How to check your prostate

  • Posted on August 5, 2019
  • By St Pete Urology
  • In Blog, Prostate Enlargement, St. Petersburg, FL

How to check your prostateThe prostate gland is an integral part of the male reproductive system. It secretes seminal fluid, which nourishes sperm as they grow and facilitates their transportation during ejaculation. It is located between the bladder and the rectum and surrounds the base of the urethra. Due to its location next to key parts of the urinary system, the health of the prostate gland tends to have a direct impact on the health of a man’s urinary system.

The prostate gland grows larger as a man ages. While this gradual enlargement is normal, by the time a majority of men turn 50, the prostate has reached a size where it may start to affect the normal functioning of the urinary organs near it. It is at this point that a man is said to have an enlarged prostate, or clinically speaking, benign prostate hyperplasia (BPH).

Signs and Symptoms of an Enlarged Prostate

An enlarged prostate presses, pinches or causes a blockage in the urethra. The urethra carries urine from the bladder to outside the body. The direct effects of an enlarged prostate are manifested by difficulty in the discharge of urine. These difficulties could be in the form of:

1. Frequent and sudden urges to discharge urine;

2. Difficulty starting a urine stream;

3. Weak urine stream; and

4. Dribbling urine.

If left untreated, the effects of an enlarged prostate can cause the following complications:

1. Acute Urine retention. This is a complete inability to pass urine. Medical attention must be sought immediately if this occurs;

2. Urinary tract infections;

3. Blood in the urine;

4. Pain when passing urine; and

5. Pain in the lower abdomen.

Sometimes an enlarged prostate does not produce symptoms. When this occurs in some men, it may not even be possible to diagnose the condition because it gives them no trouble at all.

The key to diagnosing and treating an enlarged prostate lies with frequent prostate monitoring by a qualified urologist. Men approaching age 50 should get tested or at least keep a watch out for any of the symptoms listed above. The good news is there are many successful treatment options for the condition. Our specialists at St Pete Urology are experienced and well qualified to help with any questions, concerns and treatment. If you think you may have an enlarged prostate, or are experiencing any problems, by all means contact us. For more information, visit the St Pete Urology website.

The prostate, a.k.a. the “male G-spot,” is supposedly the source of mind-blowing orgasms. You just have to be brave enough to go looking for it.

How to check your prostate

For many men, the idea of someone touching their prostate (you know, that walnut-sized gland between the bladder and the penis) sounds about as appealing as getting a root canal. But for other men—straight, gay, bisexual, and bicurious—exploring the prostate can bring new heights of sexual excitement and pleasure.

It’s so pleasurable, in fact, that some sexual health experts have dubbed the prostate the “male G-spot.” (Here are five men discussing the differences in sensation between a prostate orgasm versus a penile orgasm. Spoiler: Prostate orgasms lead to far more intense orgasms.)

“The ‘male G-Spot’ is the prostate and it’s about two inches in the rectum toward the belly,” explains Susan Milstein, Ph.D., a sex educator and professor in the Department of Health Enhancement, Exercise Science and Physical Education at the Rockville Campus of Montgomery College in Maryland. That’s because the prostate contains a ton of nerve endings (in fact, there are almost as many nerve endings in the prostate as there are in the clitoris). “It really can open up a whole new avenue of pleasure for men if they are willing to try it,” adds Milstein.

In fact, while many men are wary of anal stimulation, sales of prostate massagers (like this Aneros Vice, $140) have been on the rise in recent years. According to data from the pleasure product company HealthyAndActive, prostate massager sales have increased by 56% over the past five years, particularly among straight men over the age of 45.

Men can even have prostate orgasms without stimulation to the penis. “The orgasm from your prostate is a full body orgasm, and you feel a tingly sensation all over. This is opposed to the more isolated and direct pleasure from a regular orgasm through masturbation or penetration. In general, a prostate orgasm requires more time to warm up and more energy. But it’s totally worth it,” says Chris* (last name has been withheld for privacy reasons), a sex educator at The Pleasure Chest in Los Angeles.

In order to ensure a comfortable and safe prostate massage experience, it’s important to follow these steps.

1) Be prepared.

