Patient's question:
I heard that prostate massage has an auxiliary therapeutic effect on benign prostatic hyperplasia. Could you please tell me the specific method of prostate massage?Doctor's answer:
Hello: Prostate massage via the rectum is not only a method for obtaining prostatic fluid for examination but also one of the treatments for prostatitis. It is particularly beneficial for young patients who are unmarried and do not regularly discharge semen, as massage can help expel prostatic fluid containing bacteria and toxins, which facilitates the resolution of inflammation.The method of prostate massage is very simple and can be performed by family members or the patient themselves.
Here is a step-by-step guide:
First, the patient should empty their bowels and bladder, then assume a knee-chest position or lateral recumbent position. The practitioner should wear a finger cot or latex glove on their right index finger, or use a condom as an alternative. A small amount of petroleum jelly or mineral oil should be applied to the finger cot before the procedure. Begin by massaging the area around the anus for a few moments, then slowly insert the index finger into the rectum with the fingertip facing downward. Approximately 3–4 cm below the index finger, a chestnut-sized prostate can be palpated, with a shallow groove in the center.
Massage the outer upper portion of each lateral lobe of the prostate 3–4 times, moving inward and downward. Then, press the central groove from top to bottom 3–4 times. At this point, the patient may feel the urge to urinate, and milky fluid may flow from the urethra. If no fluid is expelled but the urine becomes cloudy after massage, the procedure is still effective.
The following precautions should be taken during prostate massage:
(1) Massage is contraindicated during acute prostatitis.
(2) The technique should be gentle and moderate in force, avoiding violence to prevent pain and injury.
(3) Pay attention to the appearance of the prostatic fluid, and perform microscopy if possible.
(4) If the prostate is tender, hardened, or exhibits hard nodules, seek medical attention promptly.