Looking for tips about vigorous prostate massage

I am dealing with my second bout of prostatitis in a year and a half - no fun. One of the things that I have seen is a discussion of the "Manila protocol" and variants, where antibiotics are combined with prostate massage to supposedly help the penetration and effectiveness of the antibiotics. I'm not looking for a debate on the merits of this approach - the studies I have seen have several issues, chief among them is absolutely no distinction between acute bacterial, chronic bacterial and chronic non-bacterial prostatitis/CPPS, and I don't think that I would believe in it enough to pay someone lots of money to do it.

For at home use I would consider it. I'm going to give the Cipro a few days to get in there and kick ass on its own (right now I don't want to touch anything down there), then probably give the massage thing a try. My question is what positions, tools, techniques, etc. do people recommend that allow for a "comfortable" vigorous prostate massage on yourself? Of course having my wife do it with her fingers, toys or even a fist would be better, but I want to save the anal play with her for a time when she can see me enjoy it.

The fact is, most women think by sticking their fingers in your ass they are doing prostate massage when the truth is even the women "experts" have no idea what they are doing. You might do better seeing a man (usually gay men doing massage) and having him do it. At least he will know where it is.

Recently, I learned of the Theracane from Jds4med. Google it. It has a ball on the end and has a handle long enough so you can comfortably hold it and massage your prostate for real, something that does NOT happen with the prostate toys ubiquitously on the market.

Yep, seen most of those. I would love my wife to learn how to do it properly, but again I think I'm going to save that for sexy massage or at least semi-sexy massage.

I'm not sure about a professional masseuse. Your points are valid, but any really good masseuse will (or should) hear "prostatitis" and say "come back when it's cleared up and then we can talk." That's even what my PT would say, and he just does the muscles.

I've heard of the TheraCane before, might need to look into it. I was thinking about having other options as well, so I can start whenever things get comfortable enough. It will be interesting to see if I have enough grit to do it successfully, as I have seen several comments by urologists that they "don't actively recommend patients do this at home because many are not willing to apply enough force because of the discomfort." You're right about the prostate toys. There's one interesting "study" claiming to show benefit to BPH from the use of one of them. No standardization of procedure, length of the participant's participation in the study is weeks to a couple of months, and I'm not sure exactly how the toy would apply enough pressure to do much beyond perhaps promoting relaxation if the issue is tight pelvic floor muscles. The study can be a good read if you want a laugh at http://www.highisland.com/images/20TOUNJ.pdf, but again it's frustrating because it's one of several studies hinting that prostate massage might work but nothing really good.

I looked at the article. The controls were weak and you never really know how it was being used at home or if the patients even used it correctly. Either way, I don't see how that TOY can actually put sufficient pressure on the prostate to do anything therapeutic.

The Theracane works wonderfully. You're in complete control of pressure and location. Unfortunately, it's not difficult to overdo it.

If your wife is willing, learning prostate massage isn't that difficult - I recently taught a friend how to massage the prostate so she could try on her husband. The two keys are being able to tacitly identify the prostate then use enough pressure to be effective. Especially with chronic prostatitis, it'll hurt. She needs to accept that and work through it. I'll be glad to give you some technique pointers via PM.

I looked at the article. The controls were weak and you never really know how it was being used at home or if the patients even used it correctly. Either way, I don't see how that TOY can actually put sufficient pressure on the prostate to do anything therapeutic.

Not to mention that the use of patient reported essentially subjective measures over a study length of weeks means that they're also getting a hefty dose of placebo as well. Like I said, good for a laugh, wish there was some decent research because I've seen several better studies where they said results indicate there may be some benefit, but that the study didn't really look at it.

I know it will hurt. Last time this happened I ignored it and stored up the stress as pelvic muscle tension (essentially CPPS, but didn't get quite far along to become chronic) and the initial massage/releases kind of hurt. Today I made the mistake of trying to start some form of prostate massage and knew I couldn't be gentle. It hurt significantly more - I was glad I didn't have to be anywhere because there was no way I could drive for a while afterwards. I think I'll give the antibiotics a few days to calm things down before trying again, and maybe take a Tylenol first. I didn't have a problem with the cytoscopy a couple of years ago, but this felt like someone was trying to shove barbed wire up my urethra - that and whoever set off the fragmentation grenade in my butt.