If you’re trying prostate massage by yourself, make sure your hands are clean and your nails are clipped short. (If you’re trying it with a partner, check their digits for any hangnails.) Perhaps most importantly, “always use lube, as the anus does not self lubricate. If putting something in your rectum hurts, slow down and add more lube,” says Chris. He recommends a syringe-like applicator called a lube shooter if you’re uncomfortable applying lube with your fingers.

2) Take baby steps.

Before going in, start with a gentle external massage on your perineum (also known as your grundle or taint), which is located between the testicles and anus. The perineum is a highly sensitive yet often overlooked erogenous zone.

“Take some time on your own to get to know your body. Lay on your back with your butt under a pillow, tilting your hips up for easy access. Start with massaging your perineum with your hand or fingers. Apply lube to your finger and rub your anus externally to stimulate the nerve endings,” says Chris.

3) Explore internal stimulation.

If the external massage feels good, curve your (at this point, lubed-up) finger into your rectum towards your belly button. “Two or so inches in, you should be able to feel your prostate,” says Chris.

It’s important to note that you really don’t have to go much further than that, particularly on your first try. “People think you need to shove a whole hand up there, but that’s not how it works,” says Milstein. “Insert one finger a few inches into your anus and push up toward the rear. Wiggle it around a bit, tap the inner walls, and apply different amounts of pressure to see what feels good to you.”

How to check your prostate

How to check your prostate

If you’re worried about getting “messy,” so to speak, then go ahead and try it in the shower. Still, you’ll want to use plenty of lube. “Silicone lube is one of the best lubes for anal because it contains dimethicone, dimethiconol, and cyclomethicone,” Alicia Sinclair, founder of the sex toy brand b-Vibe, previously told Men’s Health. “This creates a consistency that is thicker and more ‘buttery’ than water-based lubes. Most people find that they prefer a thicker lubricant for anal play because it gives some extra cushion to protect delicate body parts.”

The additional thickness means you won’t have to reapply it constantly, the way you’ll likely have to with a water-based lube.

4) Make sure you’re turned on!

It’s not going to be comfortable if you attempt prostate stimulation without being turned on. When you’re turned on, your body will work with you, as opposed to against you. You’ll be more relaxed or “looser” and less likely to clench. That’s why it’s good to pull up your favorite porn site, and maybe even masturbate regularly a little before you go ahead and stick a finger up your behind.

How to check your prostate

5) Breathe.

“Breathing is foundational for anal, prostate, and pelvic floor play,” explains Dr. Uchenna “UC” Ossai, Pelvic PT, certified sexuality counselor and founder of YouSeeLogic.

If you hold your breath the entire time, a few things can happen, Dr. UC warns. First, your body is tricked into the “fight or flight” response. “Basically, it thinks you are being chased by a bear, and that is not the physiological response you want to have during anal play,” she says. You don’t want to clench your anus when your prostate is being stimulated; you want it relaxed so you can easily “take” what’s being inserted inside of you.

“Second, your muscles hold way more tension when you hold your breath, which isn’t the goal because you want your pelvic floor to move with ease,” Dr. UC says.

Thus, she recommends experimenting with your breath. “Start with slow and intentional diaphragmatic breathing (inhale as you allow your belly and pelvic floor to expand while keeping your chest still; then exhale and everything returns back to baseline),” she says. Take three seconds to inhale and three seconds to exhale. Do this on your side, back, hands and knees, and reclined. “If you pay attention, you will notice your pelvic floor behave in different ways with your breath,” she says.

6) Try a prostate massager.

Before exploring prostate massagers, you might want to start with a butt plug to get used to the ideas, such as the Nu Sensuelle Remote Control 15-function Vibrating Mini Butt Plug. Proper prostate massagers are designed differently in order to reach the male G-spot—the prostate.

“You always want to buy one with a tail or a wide base that it doesn’t get lost up there. You don’t want to end up in the ‘Butt Bin’ at the ER where they keep objects found in people’s rectums,” jokes Milstein. That said, if you’re interested, here are 5 surprisingly common penis injuries that can land you in the ER. (Note: When you’re using a toy, it’s necessary to use water-based lubes, otherwise you can permanently damage or destroy the toy.)

Prostate cancer is the second leading cause of cancer among adult males in the United States, after skin cancer. However, it is highly treatable, especially in the early stages.

