Complications during prostate massage: why the secretion is not released

• September 13, 2018
• Prostate
• Evdokimova Irina

Prostate massage is one of the effective methods of treating prostate diseases. This procedure is carried out in courses for therapeutic purposes or one-time - for analysis. There are often cases when prostate massage does not release prostate secretions. This organ constantly produces juice necessary for the normal functioning of the male body. The lack of secretion during massage makes analysis difficult. What is the reason for this phenomenon? And can this be considered the norm? We will consider these questions in the article.

Prostate function

Why is there no secretion released during prostate massage? To answer this question, it is necessary to understand the functions of the organ. The prostate consists of muscle and glandular tissue. This organ continuously produces a special fluid. Prostate juice is secreted along with the ejaculate and ensures the viability of sperm.

The secretion of the gland is a white liquid. It has a specific smell and consists of 95% water. The juice contains the following substances:

• mineral salts;
• enzymes;
• proteins;
• leukocytes;
• epithelial cells;
• lecithin grains;
• amyloid bodies.

The secretion of the prostate gland is released during sexual intercourse, as well as during massage of the organ. If a disease of the male genital area is suspected, prostatic juice is taken for analysis. Doctors study the composition of the liquid and determine the presence of microorganisms in the secretion. Such a study is important for diagnosis.

How is the analysis carried out?

When taking a test, the doctor inserts a finger into the patient's rectum and gently strokes the gland towards the center of the organ. Such movements are repeated about 10 times.

This stimulates the formation of juice. Then the doctor sharply presses the central groove in the organ. At this moment, when you massage the prostate, juice is released.

The biomaterial is collected on a glass slide and sent to the laboratory for testing.

If for some reason the secretion does not come out, then the patient is asked to urinate into a test tube. Prostate juice comes out along with urine. In the laboratory, the secretion is isolated from urine using a centrifuge and then examined.

The analysis is also possible in the absence of prostatic fluid output. However, such a situation should alarm a man. Doctors do not consider it normal if a patient does not release prostate secretions during prostate massage.

The prostate gland is extremely sensitive to adverse effects. If the massage was performed professionally and the patient followed all the rules for preparing for the analysis, then the absence of juice may be a sign of pathology.

How much juice is normally released?

How much secretion is released during prostate massage normally? Usually, with direct impact on the organ, about 0.5-2 ml of juice comes out of the urethra. In older men, the amount of prostatic secretion may be slightly less than the specified norm. This is due to age-related changes in the gland tissues.

Possible reasons for the lack of secretion

Why is there no secretion released during prostate massage? The absence of prostate juice may be due to the following reasons:

• improper preparation of the patient for analysis;
• violation of massage technique;
• prostate dysfunction;
• blockage of the prostate duct;
• purulent form of prostatitis.

Next we will look at these reasons in more detail.

Violation of the rules for preparing for analysis

If a man does not secrete secretions after a prostate massage, this is not always a manifestation of pathology. It is possible that the patient did not prepare thoroughly enough for the analysis.

It is important to remember that it is necessary to prepare in advance for the study of prostate juice. The slightest violation of the doctor’s recommendations can significantly complicate the analysis.

The reasons for the lack of a secret may be the following:

1. Sexual intercourse shortly before the test. Before the study, you must abstain from intimate life for at least 5 days. If this rule is not followed, it will be very difficult to pass the test. After recent sexual intercourse, prostate juice simply does not have time to be produced in sufficient quantities during the analysis.
2. Eating fatty foods the day before the test. Such food impedes blood circulation in the gland and the production of juice.
3. Physical overexertion before the study. Excessive stress on the body can lead to difficulty in releasing juice.
4. Drinking alcoholic beverages. Alcohol has a suppressive effect on prostate function. After drinking alcohol, very often during prostate massage the prostate secretion is not released. This organ is very sensitive to the effects of ethanol. In addition, drinking alcohol distorts the test results.

The doctor needs to ask the patient about possible violations of preparation for the analysis. If necessary, the study is re-scheduled.

Incorrect massage technique

There are times when the juice does not come out due to incorrect actions by the doctor. An inexperienced doctor may perform prostate massage incorrectly. However, this is very rare. Typically, only qualified urologists take the test.