I did manage to extract enough prostatic fluid to be pretty sure that the massage was effective.

Edit - in retrospect I think that a big chunk of the problem is that I was expecting it to be easier, maybe a bit uncomfortable but not significant pain, and I let it get to me. I don't know why I thought it wouldn't hurt because most touch to the perineum area was painful, but for some reason I did.

On my own access and control seem to be difficult. I can't really put enough pressure on with my fingers, and using a g-spot type stimulator toy makes it hard to feel where I am in my pelvis.

My wife physically cannot do it to me right now because she's away. I will definitely try and get things started when she gets back, but until then does anyone have any tips on finding someone willing to do this? Urologists won't around here - insurance generally won't cover it. It's somewhat of a legal/ethical gray area, so I imagine I can't really call up masseuses cold and ask, and I don't really know any. I do not want this to have a sexual component, and because of that I don't really care if it's a woman, straight or gay guy but would strongly rather not go with a "sex worker" (big potential for personal and professional problems if I go even close to there). Asking my parents would be awkward, and when I hear back from my PT I imagine the answer will be that he doesn't do that.

Just typing this out I'm thinking my answer will be try it on my own the best that I can until my wife gets back, but thought I'd see if there was something I was missing.

I got some good tips from Jds4med and others, and the second try was much more successful than the first.

The most important thing for people to remember is that "vigorous" for the prostate is completely different than "vigorous" for the back. Go easy on yourself. I saw the bit about "many patients won't apply sufficient pressure" and figured I really needed to whale on myself. Not the case. 10 minutes of gentle to moderate massage produced much better results than 3 minutes of maximum pressure, unless your definition of "results" is agony and swearing.

I lay on my back and used a g-spot toy in little circles going from the side to the center top down over and over. A partner would be best, but this is OK. I was able to get out around 1/4 tsp of fluid. I'm a bit sore and uncomfortable, but nothing like last time. I think I'd recommend anyone else wait a full week on the antibiotics first, or better yet check with your doctor.

I think my body is still telling me that it's too fast - it has only been 5 days. I'm going to put the massages on hold until at least a week has gone by. Looking at more resources (that I should have looked at first) I imagine I'm lucky I didn't cause damage, especially that first time.

On my own access and control seem to be difficult. I can't really put enough pressure on with my fingers, and using a g-spot type stimulator toy makes it hard to feel where I am in my pelvis.

My wife physically cannot do it to me right now because she's away. I will definitely try and get things started when she gets back, but until then does anyone have any tips on finding someone willing to do this? Urologists won't around here - insurance generally won't cover it. It's somewhat of a legal/ethical gray area, so I imagine I can't really call up masseuses cold and ask, and I don't really know any. I do not want this to have a sexual component, and because of that I don't really care if it's a woman, straight or gay guy but would strongly rather not go with a "sex worker" (big potential for personal and professional problems if I go even close to there). Asking my parents would be awkward, and when I hear back from my PT I imagine the answer will be that he doesn't do that.

Just typing this out I'm thinking my answer will be try it on my own the best that I can until my wife gets back, but thought I'd see if there was something I was missing.

Most big cities have (usually gay) massage practitioners that do prostate massage. Do a Google search for PROSTATE MASSAGE and your city.

You might also want to look at the Pure Wand from N-Joy. It's curved for solo use, has 2 different sized SS balls, one on each end, and gets excellent reviews from males as a solo prostate massager.

I plan on getting one eventually for the same purpose.

http://www.njoytoys.com/products/purewand.php

As far as finding someone to do it, unless you can talk your urologist into doing it, you'll probably have to look in the various escort "service provider" ads for prostate massage, tantric massage, full service escort, etc. If you're new to that world, be sure to read up on reviews, behavior protocols, and local laws before proceeding.

You might also want to look at the Pure Wand from N-Joy. It's curved for solo use, has 2 different sized SS balls, one on each end, and gets excellent reviews from males as a solo prostate massager.

I plan on getting one eventually for the same purpose.

Yeah, we talked about BPH-related massage via PM earlier. I was going to wait for the talk with my doctor before doing anything, but then the prostatitis came up. Thanks for the tips, I used some of them already. I'll probably wind up with either the Pure Wand or TheraCane for those times my wife can't help if I continue. Pure Wand looks like it might be easier to sanitize/sterilize, but the TheraCane is bigger and can also be used on my back. Hmmm.