Prostate cancer starts in the prostate gland, which is part of the male reproductive system. The gland produces a fluid that, together with sperm from the testicles, makes up semen. Muscle cells inside the prostate play a role in ejaculation.

The American Cancer Society (ACS) expect that there will be 174,650 new prostate cancer diagnoses in the U.S. in 2019 and that around 31,620 people in the country will die from this type of cancer during the year.

The ACS also note that 1 in 9 men will receive a diagnosis of prostate cancer during their lifetimes, and around 1 in 41 men will die from the disease. With treatment, there is a good chance of surviving prostate cancer.

Prostate cancer often produces no symptoms in the early stages. After a certain age, the doctor may recommend regular screening. A prostate exam can help detect cancer while it is still highly treatable, even if symptoms are not present.

How to check your prostate

Share on Pinterest A doctor can advise on the main methods of screening for prostate cancer.

Screening involves looking for early signs of a disease in people who do not have any symptoms. Cancer screening aims to detect telltale changes at an early stage, when treatment is more likely to be effective.

Doctors commonly use two main tests to screen for prostate cancer:

  • the digital rectal exam (DRE)
  • the prostate-specific antigen (PSA) test

Neither test can confirm that prostate cancer is present, as various other factors may influence results. However, these tests can indicate whether further steps are necessary.

A prostate biopsy is the only way to confirm that a person has prostate cancer.

Before undergoing either of these tests, the person will need to give consent, which involves confirming that they understand the potential benefits and risks.

The DRE is a physical examination for changes in the prostate that could indicate a tumor.

Before the DRE

Common questions to ask before a DRE include:

  • What will happen during the DRE?
  • How long will it take?
  • Will it be painful?
  • How accurate is a DRE, in terms of finding cancer?
  • What will happen next?

The individual should also:

Inform their healthcare team if they have hemorrhoids or anal fissures, as a DRE may exacerbate these.

Ask their insurance provider about coverage and whether there will be additional costs.

During the DRE

The procedure usually requires the person to undress from the waist down.

The specialist may instruct the person to lie on their left side and pull their knees up to their chest or to stand and lean against a table.

The specialist will:

  • put on some gloves and put lubricant on one finger
  • assess the area around the rectum for anything unusual
  • gently insert a lubricated, gloved finger into the rectum
  • feel the prostate to assess the size and check for bumps, soft or hard spots, and other abnormalities

A DRE is not usually painful, but it may be slightly uncomfortable. It takes only a few minutes to complete.

After the DRE

After the exam, the doctor will explain the results.

The person can usually go back to their regular activities immediately after a DRE.

However, there may be some bleeding from the rectum afterward, particularly if the person has hemorrhoids or anal fissures. If bleeding persists or is significant, the person should contact their healthcare provider.

DRE results

The doctor will usually explain the results of the DRE after the exam.

The person may also undergo a PSA test on the same day. If the doctor believes that further steps may be necessary, they will base this on the results of both the PSA and DRE.

It is worth noting that a DRE often produces a false-positive result . If the doctor detects changes in the prostate gland, this does not necessarily indicate cancer.

Prostate nodules can develop because of prostate cancer or other prostate-related conditions. Learn more about prostate nodules here.

This blood test measures the amount of PSA that the prostate gland produces. Some of this antigen leaks into the blood and will show up during testing.

High levels of PSA in the blood can indicate prostate cancer, but various other conditions and factors can raise PSA levels. High levels do not necessarily mean that cancer is present.

What does the PSA test involve?

The PSA test involves taking a blood sample and sending it to a laboratory for analysis. The results indicate:

Normal levels: Most healthy adult males have PSA levels below 4 nanograms per milliliter (ng/ml).

Borderline levels: PSA levels of 4–10 ng/ml are borderline. There is a 1 in 4 chance that cancer is present.

High levels: If PSA levels are over 10 ng/ml, there is a 50% chance that the person has prostate cancer. The specialist will likely recommend more testing, including a prostate biopsy.

It is important to note that PSA levels can naturally vary from person to person. A person with high levels may not have prostate cancer. On the other hand, about 15% of people who test positive for prostate cancer after a biopsy have PSA levels below 4 ng/ml.

Prostate cancer is not the only cause of high PSA levels. Find out more about the other causes here.

