Have you guys ever heard of prostate massage? Well, I've been getting this question
a lot what is it safe to do prostatic massage and what exactly is it. I'm Dr. Rena Malik,
urologist and pelvic surgeon, and today I'm going to answer exactly those questions if you're new
here I am a urologist and pelvic surgeon and I talk about all sorts of urology on this channel
I talk about sexual health bladder health and much much more so if you're new here make sure
you subscribe hit that notification bell so you don't miss my videos each and every week
so before we get into prostate massage it's important that you know exactly what the prostate
is so the prostate is a walnut shaped gland that sits underneath the bladder around the pee tube
or the urethra so how do you access the prostate well it's actually through the anus and into the
rectum so that tissue overlying the prostate is essentially the rectum and that tissue is very
delicate and so you want to be very gentle when you're performing any sort of prosthetic massage
typically when we do any sort of prosthetic exam we have gloves to cover our fingers to make sure
no bacteria from our hands get into the rectum and we use a very well lubricated finger you want to
make sure that if you for some reason are doing prosthetic massage that you make sure your nails
are not very long that your hands are very very clean and you're using lubricant that is specific
for anal intercourse or anal play the reason being is the ph of the anus is actually different from
the ph of the vagina where generally lubricants are used and so you want to make sure you get
specifically a lubricant that's made designed for the anus because its ph will match that of
the anus and not cause any abnormalities in the balance or the normal flora of that area and if
you want to learn more about lubricants you can check out my video on lubricants to learn more
about that the prostate unfortunately can create a number of different problems for men over the
course of their lifetime prostatitis is one of these things that men can often experience and we
can find it anywhere between 11 and 16 of men in the world and we see about 2 million visits a year
in the united states for this problem prostate massage was actually used very very commonly
for the treatment of prostatitis or inflammation of the prostate as a medical therapy up until the
20th century and what exactly is prostatitis this video is not going to go over all of prostatitis
because it's a pretty complex disease process and if you're interested in learning more about
it please comment below and i will make a video about it chronic prostatitis is usually a symptom
complex or it has basically a number of symptoms that are correlated with
pain in the pelvic region or the perineum which is the area between the scrotum and the anus can also
have some component of issues with ejaculation and issues with urination so the reason people
used prostate massage for prostatitis is a number of different reasons number one they thought that
doing the prostate massage would actually allow expression of the prostatic secretions number two
they thought that it relaxed the pelvic floor i've talked a lot about high tone pelvic floor
throughout a lot of my videos but essentially what we think is that a lot of times people have
elevated tone or high stress in their pelvic floor that can cause a lot of pain so doing the
massage actually relaxes some of those muscles number three it was thought that if there was
any sort of biofilm created by bacteria which is essentially a layer that bacteria can form that's
really difficult for antibiotics to penetrate can be disrupted by the massage itself and lastly it
would improve circulation in the prostate and all of these things together would allow antibiotics
to penetrate the prostate better start off i'm going to explain the most recent data on the use
of prostatic massage for chronic prostatitis in a study they took 81 men with chronic prostatitis
so they divided the group into men who got antibiotics plus prosthetic massage versus
those who got antibiotics alone and they wanted to see the difference does prosthetic massage
actually make a difference so in this study they were given specific instructions on how to massage
their prostate they were told to massage their prostate for four weeks three times a week they
were told to massage the prostate for six times on each side or the lateral edges of the prostate and
then a few massages in the middle so bottom line from this study what did they find so what they
found was that prostate massage didn't add any additional benefit to antibiotics alone in this
small cohort of patients so largely prosthetic massage as a treatment for prostatitis has largely
been abandoned i looked at another systematic review of all the studies on prostatic massage
and they don't really show a huge benefit of prosthetic massage on prostatitis however we don't
really know the ideal duration how often should people be doing prosthetic massage and how long
should they be doing it for and so all of this stuff leads a lot of questions that are unanswered
however despite using it for medical purposes many people find prosthetic massage to be very
pleasurable for sexual purposes and that's not surprising there's a lot of nerve endings on the
prostate that can cause it to be pleasurable for some people to undergo prosthetic massage
however if you're going to do prosthetic massage for sexual purposes there's a couple things to
keep in mind number one you want to make sure you have consent from your partner to do it
if you are initiating the prosthetic massage or asking for it you want to make sure the other
partner feels completely comfortable with moving forward with that after you obtain consent you
want to make sure that you're using a clean gloved hand or a clean hand with lots of lubrication the
rectum itself makes no lubrication so if you don't use any lubrication you are at risk of
injuring the rectum and creating bleeding and so it's really important to use lots of lubrication
and you never want to do a prosthetic massage on someone who has either acute bacterial prostatitis
meaning they're having a lot of pain fevers chills pain with urination they might have
prostatitis so you don't want to do it in those patients because you could spread the infection
from the prostate to the bloodstream and make them very very thick also you want to be very
gentle with the prosthetic massage aggressive prosthetic massage has been correlated with a
number of complications including rectal bleeding flaring up of hemorrhoids and in men who have
prostate cancer they have seen some potential spread or metastasis of the prostate which
may be correlated with prostatic massage well hopefully that answers your question can
prosthetic massage help you well maybe if you're having some chronic pain or it might help you
have some more pleasure in the bedroom but make sure to do it gently do it carefully and be clean
so hope you enjoyed that as always remember to take care of yourself because you're worth it