Most big cities have (usually gay) massage practitioners that do prostate massage. Do a Google search for PROSTATE MASSAGE and your city.

Would this generally be "massage practitioners who happen to be gay" or "massage practitioners who do sexual massages targeted at the gay community?"

I know it sounds like a silly distinction, but in light of what Radio said about escort services it's vital. Getting involved in sexual stuff with someone other than my wife is a hard limit for me.

There are multiple search sites for male therapists. Masseurfinder is one - search by location. You're not going to have sex with them, they just specialize in working with men. I used to provide this type of service but I didn't advertise. I worked with men who were experiencing 'reproductive' issues.

Sanitize v sterilize anal toys? Guess what - where they're going isn't exactly clean. They're single user things. I wash mine with soap and water. If you're concerned about the first use, wipe it down with clorox or lysol wipes then wash with something more body friendly.

A warning to people who are considering this, especially if they're too wimpy to actually discuss stuff like this with their doctor (I'm working on being more open, really I am, but I still tend to try and avoid bringing up things that are embarrassing or may lead to attention being paid to my more personal regions):

BE VERY CAREFUL. I don't think I caused any damage, but I could have. Even if "chronic" is being thrown around it really isn't ONLY chronic if you're having a flare up. Wait for the antibiotics to do their job, and if you absolutely feel the need to try alternative stuff clear it with your doctor. If your doctor won't approve it there's probably a reason.

The details: After thinking "oh, it's chronic, not acute, and I want this gone NOW" I tried almost immediately throwing in prostate massage to "break up any biofilm and aid antibiotic penetration." It hurt, which should have been a big stop sign, but I continued (dumb thing number, what, 64,948?) It hurt a lot, and for a while afterwards, and then I had a fever. Not a huge one, but I hadn't had one before. The only plus side of that was that it was confirmation that the doctor and I were on the right track with the antibiotics. The lucky break was that it didn't get worse - it could have turned into a form of gangrene in a worst-case-scenario.

Dumb thing number 64,949 of course was - wait for it - "oh, I guess I should wait a couple of days before I try again." Well, not as bad, but it still hurt and still hurts. I think I might be finally "waking up," but knowing myself I wouldn't count on it.

I doubt there are too many people out there as _____ (fill in the blank) as me, but if there are here it is again:

DON'T PLAY WITH YOUR HEALTH. Get a doctor you trust and can work with, work WITH them, and respect their advice, especially if something happens. There's something to all those years of medical school and experience that can't be replaced with PubMed, or even PubMed + a friend with access who will pass you the full articles + a few clues of how to evaluate research.

I'm not saying prostate massage doesn't help in any case, and I will be looking into it. What I am saying is be careful and definitely wait until it doesn't hurt unless you doctor specifically OKs it.

Now I just need to bookmark this and make sure I read it about once a month.

I think too much of anything is usually a bad thing. This goes for prostate massage and over-exertion of one's prostate in general. I've had long masturbation sessions where I edge for long durations and ejaculate multiple times in a short time. Your prostate WILL ache and tell you that you've over-exerted it.

During business trips I use to take along my Aneros to play with in my hotel room. The late night sessions consisted of edging to porn, anal stimulation with my lubricated fingers, and when I felt sufficiently "charged" I'd insert my Aneros and massage my prostate using only the contractions of my own anus while I continued to edge.

The ejaculations I had were volcanic and some of the most satisfying, however the last time I did it made me realize I need to take a break from it for a while. I ached for over a week in my perineum. Probably because I pushed myself more and more during each masturbation session to have a better orgasm than the previous one.

So be kind to your prostate. Don't over-massage it for too long. I believe it can bruise like any other part of your body.

It will be much easier for your lady to work...milk the prostate....the goal reamains health..But if you can climax this way..score...u can also do it yourself...srand up..spread your feet....reach down and throug..do the come hear motion...you will know...different....but great

Whispor and Freaky Soul have good points. Moderation is very good, and I do hope to have my wife involved with this, both for fun and possible health.

