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09/03/2004 5:19 am
However, vigorous prostatic massage may be very dangerous. If you have acute bacterial prostatitis it can result in septicaemia (blood poisoning). If you have the beginnings of a carcinoma in your prostate, it could conceivably result in the cancer being disturbed, broken up and metastasizing (spreading) around your body. Thirdly, it can result in prostatic calculi (little stones -- if you have them) tearing the delicate membranes in the prostate, exacerbating your CP/CPPS. Fourthly, there is a chance of perforation of the very thin rectal lining adjacent to the prostate, or tearing the rectal lining with a fingernail or implement. Fifthly, it may cause a hemorrhoid flare-up. In short, do NOT ask your doctor for prostate "massage" unless you have considered all the above points carefully.
A researching urologist adds:
"Vigorous pressure can result in tearing the very short segment of the urethra just below the prostate and immediately before the beginning of the penile urethra (this part is usually referred to as "membranous urethra"). The tearing can be very small and indistinguishable on routine examination but during the healing process this results in urethral stricture. In short, if the person giving you a massage has short fingers there is a significant probability that he/she might give you... a urethral stricture.
"Moreover, indiscriminate (inappropriate massages) can result in pushing back even normal urethral flora into the epididymis and subsequent epididymitis. Therefore, I'd usually have my patients on antibiotics when I perform massages on them.
"There is a general misconception that the prostate should appear enlarged, boggy or congested in "prostatitis". While this probably is true in chronic bacterial prostatitis, most CP/CPPSers have small prostates, which are painful to massage. Therefore, if you don't find relief from three massages, there is a small chance that massage will benefit you at all. It deserves a try, it is something that definitely works in some cases but it is not as simple as picking one's nose (and even this can bleed from vigorous picking). Prostatic massage is a procedure and as such the person performing it should be aware of what he/she is doing, where he/she is supposed to press and how persevering he/she should be. I am very careful whenever I perform the procedure and listen carefully to my patients.
"I once observed the most extraordinary complication of prostatic massage. A 28 year old presented with a history of a two-year right-sided discomfort in the right abdominal/cecal area (the place where the appendix is). I performed a very careful DRE during which the prostate was quite tender. Two days after the exam the patient developed visible anterior abdominal hematoma (collections of blood) above the bladder. Subsequent ultrasound exam revealed they were situated between the rectus abdominis fibers. They subsequently moved down to the testicles (because of the continuity of the anterior abdominal fascia with the scrotum). The bleeding was caused by the apprehension of the patient who contracted the anterior abdominal muscles (the rectus abdominis) strongly and abruptly thereby tearing some of the muscle fibers. My advice for patients: Be sure to relax COMPLETELY your abdomen during DRE/massage. Do it completely and slowly!
"Some men do benefit from massage (alone or with antibiotics). However, remember that the increasing leukocyte count in EPS some people use as a mark of "unclogging the acini" might as well signify mechanical damage to the prostate (leukocytes are increased in trauma, too)."
"As regards technique: do not push in one place; rather move from lateral to the center line of gland. Pushing at one place only can damage that area, especially if you are pushing very hard. "
"Sometimes no drops of prostatic secretions are produced at the tip of the penis. Not all prostates yield fluid following all massages. There is an interesting concept put forward by Dr. Krieger in 1996 according to which the inflamed ducts empty following the massage, rather than during it. If you keep that in mind, massage can be beneficial even when no fluid comes out."
"Remember that for some men, massage can be beneficial even when it is a massage of the muscles, surrounding the prostate, rather than the gland itself."
"Lastly, an aggressive massage can theoretically precipitate an autoimmune response by releasing "forbidden antigens",
09/03/2004 1:13 pm
Coco,
Thanks so much for your very informative posting. It's great to see somebody really do the research and check something out thoroughly. As a long time CP sufferer I know well of numerous DRE's, several of which included not only palpation but massage as well. As with so many things in life this practice has it's pros and cons (and advocates and detractors). Given my experience with clinically administered massage, I can tell you that the Aneros, when used as directed, does not afford the kind of a vigorous prostate massage that you speak of. The device is designed to be driven by anal contractions only and the anal musculature, although powerful, simply has nowhere near the strength or intensity of a doctor's ( practicioner's) focused digit with good hand and arm coordination. To be clear, the Aneros delivers a gentle massaging action. Many have reported seeing benefit from increased PC muscle tone, and prostate vitality. This is not to say that it's worked for everyone in this regard, yet I remain confident that the device is perfectly safe, so long as it is used as it was intended.
