Prostate Massage: Benefits and Risks, Indications and Contraindications

Prostate massage is a procedure performed to improve the functional state of the prostate gland. Although this method is often associated with intimate medicine, its popularity and use in urology are growing. In this article, we will take a detailed look at what prostate massage is, its potential benefits and risks, indications and contraindications, as well as recommendations for performing the procedure.

Prostate massage is a therapeutic manipulation involving mechanical stimulation of the prostate gland through the anal opening. This procedure can be performed by a healthcare professional or independently using specific techniques and devices.

During prostate massage, receptors within the prostate gland and surrounding tissues are stimulated, leading to improved blood circulation in the pelvic area, restoration of the lymphatic vessels' drainage function around the gland, and consequently, enhanced prostate function. Most doctors believe that this type of massage can result in the following effects:

• Increased production of prostatic fluid.
• Liquefaction of the prostatic secretion, which facilitates its expulsion—along with it, various metabolites and breakdown products leave the organ.
• Enhanced intracellular metabolism.
• Relief of muscle spasms—this helps reduce pain.
• Improved tissue trophism (nourishment).
• Reduction of pain associated with prostatitis and other conditions.
• Elimination of stagnation in the blood and lymphatic systems — this improves the bioavailability of medications being taken.

Prostate massage can offer a variety of positive effects, especially for men suffering from various prostate-related conditions.

Prostatitis is an inflammation of the prostate gland that can cause pain, discomfort, and urinary issues. Prostate massage helps improve the drainage of prostate fluid, which can reduce inflammation and alleviate symptoms, while also enhancing the blood supply to the organ. This process aids in the faster and more effective elimination of bacterial waste products, cellular respiration metabolites, and drug breakdown products from the gland, facilitating its recovery after the disease.

Some studies suggest that prostate massage can enhance sexual function. This is linked to the release of stagnant secretions and stimulation of prostate cells, which may lead to improved quality of ejaculation and orgasm. The activation of metabolic processes boosts the gland’s activity, filling it with nutrients and oxygen from the bloodstream, which can improve potency.

Regular massages can serve as a preventive measure against various prostate diseases, such as hyperplasia and cancer. The stimulation of blood flow can help prevent the formation of tumors and cysts by reducing the stagnation of harmful metabolites and breakdown products.

Benign prostatic hyperplasia (BPH) is a common issue among men over 50, with its prevalence increasing significantly by age 80. Prostate massage may help improve bladder function and reduce symptoms such as frequent urges to urinate. However, this procedure is only advisable in the early stages of the disease when the organ is not yet significantly enlarged and does not exert pressure on surrounding tissues.

Like any other type of massage, prostate massage can contribute to overall relaxation and stress reduction. This can positively impact a man’s psycho-emotional state and overall quality of life.

Despite its potential benefits, prostate massage also carries risks and potential downsides. It is important to be aware of these possible issues and contraindications.

Some patients may experience painful sensations during the massage, which can lead to fear and negative associations with the procedure. This is particularly relevant if the massage is performed incorrectly or without proper preparation. In such cases, it is essential to halt the procedure and reschedule it for a more appropriate time.

If prostate massage is performed during peak periods of exacerbation of prostatitis or another inflammatory process, it can worsen the condition. The procedure in such instances may aggravate the inflammation, so it is prohibited during flare-ups of chronic diseases and in the development of acute conditions.

Improper massage techniques can lead to injuries in the anorectal area, including tears of the mucous membrane or damage to the rectum. This is especially crucial to consider when performing the procedure independently. It is important to carefully check the condition of the nails before the procedure and to stop immediately if discomfort is felt during the massage.

In the presence of urinary tract infections, massage can potentially spread the infection. The risk is particularly high if there are existing injuries to the prostate gland, rectum, or urethra. It is crucial to perform the procedure in sterile conditions and follow all necessary precautions.

Some men may feel shame or discomfort due to the intimate nature of the procedure, which can negatively impact their psycho-emotional well-being. It is important to discuss these aspects and consider the psychological comfort of the patient.

Prostate massage may be recommended for a variety of conditions and diseases, including:

• Prostatitis: Massage can help improve the condition in cases of chronic prostatitis, as long as it is performed outside of flare-up periods.
• Chronic Pelvic Pain Syndrome: Massage can help alleviate pain associated with this condition.
• Benign Prostatic Hyperplasia (BPH): Prostate massage may be beneficial for improving bladder function and reducing symptoms.
• Sexual Dysfunctions: Massage may enhance the quality of sexual life by improving sexual function.
• Suspected Congestive Prostate Conditions: It can serve as a preventive measure for prostate diseases and improve the overall health of the prostate.

While prostate massage can be beneficial, there are situations where it is contraindicated:

• Acute Prostatitis: Massage may worsen the condition in the acute phase of prostatitis.
• Oncological Diseases: The presence of a tumor can make the procedure dangerous, as it is unclear how the disease might respond to increased blood flow, oxygen, and nutrient supply.
• Pelvic Injuries: Massage can exacerbate an injury, potentially causing bleeding or displacement of bone fragments.
• Urinary Tract Infections: Especially if there are existing injuries, there is a risk of spreading the infection and even infecting the practitioner if safety measures are not followed.
• Hemorrhoids and Rectal Injuries: Direct mechanical impact may aggravate the condition, leading to bleeding, infection, or separation of the mucous membrane.

When deciding to undergo prostate massage, it is important to consider the following key recommendations:

• Consult a Specialist: Before the procedure, it is advisable to consult with a urologist to ensure it is appropriate for your condition.
• Maintain Hygiene: Adhering to strict hygiene standards is crucial to prevent infections.
• Ensure Comfort: Choose a comfortable and quiet location for the procedure to help you relax.
• Proceed Gradually: Start with gentle pressure and gradually increase it as you become more accustomed to the sensation.
• Respect Your Feelings: If the procedure causes discomfort or pain, stop immediately. Your comfort and well-being are the top priority.

Prostate massage can offer both benefits and risks, depending on the patient’s health condition and the proper execution of the procedure. By considering the indications and contraindications and following specialist recommendations, positive outcomes can be achieved. However, before deciding to undergo prostate massage, it is crucial to consult with a physician and carefully evaluate all the risks and advantages.

Being informed and willing to engage in constructive communication with healthcare professionals is an important part of taking care of your health. Remember, an individualized approach in medicine is always key.