The point of my last post was specifically about an active bacterial prostate infection. This is hopefully very specific and rare and therefore not too helpful, but if someone has or thinks they have an active prostate infection they need to be extremely careful and ideally check with a doctor before trying anything or adding anything. With an active prostate infection massage can make things worse, damage the prostate, or spread infection. Captain Clueless here was lucky and probably didn't cause any long-term damage, but I definitely slowed down recovery and made myself much less comfortable.

Guess who's not smart enough to take his own advice. Earlier this week I laid down and had a really gentle massage session where I got half a mL or so of nice looking fluid out, but only from one side. Fast forward to last night, when I tried it again. Started off getting fluid from the same side, but then I focused more on the uncooperative side, pressing a bit harder and moving things towards the middle and down. I got some out, but it was kind of thick and chunky (and I am all but positive I was on the prostate, because I just flipped over to the other side of the gland). After that it started aching, and still does some. It's not nearly as bad as it was, so I know things are SLOWLY getting better, but one of these days I might possibly learn.

@moliere I would think that prostate massage during a bacterial infection would be beneficial. The usual protocol for such an infection is to take Cipro for 30 days. The urologist explained to me that because the prostate is difficult to treat because it takes in the antibiotic so slowly. My thoughts or logic would be that if the prostate were drained (completely) when blood serum levels of Cipro are high, the "inflow" of hydration from the body to replenish prostatic fluid would carry the antibiotic along with it and allow more of the prostate to be infused with the antibiotic.

I can't imagine simply ejaculating via orgasm would be enough. Many times I've cum a second time after my initial ejaculation and still can shoot a copious amount of cum in a short recovery time.

The usual protocol for such an infection is to take Cipro for 30 days. The urologist explained to me that because the prostate is difficult to treat because it takes in the antibiotic so slowly. My thoughts or logic would be that if the prostate were drained (completely) when blood serum levels of Cipro are high, the "inflow" of hydration from the body to replenish prostatic fluid would carry the antibiotic along with it and allow more of the prostate to be infused with the antibiotic.

My PCP put me on 20 days. I had similar thinking on the flushing the prostate theory*. I've been trying to do it a couple of times a week about an hour after I take one of the Cipro doses. Massage at a level that is effective to release prostatic fluid does definitely increase symptoms, though. I'm no longer spiking fevers afterwards like the first time, but the pain in the pelvis increases and back pain returns.

I can't imagine simply ejaculating via orgasm would be enough. Many times I've cum a second time after my initial ejaculation and still can shoot a copious amount of cum in a short recovery time.

I would think in most cases it would. You wouldn't need to have the prostate fully "empty" to reap the benefit of encouraging flow of fluid and antibiotic*(and indeed you really can't fully "empty" it unless you want to make yourself very uncomfortable). My experience with the difference in ease of fluid expression and type of fluid expressed from the different lobes does make me think that there might be a benefit to the massage+ejaculation vs "simple" ejaculation, as well as the possible theory of increasing fluid flow and drainage in general and "breaking up biofilms" (which might not be as dubious as it initially sounds). The trick for me is to balance between hard enough of a massage to be effective and a massage that is hard enough to cause damage.

*Note that I have no evidence to back this up nor do I have a good enough grasp of the prostate's anatomy and physiology to really make a call if this is a valid theory or if it is another one in the long line of quack ideas that brought us "autointoxication".

So after all, it is massage that treats the prostate, isn't it?

First of all, you really need to cure the prostate and consult a good doctor but not with the users on the internet. Only then start sex games. It’s not a matter of money, but the correct treatment and approach. Prostate massage is not just about sticking a finger in the ass and damaging something to your partner. It is a serious medical procedure. If you want to diversify your sex life with your wife, you can see how to make an erotic massage london and invite her to try. I think both of you will be carried away by this game, and both of you will be at your peak.

I've recently discovered that using a larger diameter rosebud urethral sound on my husband feels amazing on his prostate. I have several I use on him for sounding play….4mm-6mm, but I use one that's 15mm on his prostate. They're smooth chrome plated steel and slide in the rectum super easy with a little water based lube. They're also easy to change the angle of insertion because of the narrow wire shaft. My husband loves how the coldness of the steel makes it feel clinical and tingly as I'm sliding it in and out of his butt wearing my lavender scrubs. Sounds are a powerful tools that can quickly bring a man to a shuddering orgasm.