Prostate massage and prostate milking are terms used to describe the massage or stimulation of the prostate gland in males, either for medical or sexual purposes. The two terms are interchangeable, although "massage" is more frequently used when the purpose is relief of symptoms of chronic prostatitis, and "milking" when the purpose is the reduction of sexual activity or drive through removal of prostatic fluid. In the BDSM realm, it is sometimes used as feminization under the term "sissy milking".
The prostate is a part of male sexual response, and 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.
Prostate massage thus refers to any action which stimulates the gland. Prostate milking more usually refers to the specific practice of relieving the buildup of seminal fluids within the prostate, and discharging them by means of massage without orgasm or ejaculation.
Prostate massage is sometimes carried out as a medical procedure for the treatment of chronic prostatitis and benign prostatic hyperplasia (BPH), although it is highly inadvisable for patients with acute prostatitis, for whom the infection can spread elsewhere in the body if massage is performed.
Done internally either by lubricated finger(s), a prostate massager or other medical instrument, prostate massage may result in orgasm without any genital stimulation. It 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.
There are some health risks associated with prostate massage if performed incorrectly. Gentle massage may "help to drain painfully sequestered secretions in a chronically [but not acutely] inflamed prostate gland or seminal vesicles", and the massage around the prostate may benefit the muscles there. However a study in 2006 found no additional benefit for adding prostate massage to antibiotics alone in treating prostatitis. Vigorous massage, or massage to an acute prostatitis case, in some cases may be dangerous, possibly leading to local cellulitis (Fournier's gangrene), septicaemia (blood poisoning), transfer of prostate cancer to other parts of the body, or hemorrhoidal flare-up in some individuals. Very gentle external anal massage, which relaxes the sphincter muscles, has been shown to relieve hemorrhoids and fissures.
Whilst a prostate massage can benefit some men, it is important to be aware that there are risks involved with massaging a prostate that is suffering from an ailment or using too much force. Minimum pressure must be used, and using unreasonable vigor may result in damage to the very sensitive soft tissues and nerves of which it is made.
It is gentler to perform manually than with most medical implements because the finger is softer and allows more control.
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 and rectal region. Correct use involves a medium to light repetitive massage, or circular motion—the tool is not intended for use in a thrusting manner. Aneros in Japan is a patented line of prostate massage sex toys.
- Ateya A, Fayez A, Hani R, Zohdy W, Gabbar M, Shamloul R (2006). "Evaluation of prostatic massage in treatment of chronic prostatitis". Urology. 67 (4): 674–8. PMID 16566972.
- Sengoku A, Yamashita M, Umezu K (1990). "[A case of Fournier's gangrene: was it triggered by prostatic massage?]". Hinyokika Kiyo. 36 (9): 1097–100. PMID 2239620.