The shape of a use three fingers for a prostate massage rather than two. prostate massager is similar to a finger, since prostate This implicates a desire for further experimentation remassages are traditionally given digitally (for example, sulting from his previously positive experience. via fingering). 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 4 References with care because of the sensitivity of the prostate. Correct use involves a medium to light repetitive massage, or [1] Nickel JC, Downey J, Feliciano AE, Hennenfent B (1999). circular motion—the tool should not thrust. “Repetitive prostatic massage therapy for chronic refracProstate 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 many couples. Prostate dildos are similar to 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

tory 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.

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[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)702159. 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) 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. 133–135. 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.

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External links • Prostate massage, the medical procedure

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6 TEXT AND IMAGE SOURCES, CONTRIBUTORS, AND LICENSES

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Text and image sources, contributors, and licenses

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