Patient's question:
Symptom Description: Premature ejaculation, urine splitting, yellow urine for seven years, no medical history of treatment and its effectiveness: I have never received any treatment. What kind of help do I need: What kind of treatment is needed, how to treatDoctor's answer:
The method of massage is as follows: The patient should assume the knee-chest position. The therapist places the index finger of the right hand into a rubber finger sheath and applies petroleum jelly. First, gentle massage is performed around the anus. Then, the index finger is slowly inserted into the rectum to indirectly palpate the posterior lobe of the prostate through the rectal mucosa. The tip of the index finger is positioned against the posterior lobe of the prostate, and pressure is applied from the outside, upwards, inwards, and downwards to the prostate. Specifically, press 3 to 4 times on each side of the gland towards the midline, and then from the central sulcus downwards towards the external urethral orifice to express prostatic fluid.Generally, massage is performed 1 to 2 times per week, with 4 to 8 sessions constituting one course of treatment. It can be continued for 2 to 3 courses. During massage, the technique should be "gentle and slow," avoiding rough, forceful, and repetitive pressure, as this may cause new damage to the prostate tissue, exacerbate inflammation, or even lead to toxic or adverse reactions, worsening the condition. Therefore, it is often recommended that the patient urinate immediately after massage to expel inflammatory secretions accumulated in the posterior urethra.
Prostate massage is contraindicated during acute exacerbations of chronic prostatitis to prevent the spread of inflammation. It is also not suitable for individuals with prostate atrophy or hardening. Patients suspected of having tuberculosis or tumors of the prostate should also avoid massage.
After massage, patients typically feel relieved, and symptoms such as white discharge from the urethra may improve or disappear. If fever or worsening symptoms occur after massage, the procedure should be discontinued, and antibiotic treatment should be added.