What do the results mean?

PSA levels may be above the baseline for various reasons other than prostate cancer.

Other factors that can raise PSA levels include:

  • older age
  • recent ejaculation
  • medical procedures, including a DRE, a biopsy, or some urological investigations
  • testosterone supplementation
  • an enlarged prostate — because of benign prostatic hyperplasia (BPH), for example
  • prostatitis, which is inflammation and swelling of the prostate

Also, people with obesity may have lower PSA readings.

In addition, some medications may reduce PSA levels, including:

  • 5-alpha reductase inhibitors, which can help treat BPH
  • aspirin, which some people take regularly as a blood thinner
  • statins, which help manage cholesterol levels
  • thiazide diuretics, a kind of water pill that can help reduce high blood pressure

Some herbal medicines and supplements can also lower PSA levels. Tell the doctor about any medications and supplements before undergoing the test.

High PSA levels alone do not indicate cancer. However, if a DRE also reveals changes, a doctor may recommend a biopsy for a more accurate result.

The PCA3 is another test for prostate cancer that doctors use in some circumstances. Find out more.

What happens next?

If the DRE and PSA tests show nothing unusual, the healthcare provider may recommend monitoring by repeating one or both tests every 1–2 years .

If the results could indicate prostate cancer, the doctor may recommend a biopsy.

A prostate biopsy can lead to complications. What are the alternatives?

The urologist may insert a camera catheter, also known as a cystoscopy procedure, to do a prostate examination if they suspect a serious problem.

Also known as a bladder scope, the camera allows the doctor to see the inside of the prostate and bladder. An enlarged prostate can cause problems in the bladder, and a cystoscopy procedure can enable your doctor to see what’s going on inside your prostate and bladder.

This procedure enters not through the rear as in a normal DRE (Digital Rectal Examination) but the front — down the penis inside the urethra through the prostate gland and into the bladder.

The cystoscope has lenses that allow your doctor to see inside the prostate, bladder and urinary tract. The images usually appear on a computer screen as she guides the scope.

How to check your prostate

The cystoscope has lenses that allow your doctor to see inside the prostate, bladder and urinary tract. The images usually appear on a computer screen as she guides the scope.

Cystoscopes come in different sizes: from the thickness of a pencil, to approximately 9mm (3/8″) and have a light at the tip. Many cystoscopes have extra tubes to guide other instruments for surgical procedures to treat urinary problems.

Yup, this one can hurt especially if done fast, as my urologist did! The catheter and camera size are not small. They did use a local anesthetic gel, xylocaine, but it did not make much difference to me.

Years later, a new urologist did the same procedure in the hospital using IV sedation, and it was not painful. So request a painless procedure with IV sedation for your comfort.

Your doctor will have a much better idea of the condition of your prostate and bladder after this procedure. He can tell whether it’s enlarged or infected and can see the impact on the bladder. The bladder gets irritated as the prostate enlarges because of incomplete urination.

You may have some pain while urinating afterwards as the ammonia in your urine touches the sensitive tissues that may have been irritated by the scope.

This will ease with each urination. Some blood spotting is also possible but this too will pass.

If constant bleeding does happen, then that is rare and abnormal so get back to your doctor quickly.

Later, I will add much more about male catheters and catheter insertion as well as how to use them safely when instant relief is required for a blocked prostate or check out my book, Healthy Prostate.

How to check your prostate

Got a Question or Comment about your Prostate Health?

This is the place to post them because I get them immediately.

I like to share them and the answers I provide so others can benefit too.

Your email is kept completely confidential. If you want to be notified when the question is answered, please make sure to add your email address. I don’t collect or store these emails after they are used to send you your answer, and they are not posted with your question.

What Other Visitors Have Asked or Said

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Catheter After Cystoscopy
After Cystoscopy Is use of a Catheter always needed? ———– Ron here. Not if you didn’t need it before.

