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What Is Prostate Massage Therapy?

Prostate massage therapy (also known as prostate milking) is the practice of massaging the male prostate either for medical or therapeutic reasons.

Prostate massage therapy is the application of either external or internal massage to the prostate for the purpose of

  • enhancing blood flow
  • improving urinary flow
  • helping maintain the integrity of the prostate tissue.

The use of prostate massage therapy is anecdotally supported for a range of conditions and is generally used before a urine test such as PCA3. Some of these conditions include benign prostatic hyperplasia (BPH), erectile dysfunction, and prostatitis.

Prostate massage procedure

A prostate massage is similar to a digital rectal exam (DRE). Urologists typically use DREs to check the prostate for lumps, changes, or other abnormalities. Your doctor may perform a DRE to obtain an expressed prostatic secretion to be further examined for signs of prostatitis, infection, or other disorders.

During the prostate massage procedure, the doctor will insert a gloved, lubricated finger into your rectum.

They will gently press on, or massage, the prostate for several minutes. The massage of the male prostate may be slightly uncomfortable for a few moments, but it shouldn’t be painful.

But you can also do internal prostate stimulation at home. Here are the steps for self internal prostate massage:

  1. Apply lube around the anus
  2. Insert your lubricated finger and start massaging
  3. Re-apply lube on the finger
  4. Replace your finger further into the anus
  5. Repeat the process until you reach the third knuckle
  6. Search for a rounded lump towards the root of the penis
  7. Start massaging with circular motion
  8. Apply pressure for a few seconds with the pad of your finger

External prostate massage

An external massage may involve exerting pressure on the perineum, the area about halfway between the anus and the scrotum.

It can also be done by gently rubbing the belly between the pubic bone and the belly button.

Most people agree that it is not as efficient as the internal massage, but has many benefits. If you learn the right techniques for external male prostate stimulation, you will include it in your therapy.

Due to the fact that the perineum is located between the anus and scrotum, massaging the perineum indirectly stimulates the prostate. There are also devices to assist with external prostate stimulation.

External self prostate stimulation and massage at home

Remember that the perineum has two parts, one that covers the penile bulb and the other one, which is softer and represents the easiest way to get to the prostate. If you have an erection, place your fingers on one side of the shaft underneath your scrotum. Feel for a lump and begin to rub it until you feel a new sensation, different from regular penis stimulation.

While self prostate milking, if you want to be sure that you hit the right area for external prostate massage, the first sensation you need to feel is a sudden need to urinate. When this sensation activates, keep pressing because you are on the right track. You won’t actually urinate, but will activate also the ejaculatory part. when you are sure you found the right area, try finding the right movement for you. It can be either stroking or circular movement. If the prostate starts to hurt you, you should stop for a while until it recovers.

When you start to enjoy the self prostate massage, you may see some milky liquid running out. You may have some tissues or towels with you to clean up. This part is also known as milking the prostate, getting rid of any unwanted liquid that is stored there. This technique has a very important role in prostate cancer prevention. Also, it may lead to prostate orgasm, a whole new road to sexual pleasure.

There are also devices to assist with external prostate massage.

Benefits of prostate massage

Purported benefits of prostate massage therapy include:

  • Prevents the buildup of prostatic fluid in the prostate
  • Improves the effectiveness of antibiotics against prostatitis
  • Supports healthy prostate functioning
  • Heightens sexual experience
  • Reduces the pain and discomfort of an inflamed prostate.

External prostate stimulation is said to reduce pain, improve erection, and ease urination. However, there is little medical evidence to support these claims.

Prostate stimulation and massage for impotence

Prostate stimulation has great benefits regarding sexual life, including impotence and erectile dysfunction. It helps men suffering from ED by clearing the prostatic duct during the milking process.

Men who experience ED symptoms have seen improvements in their situation after some sessions of prostate massage.

Although it is not a mainstream line of treatment for ED, prostate stimulation may bring great benefits. Combined with oral medication or other medication, the prostate stimulation turned out to be effective.

Risks associated with the prostatic massage

The risks that are associated with the procedure include:

  • Worsening of acute prostatitis and potential blood poisoning, due to a risk of spreading infection
  • Bleeding around the prostate
  • Cellulitis, a serious skin infection
  • Hemorrhoids flare-ups
  • Spreading of prostate cancer, if present
  • Damage to the rectal lining.

Before you consider trying this therapy, speak with your doctor about what you can expect. Although it is not a practice used very often, your doctor will be able to determine if this therapy is right for you.

Related: Concerned about possible prostate cancer symptoms? Learn more about treatments and SMART Robotic Prostatectomy Surgery.

Dr. David Samadi | Robotic Prostate Surgeon


ProstateCancer911.com is a resource created by Dr. David Samadi in order to raise awareness and get more men to receive prostate cancer treatment. The information is strictly general and you should always discuss with your doctor issues concerning your health.


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