Prostate massage for the purpose of collecting biomaterial is carried out only in a clinic or in a hospital. If this procedure is prescribed for treatment, then doctors categorically do not recommend doing it yourself at home. Only a specialist can carry out such manipulation.

Pathological causes

The reasons for the lack of secretion during prostate massage may be associated with various diseases. Lack of response of the gland to stroking and pressure can be observed with the following pathologies:

1. Prostate dysfunction. When the gland is sluggish, the secretion after a massage does not come out, but ends up in the bladder. In case of such a violation, doctors recommend taking a urine test after the massage. Prostate secretions are then isolated from urine in the laboratory.
2. Blockage of the gland duct. With the calculous form of prostatitis, stones appear in the ducts of the organ. This creates obstacles to the free flow of secretions. Prostate massage in such cases is absolutely contraindicated. Impact on the gland can lead to tissue injury from stones.
3. Purulent inflammation of the prostate gland. This is a severe and very dangerous form of prostatitis. It is accompanied by a sharp deterioration in health and high temperature. Pus can block the ducts of the gland, and as a result, the secretion cannot leave the urethra. With this form of prostatitis, massage is not recommended, even for diagnostic purposes. This may lead to a worsening of the patient's condition.

Copious secretion

The opposite situation also happens, when a lot of juice is released during prostate massage. What could be causing the excess secretion? This question often interests patients.

If the volume of prostate secretion exceeds 3 ml, then this is due to congestion in the gland. This is often observed in chronic prostatitis. Stagnation of blood and lymph is accompanied by a pronounced decrease in diuresis. The patient complains of pain in the sacral area. A large amount of secretion accumulates in the gland, which is released from the urethra during massage.

How to fix the problem

What to do if prostate secretion is not released during prostate massage? The patient’s further actions depend on the reason for the lack of juice:

1. Prostate dysfunction. If prostate dysfunction is functional in nature, then it can be eliminated quite easily. Patients are prescribed oral venotonics (Troxerutin) and alpha blockers (Tamsulosin). Rectal suppositories based on diclofenac are used locally. This treatment helps normalize blood circulation in the gland and reduce swelling of the organ. Usually, after a course of therapy, secretion is normalized.
2. Blockage of the duct with calcifications. The formation of stones in the organ is a rather dangerous symptom. The appearance of stones is always accompanied by severe pain. Patients are prescribed antibiotics and painkillers, anti-inflammatory drugs. Physiotherapy sessions are shown: magnetic therapy, electrophoresis, laser treatment. In mild cases, this leads to the destruction of stones. If the disease is advanced, the stones are removed surgically.
3. Purulent form of prostatitis. The main method of treating purulent inflammation of the gland is antibiotic therapy. Suppositories with prostate extract are also prescribed to normalize blood circulation and facilitate urination. Antispasmodics are used to relieve pain. If suppuration is complicated by an abscess of the gland, then surgery is indicated.

If the lack of juice during a massage is associated with pathologies, then it is necessary to undergo additional examination. The doctor will select the necessary treatment regimen depending on the diagnosis.

Source: https://cureprostate.ru/419574a-pri-massaje-prostatyi-ne-vyidelyaetsya-sekret-prostatyi-prichinyi

Why is there no secretion released during prostate massage? Causes and possible complications

Prostate secretion analysis is an assessment of the fluid produced by the prostate gland. During this procedure, specialists examine the produced secretion under a microscope.

Carrying out the analysis and its correct decoding allows us to identify the main causes of dysfunction of this organ.

If prostatitis has already been identified, prostate massage can correct the situation. Like other therapeutic procedures, it has some indications and contraindications.

Indications for the procedure

As a rule, prostate massage is prescribed in the following cases:

Indications for prostate massage to collect secretions include prostate adenoma, as well as asymptomatic prostatitis.

The procedure is carried out under medical supervision. After each massage, laboratory tests are carried out.

Features of the fence

To successfully perform the procedure, special preparation is required. First of all, it is necessary to exclude sexual contact . As a rule, the analysis is taken in the morning, which is why it is necessary to exclude eating in the evening. In addition, you need to do an enema the evening before or in the morning.