Enlarged prostate and anti-bioethics
Many thanks for your comments and response in regards to my question the other day about a foley catheter. It helped very much. Today, I went to Walgreen’s …

Blood in catheter bag after cystoscopy
Why do I bleed off and on after cystoscopy, I have a catheter for about 7 weeks waiting on surgery. ——- Ron here. If it is bright red then …

Poor flow after cystoscopy
Had a cystoscopy with bladder distention to check go IC which was not present. After the procedure peed a great deal of blood for the first few times, …

cysto/biopsy of the prostrate
What happens during a cystoscopy of the prostate,from the moment I enter the office to completion. how long, preparation and is it done with a flexible …

infection from cystoscopy
Can you get a prostate infection from a cystoscopy procedure? ——————- Yes, any invasive procedure carries the risk of infection. It depends …

examination question.
I had the examination yesterday – When the doc.started the procedure there was something blocking the instrument – the doc pushed harder and eventually …

cystoscopy procedure
Is this just looking or will something happen that will cause me to urinate better ? If there is nothing more than an enlarged prostrate can anything …

Post cystoscopy care
Is there anything one should do or avoid doing after this procedure? —————- Ron here. No fun! Just notice any unusual symptoms …

Lower Abdominal Pain and pain when urinating: Cystoscopy Procedure
Hi, I have been having Lower Abdominal Pain and pain when urinating for over 1 month. I have been treated with antibiotics for Bladder, Urinary tract and …

Cystoscopy showed inflamed prostate/urethra
Hi.Me 50 and suffering last few months. Symptoms are a need to urinate small amounts all the time,pain in urethra after urinating, and prostate spasms. …

cystoscopic prostate exam
My husband was advised that in order to get this procedure, he would need to be circumcised, as the opening of his urethra was not large enough for the …

Keeping your prostate healthy while you’re young can help you avoid serious prostate problems in the future.

According to statistics, one in nine men will be diagnosed with prostate cancer at one point in their lives. And the older a man gets, the higher the risk becomes. Prostate cancer is a deadly disease and is in fact the most common type of cancer among American men.

That’s why it’s important to find ways to keep your prostate healthy. That way, you’re lowering the risk of having prostate cancer as you age.

What does your prostate do?

The prostate is located right in front of your rectum, a little below your bladder. The main purpose of the prostate is to produce semen, which carries the sperm from your testicles. It’s a tiny organ, about the size of a walnut, but as a person grows older, it becomes larger.

For the most part, having a larger prostate is normal. It can cause some problems such as benign prostatic hyperplasia (BPH), where a patient might have some difficulty urinating. This isn’t a serious concern and isn’t cancerous.

Prostatitis, or an infection of the prostate, is another condition that some men can have. It usually happens to young and middle-aged men and can be easily treated by a doctor.

Prostate cancer is the most harmful of the conditions that can affect a man’s prostate. It’s by far the most common type of cancer in men, and the risk of having it goes up as a man grows older. That’s why regular checkups are recommended by doctors for men above 50.

It’s also important to note that while we don’t know the exact cause of prostate cancer, we do know a few things that contribute to it. Old age, obesity, diet, and family history are all connected to your risk of having prostate cancer.

Ways to keep your prostate healthy

While there are no sure-fire ways to completely prevent yourself from having prostate problems, there are some steps to lower the risk. Knowing the ways to keep your prostate healthy is important so that you can live a normal and healthy life as you grow older.

1. Have more sex

Yes, having sex is good for your prostate. That’s because frequent ejaculation has been found to improve the health of a man’s prostate.

The belief is that frequent ejaculation helps flush out any harmful stuff that builds up in a man’s semen. And since semen is created in the prostate, ejaculation helps “clean up” a man’s prostate.

However, this isn’t limited to simply having sex. Masturbating more often could also have the same effect. But make sure to not overdo it!

2. Be more active

Exercise can do a lot of good things for your body, including lowering the risk of prostate diseases. That’s because being obese or overweight can increase your risk of having prostate cancer as you grow older.

Having an active lifestyle can help prevent this from happening and reduce the possibility of having symptoms and problems related to prostate cancer.

Aside from regular exercise, kegel exercises have also been linked to a lower risk of prostate problems. Kegel exercises strengthen your pelvic muscles and help control incontinence and other prostate and urinary problems that occur as you grow older.

3. Stop getting stressed out

Stress is a big problem for a lot of men. It can cause heart and mental health problems and affect your prostate.

This happens because stress can weaken your immune system and cause problems with your hormonal balance, both of which can potentially affect your prostate.

