Prostate massage: A Taboo practice with therapeutic benefits

by ih-mmd ih-mmd

Dr. Raymond Zakhari, NP

The most common therapeutic benefit of prostate massage has been for men who have a condition called chronic non-bacterial prostatitis or chornic pelvic pain syndrome. This type of Chronic Prostatitis is thought to be an inflammation of the prostate that is not caused by bacteria but rather by muscle tension. Men often may internalize their stress and may not realize that they may be clenching their pelvic floor muscles. The main symptoms of chronic prostatis include frequency of urination, difficulty starting your stream, reduced force in the urinary flow, ache or pain associated with ejaculation, trouble ejaculating or decrease in volume of ejaculate,  an ache in the area between the anus and testicles, chronic vague low back ache, testicular ache.

Prostate massage was the standard therapy before the 1980s for chronic non bacterial prostatitis and prostatic enlargement. Some cultures believe that this may enhance virility and erectile health. Some men report improved erections and more intense orgasms, while others have reported improvement in premature ejaculation. Many of these claims are untested. However, given the low risk nature of prostate massage (assuming you do not have acute bacterial prostatitis which can be made worse by prostate massage), it may be worth a try if you happen to have any of the conditions mentioned. Some men see the benefit purly as a way to improve circulation which can be the benefit in and of itself.

There are some things to keep in mind with prostate massage. First, it should not be done by someone untrained.  You should be sure that you do not have an active prostate infection before engaging in prostate massage. Your doctor or nurse practitioner can do a prostate massage if you have chronic non-bacterial prostatitis but if you are in a traditional insurance based practice, they likely will not because it is not a covered procedure and it is a little time consuming.

As an aside, prostate massage can be a pleasurable experience since many nerve endings are innervating the prostate. It has sometimes been called the male g-spot. During a prostate massage, the gland is stimulated both internally through the anus and externally along the perineum. Obviously, some men will find this akward or embarrassing and will never want to experience this. It can be done on your own. There are many devices available even on Amazon. As with any exercise or massage, consistency is vital. A regular prostate massage a couple of times a month may do wonders for erectile dysfunction, improved ejaculation, reduced pelvic pain and tension, and overall sexual performance. Those with enlarged prostates may benefit from weekly prostate massage to promote drainage, minimize swelling and improve urine flow.

Hopefull, you have found this informative, and if you have any questions, please check with your health care provider for more information.