One of the best I've ever seen. A lot of fun! Prostate massage is part of the digital rectal examination (DRE) routinely given to men by urologists in order to look for nodules of prostate cancer and to obtain an expressed prostatic secretion (EPS) specimen for microscopy and microbiological culture to screen for prostatitis.

Therapy for prostatitis
Main article: Prostatitis
In the late 1990s, a small number of doctors tried prostate massage in conjunction with antibiotics for the treatment of chronic bacterial prostatitis with uncertain results.[1][2] In recent trials, however, prostate massage was not shown to improve outcomes compared to antibiotics alone.[3] As a consequence of these findings, prostate massage is not officially sanctioned in western medicine for the treatment of any medical disorder today. Prostatic massage should never be performed on patients with acute prostatitis, because the infection can spread elsewhere in the body if massage is performed.[4]

History
Once the most popular therapeutic maneuver used to treat prostatitis, it was abandoned as primary therapy in the 1960s.[5]

In the late 1990s the ineffectiveness of drug treatments for chronic prostatitis led to a brief resurgence of interest in prostate massage.[1][2] In a recent trial, however, prostate massage was not shown to improve outcomes compared to antibiotics alone.[3]

The practice is still used in some parts of China.[6]

Risks
Vigorous prostate massage has been documented to have injurious consequences: periprostatic hemorrhage,[7] cellulitis, septicaemia, possible disturbance and metastasis of prostate cancer to other parts of the body, and hemorrhoidal flare-up, and rectal fissures.[8][9]

Electroejaculation
Electroejaculation is a procedure in which nerves are stimulated via an electric probe, which is inserted into the rectum adjacent to the prostate. The stimulus voltage stimulates nearby nerves, resulting in contraction of the pelvic muscles and ejaculation. It is most commonly encountered in animal husbandry for the purpose of collecting semen samples for testing or breeding. Some devices are used under general anesthesia on humans who have certain types of anejaculation.[10] Electroejaculation is a different procedure from manual prostate massage.

As a sexual practice

This section needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. (July 2015) (Learn how and when to remove this template message)
General
Prostate massage is also used for sexual stimulation, often in order to reach orgasm. It is possible for men to achieve orgasms through prostate stimulation alone.[11][12] The prostate is sometimes referred to as the "male G-spot". Some men can achieve orgasm through stimulation of the prostate gland, such as prostate massage or receptive anal intercourse, and men who report the sensation of prostate stimulation often give descriptions similar to females' accounts of G-spot stimulation.[11][13] Prostate stimulation can produce more stronger, powerful and "deeper" orgasm than solely penile stimulation, described by some men as more widespread and intense, longer-lasting, and allowing for greater feelings of ecstasy than orgasm elicited by penile stimulation only.[11] However, though the experiences are different, male orgasms by penile stimulation are also centered in the prostate gland.[14]

Prostate massage may also be a common sexual practice in couples' sexual lives. The advent of equipment and products for prostate massage encourages people to try it. Many couples though do not purchase such devices but use a finger for anal penetration and prostate stimulation to enhance the man's orgasm. The finger or the prostate massager is introduced into the rectum through the anus and the prostate gland is gently massaged. The main problem in using the finger is that it may be too short to reach the prostate gland. Prostate massage can be performed individually or with the help of a partner. Some men prefer being anally stimulated by their partner during foreplay or after their main form of sexual activity.

There are safety matters relating to prostate stimulation and anal penetration. It is strongly recommended that plenty of lubricant is used with prostate massagers to prevent rectal lining damage. A smaller instrument or finger may be introduced gradually to minimize the discomfort that some may feel. Massagers may be used with or without a condom; however, because of the bacteria found in the rectum, if a condom is not used, it is very important to clean the tool with soap before use in another orifice or by a partner. Receiving anal stimulation may cause feelings of having to evacuate. More often than not, this is just a "feeling" that the stimulation causes and may take some getting used to.[15]