B Mayfield
09/03/2004 1:39 pm
We have always advocated ONLY GENTLE PROSTATE MASSAGE. Proper use of the Aneros entails exercising the PC & sphincter muscles to encourage movement of the Aneros. As with anything, practice moderaton.
Also, keep in mind that other forms of prostate treatment, such as surgery or pharmaceuticals, have risks as well.
We DO NOT recommend vigorous prostate massage.
We recommend gentle massage and broadening of personal awareness.
We also recommend the following additional resources:
http://www.highisland.com/links.php
http://www.prostatitis.org/
http://www.chronicprostatitis.com/
And, of course, general research on prostate massage.
Please inform yourself and make choices accordingly.
09/03/2004 3:44 pm
Addendum to above:
All readers please take heed of the warnings regarding vigorous prostate massage. However, it can certainly be performed safely. Prostate massage has been in practice for thousands of years, particularly in Chinese, Japanese, and Indian (Kama-Sutra) cultures for maintaining health and for improving sexual vitality. If you have any questions about your situation in particular please contact us, consult your urologist, and exercise caution.
Also take note of the webpage from which the "vigorous prostate massage" thread is copied:
http://www.chronicprostatitis.com/massage.html
We would also like to point out that the Aneros is the first and only patented tool for providing effective prostate massage without manual manipulation.
Since we first brought the Aneros to market, other companies have manfactured new devices, and in some cases expanded marketing of FEMALE G-Spot massagers, to include prostate massage. It should be noted that most, if not all, of these other devices require additional manipulation by hand.
An example of one such item can be found at the bottom of the above mentioned page
( http://www.chronicprostatitis.com/massage.html )
Please contact us directly if you have any questions:
04/20/2005 4:01 pm
If all these dangers exist how do gay men have safe anal sex? Do they experience ripping of the anal lining?
Seems that they are not gentle at all compared to a message.
04/20/2005 4:25 pm
Hi Mykb.
It should always be remembered that the rectum and anus was originally designed for one thing only, and that is for the expulsion of waste products. At infancy, these products are very soft and liquid. As we and our diet matures, the waste gets more solid. This is a gradual process and the body adapts to this. Therein lies the key. If the alimentary canal is then used for anything else than waste disposal, it has to be an almost evolutionary process, allowing the body to adapt to the new things. I know of a quite a few gay guys who are actually irreperably damaged because of stupid acts, and from being too hasty. There are also many gay guys who are into handballing (fisting) and can take a partner's hand and arm right up to the shoulder, but this takes many years of very specialist evolution. The best handballing is when only the hand up to the wrist is inserted. After all, the most sensation in the anal area occurs in the first few inches. But I digress. The point is that everything in that area HAS to be done slowly, carefully and definitely not be rushed into. Same as a straight guy, who has never had any prior exposure to anal manipulation, using an Aneros for the first time. Slowly, carefully and with plenty of lube.
Jhbguy.
06/13/2005 7:23 am
Is there any counter indication in using the Aneros for someone who has IBS (Irritable Bowel Syndrom) ?
06/16/2005 9:53 pm
i was planning on getting an aneros but then i just got hit with my first ever hemmorrhoid, this sucks balls:( there is absolutely no way i should get this if i have a hemmoroid right? and i should prolly stop kegel flexes to then since they make my butthole contract? i need to know real soon(im either getting a toy for my ass or for my cock so i need to decide, so far aneros is more costly and possibly extremely problematic w/ the new sphincter problem that "sprung up" please email @yahoo.com">domepiece420@yahoo.com
06/17/2005 12:26 am
nanderdander: I have no hands-on experience to backup my advice since I am an Aneros pre-newbie (I'm waiting for mine to arrive) but... I've gotten cock toys (some of the best) *and* I've done some manual prostate massage... and I've read a lot of experiences in this forum, so I have strong feelings on this.
One thing I can tell you for sure, cock toys won't be life-changing. In fact, no matter how good whatever you get may be at first, I'll bet you'll go back to most guys use... the hand. On the other hand (no pun intended), the oft-mentioned Super-O is indeed life-changing. And even if it doesn't happen for you right away, prostate stimulation without the extras can still be great.
I'd recommend getting the Aneros and wait for the h-roids to subside. In then end, I think you'll be happy that you did.
10/10/2006 11:43 am
You know they have a blood test to see if there is cancer of the prostate.....I get one once a year
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