Why can't prostatic fluid be obtained?

Patient's question:

I have had check-ups at several hospitals, but they haven't been able to retrieve anything. However, if I look at the erect penis X-ray, I can see some things coming out on my own. Is that prostatic fluid?

Doctor's answer:

Hello, it is difficult to obtain prostatic fluid through massage, which may be due to the following reasons: pain and tension, urethral and prostatic calculi, incorrect massage technique, or sexual activity immediately before obtaining the prostatic fluid. It is recommended that you avoid sexual activity for one week before obtaining the prostatic fluid. Additionally, it is best to first perform local anal massage to help the patient relax before inserting into the rectum and gently squeezing the prostatic fluid. Do not become overly tense. If it is still difficult to obtain, you can also gently squeeze the prostatic fluid from the base of the penis outward, as this may sometimes help to extract some prostatic fluid.

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