That’s why it’s important to take the time to relax, go on a vacation, or just nap from time to time. That way, you can lower your stress levels and your risk for disease.

4. Sit down when peeing

Yes, you read that right. Peeing while sitting down might sound pretty weird, but for older men, sitting down while peeing is generally better.

That’s because sitting down when you pee reduces the amount of residual volume in your bladder. This means that you pee faster and drain your bladder better when you sit down. This prevents problems such as BPH and other urinary problems.

5. Eat more fruits and vegetables

One of the ways to keep your prostate healthy is by eating more fruits and vegetables.

Fruits and vegetables do a lot of good to your body. Aside from being tasty, fruits and veggies are chock full of antioxidants, vitamins, minerals, and other anti-cancer and anti-inflammatory compounds. These help strengthen your body and lower your risk for prostate cancer.

It’s always a good idea to eat less meat and incorporate more veggies and fruits into your diet.

6. Focus on eating healthy fats

Not all fats are bad for you. Omega-3 fats, found in certain fish, help fight inflammation that can cause prostate problems and also strengthen your body. A good way to get more healthy fats into your system is by eating more seeds.

Seeds are a great snack and provide you with a good energy boost, especially when you’re working out. They’re also full of vitamins, minerals, and plant proteins, which help keep your body healthy.

7. Drink green tea

One of the best ways to keep your prostate healthy is to drink tea, green tea, specifically. Green tea is full of catechins, which are antioxidants that can significantly slow down the growth of cancer cells. Drinking green tea can lower your risk of having prostate cancer by as much as 70 percent compared to those who don’t drink green tea.

Green tea also helps lower stress, a risk factor for prostate cancer and other lifestyle diseases.

8. Drink a lot of water

We’re composed of up to 70 percent water, so it’s important for us to always be hydrated. Water helps flush toxins out of our body, and drinking it is one of the best ways to keep your prostate healthy.

It’s always a good idea to drink water until your pee turns clear. That way, you can be sure that you’re not dehydrated.

9. Stop smoking, drink less

Lastly, smoking and drinking pose a big risk to your health. While not directly related to your prostate, smoking can potentially cause hormonal imbalances and introduce carcinogens to your body. Both of these things can increase your risk for prostate cancer.

Heavy drinking can also cause problems to your prostate. Studies have found that men who drink more are at a higher risk of developing prostate cancer when they grow older.

That’s why it’s a good idea to quit smoking and cut back on your drinking if you’re a heavy drinker.

Is self prostate milking possible? How can I do it correctly? Is there any harm? What about side effects or other health benefits?

Male milking – a male’s job

First things first of self prostate milking

The best thing for you is to visit your doctor and he/she will explain you in details what you are supposed to do. That way you will get detail instructions what you must do.

Prostate milking will ease your pain in the prostate , improve your sexual performance and will better the blood flow in it. These are the main benefits from this procedure.

To complete self prostate milking you need to:

1. Pay a visit to the bathroom. You need to have your bowels and gladder emptied before the procedure. Many doctors skip this part. That’s why you need to have this in mind.

2. Check your nails. You do not want to have any edges on it because this will harm the gentle area there.

3. Cleaning is one of essential part of the procedure. You need to take a shower and wash your entire body really well.

In addition, before you start the procedure, wash your hands perfectly with Hibiscrub or Hibitan (which are the latest medical products for washing hands, surgeons tend to wash their hands with these two).

You need to find a latex glove to use. Also, using lubricants is a good idea.

4. The lubricants will let your finger(s) enter your anus gentler. You will not feel any pain, if you do it slowly. If you rush, you risk feeling pain.

5. Once you enter your anus, do not anything at first. Get used to the feeling and your muscles will be relaxed after 1 or 2 minutes.

After that you need to search for your prostate gland. It is located on the surface towards your belly. It is a round bulb. It is important to feel it. Take your time to examine the surface.

6. After you find the gland, you need to start massaging it slowly and gently. Do not rub the gland too fast because you will hurt yourself.

7. After some time of massaging, it is most likely for you to ejaculate. You do not worry because this is the normal result from self prostate milking.

You expect to ejaculate after you complete the procedure. However, not every time this is result is achieved. So you need to be patient.

Is a prostate self exam something you can do safely and easily? Is it a valid way of knowing if you have a prostate problem?

