Prostate Massage

Prostate massage as alternative therapyProstate massage was once the most popular therapeutic maneuver used to treat prostatitis, but abandoned as primary therapy in the early 1970s.[1] Continuing research in emerging medical communities [2][3], published articles in non-medical circles [4][5], and anecdotal evidence on the internet shows that there is still interest in the technique as alternative therapy. In China, a 2008 survey of 627 urologists found that prostate massage is used prevalently as a nonpharmacological therapy for chronic prostatitis[6]

Sexual prostate massage
Done internally either by lubricated finger(s), a prostate massager or other medical instrument, prostate massage may result in expression of seminal fluids without any genital stimulation. The prostate can also be indirectly massaged externally through the perineum, although this may not be effective in the removal of fluid.
With exception of medical settings, 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.
Prostate milking is also encountered as part of sexual activities, particularly involving the use of sexual denial.
Prostate massage, in the sexual context, can refer firstly to the stimulation of the prostate as part of conventional sexual activity - for example, as part of autoeroticism/masturbation, or as performed by a sexual partner on a male as part of normal, non-fetishistic sexual intercourse, in which case the purpose is predominantly the enhancement of sexual pleasure in the male - stimulation of the prostate and anus in itself, tends to increase the intensity of male ejaculation and orgasm; additionally, massaging the prostate tends to increase the volume of fluid that is accumulated in the prostate prior to ejaculation, thus increasing the volume of ejaculation and the pleasure that is associated with ejaculation.
A second, alternative type of prostate massage, also referred to as "prostate milking", predominantly refers to the sexual practice, common within the BDSM community, of relieving the buildup of seminal fluids within the prostate, by discharging the fluid through massage, without the male experiencing orgasm. Prostate milking is commonly practised by/upon participants of a sexual fetish known as erotic sexual denial that involves abstention from orgasm and ejaculation for considerable periods of time (often many weeks or months). In such cases, the purpose of the massage is to temporarily reduce the level of sexual arousal in the male recipient by prompting the release of the prostatic fluid that was accumulated during the period of time in which the male had not ejaculated.The term "milking the mouse" appears to carry a more specialized erotic meaning as compared to the general term of "prostate massage", because it specifically invokes a fetishism of the male seminal fluids (i.e. to "milk"); and as such, the term "prostate milking" is seldom used, if at all, outside of the communities which are involved in the sexual fetishes in question. When referring to stimulation of the prostate under more conventional circumstances (i.e., enhancement of the immediate orgasm as part of normal sex), the more general term "prostate massage" would probably be more appropriate. In the BDSM realm, the term "sissy milking" also refers specifically to prostate milking, as part of feminization, where 'feminized' males are popularly called "sissies" by others who share the fetish.

Risks
Even a non-invasive prostate massage may carry a risk, which is increased if the massage is 'vigorous'[7]. Bacteria or cancer cells may be liberated and spread through the blood stream; prostatic calculi if present, may tear delicate membranes within the prostate, an internal massage may result in perforation of bowel and/or contamination; it may cause a hemorrhoid flare-up.

Footnotes

1. Nickel JC, Alexander R, Anderson R, Krieger J, Moon T, Neal D, Schaeffer A, Shoskes D (1999). "[Prostatitis unplugged? Prostatic massage revisited.]" (in English). Tech Urol. 5 (1): 1–7. PMID 10374787.
2. Churakov AA, Popkov VM, Zemskov SP, Glybochko PV, Bliumberg BI (2007). "[Combined physiotherapy of chronic infectious prostatitis]" (in Russian). Urologiia (1): 61-5. PMID 17472003.
3. Shen SL, He DL, Luo Y (2006). "[Clinical trials of combined therapy of an oral Chinese medicine with massage for chronic nonbacterial prostatitis]" (in Chinese). Zhonghua Nan Ke Xue 12 (9): 851-3. PMID 17009541.
4. "Prostate Problems? Hidden In More Ways Than One"The American Chiropractor, 2008. accessed 13 October 2007
5. Williams D (2005). "[Massaging the Prostate]" (in English). Alternatives 10 (20): 157-9.
6. Yang J, Liu L, Xie HW, Ginsberg DA (2008). "Chinese urologists' practice patterns of diagnosing and treating chronic prostatitis: a questionnaire survey". Urology 72 (3): 548-51. PMID 18597833
7. Nickel JC, Downey J, Feliciano AE, Hennenfent B (1999). "Repetitive prostatic massage therapy for chronic refractory prostatitis: the Philippine experience". Techniques in urology 5 (3): 146–51. PMID 10527258.