Prostate stimulation with a finger

The doctor asks you to take the knee-elbow position. After this, the doctor, wearing sterile gloves, inserts a finger into the rectum (to a depth of 3-4 cm). The gland is massaged for 2-5 minutes. During the process, light finger pressure is applied to the prostate.

Then the doctor presses on the interlobar groove. This procedure allows you to squeeze out the juice located inside the prostate. Its excretion occurs through the urethra. The material is placed on previously prepared glass. After this, the secretion is sent to the laboratory.

Why is there no secretion released during prostate massage?

The following physiological reasons can be identified why secretion is not released during finger manipulation of the prostate:

• the day before the man visited a hot sauna or steam bath;
• the man is severely intoxicated with alcohol;
• the body is exposed to significant physical stress;
• sexual intercourse had been performed the day before. The prostate can become completely empty after ejaculation due to sexual intercourse.

As for the pathological reasons for the lack of secretion, this group includes:

• the course of the most severe forms of prostatitis;
• poor performance of the prostate gland;
• concentration of pus at the exit, due to which the discharge cannot leak out.

If the reason lies in the overlap, the problem can only be solved by massage. After only 3-4 massage sessions, the function of the gland is restored, and the doctor can obtain the secretion. In the most severe cases, surgical intervention is performed. Treatment with drugs in such cases is powerless.

A lot of juice after a prostate massage: deviation or norm

The release of a significant amount of juice after a prostate massage may indicate some problems. However, in certain cases, this symptom indicates changes in lifestyle.

A large amount of secretion secreted in some cases indicates the following points:

• the secretion in the gland has stagnated: in this case, congestive prostatitis is possible. In this case, a significant amount of curd lumps may be released;
• decreased tone of the gland : secretion is released during any mechanical or physical impact on the organ. For example, in the case of passage of feces through the rectum or after straining. This phenomenon is called “prostatorrhea”. Analysis of the secretion demonstrates the presence or absence of inflammation in the gland. The secreted juice differs from healthy juice in consistency and color;
• the patient has an unstable sex life: a large amount of juice is secreted in those men who have not had a full-fledged intercourse for a long time. As a result, contents accumulated in the prostate. With mechanical action, the secretion is released completely.

Possible complications

In some cases, prostate massage can be the main cause of various complications.

The most common negative consequences include:

• temporary problems with potency : as a result of mechanical impact on the organ, in some cases male strength is noticeably reduced;
• discomfort, as well as pain : the patient may experience slight discomfort for a short time after the procedure;
• exacerbation of chronic inflammatory processes : to avoid the development of inflammation, tests must be taken to confirm the absence of a specific infection;
• problems with urination : massaging sometimes causes swelling of the urinary tract. In the absence of infectious diseases, this complication disappears without auxiliary help.

What to do?

By obtaining a more complete picture, a specialist can assess all possible risks, select the intensity of the effect on the gland tissue, and also take into account indications and existing contraindications for a specific procedure.

Video on the topic

About the beneficial properties of prostate massage in the video:

To combat prostatitis, drug therapy is often prescribed. However, experts do not recommend abandoning physical treatment. Prostate massage is one of the most effective forms of healing therapy. After completing the course, men often note positive dynamics.

This method has a beneficial effect on the prostate, as well as other male organs. Analysis of the secreted secretion allows us to determine the real causative agent of the disease. Thanks to modern equipment, the conclusion after the study is provided to the patient in a short time.

Source: https://prostata.guru/prostata/massazh-prostaty/ne-vydelyaetsya-sekret.html

When massaging the prostate, the secret of the reason is not released

For a disease such as prostatitis, the doctor prescribes complex treatment, and many men are faced with the phenomenon that when massaging the prostate, secretions are not released. In this case, you need to undergo additional examination and find out why the juice is missing.

Massage as a way of healing

• improve blood flow;
• relieve the inflammatory process;
• enhance the effects of medications;
• reduce pain in internal organs.

After completing a course of massage, men notice positive dynamics in treatment. This method has a positive effect on potency and other male organs. Also, with the help of massage, it is possible to take prostate secretions for analysis, with the help of which you can get an accurate picture of the patient’s condition.