The answer despite what you read elsewhere is complicated. You can do it if you use the right technique but you just do not have enough experience to know if you have a condition or not.

I will give you a great example!

When my prostate first blocked and I went to my doctor, she did a digital rectal exam after she drained me with a catheter.

Over 800 ml came out, about 80% of a quart. I asked the doctor what she thought was happening. She said it was most likely a bladder infection.

I asked her if it could be the prostate, as my Dad had had a condition of BPH (Benign Prostatic Hyperplasia) or an enlarged prostate condition.

She decided to do a digital rectal exam and said the prostate was enlarged a bit but nothing abnormal for a 55 year old. She started me on antibiotics for the supposed bladder infection, tied the catheter (still in me) to my leg, attached a fluid bag and said to call her on Monday. I did and she had set up an appointment for me with a top urologist in town a few days later.

I was instructed to stop at a pharmacy to buy a new catheter before the appointment. I bought the catheter and went to the urologist’s. He proceeded to remove the catheter (that was painful after 5 days inside me), put in a camera catheter to look around (that was even more painful), pulled it out (ouch!), and then opened the package of the catheter that I had bought with his sterile gloves touching the outer wrapper and without cleaning his hands or catheter from possible contaminates proceeded to put the new catheter in me!

By now I was feeling awful and hurt from the pain so much! Next came the news. He said I had BPH. I said, “What is that?” He explained it stood for extreme Benign Prostatic Hyperplasia, also known as Benign Prostatic Hypertrophy, or simply an enlarged prostate.

I said, “How could that be? My doctor said it was most likely an infection, and my prostate was only normally enlarged.” He said it was definitely enlarged and then did a digital rectal exam of the prostate and again said it is most definitely enlarged. I guess doing that all day made him more expert on the nuances of prostate sizes.

My GP just did not have enough experience to diagnose an enlarged prostate. To my doctor, my prostate did not feel abnormal for a man of my age; however, the urologist did the same test and knew immediately that I had an enlarged prostate.

Family doctors or GPs can easily misdiagnose an enlarged prostate because they are not a specialist who does this prostate check countless times.

So seeing an urologist may be a good idea for a digital rectal exam because urologists have an expertise and skill your general practitioner lacks.

How to check your prostate

How to check your prostate

Doing A Prostate Self Exam:

With the above warning in mind, then how can you do a prostate self exam and know if you have a problem or not? The answer is not very likely.

You could insert your finger as described in my page on self prostate massage, and you may get some idea but nothing definitive. It should be soft not hard, painless to the gentle touch, and feel smooth not lumpy. Make sure you use gloves and lubrication to make insertion easier. Be gentle!

Getting a DRE or digital rectal exam by a trained urologist will give you the information you want. Just be very hesitant if he wants then to do a biopsy as there are many risks to this procedure that he may downplay including the path to invasive action if he finds the slightest sign of cancer. Go to Prostate Biopsy Procedure to read more.

Got a Question or Comment about your Prostate Health?

This is the place to post them because I get them immediately.

I like to share them and the answers I provide so others can benefit too.

Your email is kept completely confidential. If you want to be notified when the question is answered, please make sure to add your email address. I don’t collect or store these emails after they are used to send you your answer, and they are not posted with your question.

What Other Visitors Have Asked or Said

Click below to see contributions from other visitors to this page.

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In this Article

  • Other Names for Prostate Orgasm
  • What’s the Difference Between Prostate and Penile Orgasm?
  • How to Explore Prostate Orgasm
  • Safety Advice and Special Considerations

The prostate is a gland that produces some of the fluid in semen. About the size and shape of a walnut, it surrounds the urethra, the tube through which the bladder empties urine. It’s located in front of the rectum, between the bladder and the penis. When the prostate gland is stimulated or massaged, it’s possible for a person to have a type of orgasm called a prostate orgasm.

Prostate massage to the point of orgasm is also sometimes recommended as an alternative treatment for prostatitis, a condition that means the prostate is inflamed. Draining fluid from the prostate ducts can help to relieve pressure. There has even been some research into the effectiveness of an at-home device for prostate massage, particularly in the case of benign prostatic hyperplasia (BPH), a type of prostate inflammation that can happen as men age and can cause pain or trouble peeing.

