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, and 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.
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 a prostate massage, 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 may be slightly uncomfortable for a few moments, but it shouldn’t be painful. An external prostate 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. There are also devices to assist with external prostate massage.
External prostate massage is said to reduce pain, improve erection, and ease urination. However there is little medical evidence to support these claims.
The risks that are associated with the procedure include:
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.