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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 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 chronic bacterial prostatitis and benign prostatic hyperplasia (BPH). However, in more recent trials, prostate massage was not shown to improve outcomes compared to antibiotics alone. In addition, prostate massage can be extremely risky. Some of the documented consequences are life-threatening periprostatic hemorrhage, cellulitis, Fournier's gangrene, septicaemia, possible disturbance and metastasis of prostate cancer to other parts of the body, and hemorrhoidal flare-up.
Therefore, prostate massage is not used to treat any medical condition today.
Prostate massage should never be performed on patients with acute prostatitis, because the infection can spread elsewhere in the body if massage is performed.
Sexual prostate massage
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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 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-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 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 "milking the mouse" appears to carry a more specialized erotic meaning as compared to the general term of "prostate massage", because it specifically invokes a 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, where 'feminized' males are popularly called "sissies" by others who share the fetish.
Even a non-invasive prostate massage may carry a risk, which is increased if the massage is 'vigorous'. 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.
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.
- 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.
- 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.
- 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.
- 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.
- Sengoku A, Yamashita M, Umezu K (1990). "[A case of Fournier's gangrene: was it triggered by prostatic massage?]". Hinyokika kiyo. Acta urologica Japonica (in Japanese). 36 (9): 1097–100. PMID 2239620.
- Prostate massage, the medical procedure