Prostate massage can also be a sexual activity. Inserting a finger, penis, or device into the anus and stimulating the prostate from there can lead to orgasm for some people. You can also stimulate the gland from the outside by massaging the prostate through the perineum, the area between the anus and the scrotum. Orgasm achieved solely through perineum massage is sometimes known as perineum orgasm.

The prostate is surrounded by nerve endings, and some people find that massage can feel good even if they don’t have an orgasm.

Other Names for Prostate Orgasm

The prostate is sometimes called the male g-spot, or the p-spot, a reference to the area inside the vagina, called the g-spot, that may lead to orgasm.

Some people use the phrase “prostate milking” instead of prostate massage.В

“Prostate massage,” “prostate orgasm,” and “prostate milking” are often used interchangeably. However, some use “prostate milking” to describe only orgasms from internal, rather than perineal, massage.

What’s the Difference Between Prostate and Penile Orgasm?

There are several differences between orgasms of the prostate and the penis. These include:


Prostatic fluid is only one part of the fluid that comes out when the penis ejaculates. The rest comes from other structures, including the seminal vesicles and the urethral and bulbourethral glands. A prostate orgasm will only produce fluid from the prostate gland.


Method of Stimulation

Arousal and orgasm are complex processes that involve the nerves, brain, and hormones, in addition to sex organs. There is a lot that doctors still don’t know about them. However, penile orgasm generally happens through stimulation of the penis, and prostate orgasm through the stimulation of the prostate.



While some men do not enjoy the sensation of prostate orgasm, others prefer it. In general, prostate orgasms are thought to be more intense than penile orgasms. For one thing, penile orgasms are associated with 4-8 pelvic contractions, while prostatic massage orgasms are associated with 12.

Recovery Time

In general, prostate orgasms require a shorter refractory period, or recovery time, than penile orgasms. For that reason, prostate orgasms are sometimes associated with the possibility of multiple orgasms.

It’s possible to have a prostate and penile orgasm at the same time or one after another, and some people find that this combination provides the most intense orgasm. However, you may lose your erection after a prostate orgasm, which can prevent or delay penile orgasm.

How to Explore Prostate Orgasm

Prostate orgasm can be explored either solo or with a partner.

If you’re trying it for the first time, you may want to begin with stimulation of the perineum. As you move backwards towards the anus, you will know you’ve hit the right spot when the area under your skin feels softer and you feel an increase in sensation. You may also feel like you need to pee at the same time.


If you want to try internal stimulation, start by inserting a well lubricated finger (your own or a partner’s) into your rectum. Be gentle. The prostate will feel fleshier and softer than the surrounding area.

You can also use sex toys such as vibrators and plugs in order to achieve prostate orgasm. They may be used either internally or externally.

Safety Advice and Special Considerations

Prostate orgasm is generally safe to try so long as you take proper precautions to avoid scratching or irritating the tissue:

  • Trim your nails
  • Be gentle, go slow, and start small
  • Use a strong lubricant

You can use a water-based lubricant or a silicone one. Some prefer silicone for anal play because it tends to last longer and provide more lubrication. However, if using silicone toys, be sure to use a water-based lube.

Because the prostate is so near the rectum, you shouldn’t encounter poop so long as you’ve had a bowel movement within the last day or so. However, if you’re worried about the possibility or you need to go to the bathroom, you can check beforehand. If an inserted device or finger emerges clean, you should be fine. If not, perhaps leave prostate massage for another day.


American Cancer Society: “Screening Tests for Prostate Cancer.”

Centers for Disease Control and Prevention: “What is Prostate Cancer?”

Clinical Anatomy: “Prostate-induced orgasms: A concise review illustrated with a highly relevant case study.”

Cosmopolitan: “Everything You Need to Know About Milking a Guy’s Prostate.”

Fertility and Sterility: “Normal male sexual function: emphasis on orgasm and ejaculation.”

“Men’s Health: “5 Men Share the Differences Between Penile and Prostate Orgasms.”

Men’s Health: “How to Have a Perineum Orgasm.”

The Open Urology & Nephrology Journal: “Evaluation of an At-Home-Use Device for Men with Lower Urinary Tract Symptoms.”

Urology Care Foundation: “Prostatitis.”