Why is the secretion not released during massage?

If the prostate gland functions as expected, then it will definitely secrete juice constantly. The prostate stores a secretion that is released during ejaculation and makes up 70% of the total semen fluid. But in some cases it may be absent even after direct impact on the prostate. The reasons why the secret is not released may be:

• eruption of juice into the bladder;
• recent sex;
• visiting a bathhouse, sauna;
• physical activity on the day of the test;
• drinking alcohol on the day of the study;
• non-functioning of the prostate gland in full;
• accumulation of pus or juice at the outlet of secretions, which prevents the secretions from leaking out.

If the reason lies in the overlap, then the problem can only be solved by surgery or massage. Drug therapy is most often powerless for such problems.

Urologists in most cases prescribe therapeutic massage, after which the outflow of juice works as before. To restore the functions of the gland, 3-4 massage sessions are required.

Fact! Normally, 0.5 to 2 ml of secretion should be released; if this amount is reduced, you need to undergo other examinations, as prostatitis may appear.

It often happens that an inexperienced doctor tries to take away the prostate juice and, due to the incorrectness of his actions, it is not possible to extract the secretion.

In this case, the patient will experience the following:

• pain during the procedure;
• persistence of discomfort after massage;
• the appearance of pus or blood in the urine;
• burning sensation in the penis and pain when going to the toilet;
• blood in stool;
• burning in the rectum.

You should not collect prostate secretions at home, as this procedure is difficult to perform on your own and can damage internal organs.

When a secret speaks of pathology

In some cases, discharge from the prostate indicates pathologies and varies in color. A doctor, without conducting an examination, will be able to say that a man is not healthy in the following cases:

1. If the secretion has a thick consistency and a yellowish tint, we may be talking about the appearance of pus and the onset of an inflammatory process, for example, acute prostatitis.
2. When the juice has a pink tint, it indicates bleeding. You should immediately consult a doctor, as this symptom can be life-threatening.
3. If the secretion appears after urination or defecation. This sign may indicate the development of acute prostatitis.

How to prepare

In order for the prostate juice to be released after the massage, it is necessary to prepare for this procedure. It is recommended to follow these tips:

• do a cleansing enema in the morning;
• take a laxative;
• abstain from sex for a week;
• Do not drink alcoholic beverages for 2 weeks before the test;
• urinate before the massage.

If you follow all these methods and trust an experienced doctor, the procedure should go as expected and you will be able to take the secretion for analysis.

What is prostate juice for and how to get it

Prostate juice is a biological fluid that is required for the diagnosis of many male diseases.

In order to begin treatment of existing diseases in a timely manner, prostate secretions must be taken at least once a year.

This secretion has a specific smell, viscous consistency and a color ranging from transparent to whitish. In total, the prostate contains up to 2 ml of this fluid. The juice contains the following substances:

• zinc;
• phosphates;
• calcium salts;
• sodium;
• potassium;
• citrates;
• chloride;
• lipoid grains;
• leukocytes;
• epithelial cells.

During the massage, the specialist extracts liquid from the organ canal, places it on glass and examines it under a microscope.

To do this, you first need to massage on the right side of the prostate, massage on the left, and at the end of the procedure, press on the central groove to obtain juice. And in the last seconds of squeezing, the secret begins to squeeze out.

Fact! A small amount of secretion can be released when a man is excited - and this phenomenon can be called the norm.

Contraindications

In order to get prostate juice for analysis, you need to do a massage. But in some cases this procedure is contraindicated for humans. Massage should not be performed in the following cases:

• haemorrhoids;
• bacterial prostatitis;
• the course of chronic prostatitis together with cancer;
• stones in the prostate ducts;
• cysts.

If you do a massage with bacterial prostatitis, the infection can spread to other internal organs and cause complications.

If it is not possible to obtain prostate juice, then the patient should undergo a comprehensive examination, since this symptom may indicate a chronic or acute form of prostatitis. In order to understand why prostate juice is not secreted, the doctor must examine the patient and wait for test results.

Source: http://proprostatu.ru/diagnostika/pri-massazhe-prostaty-ne-vydelyaetsya-sekret.html

Complications during prostate massage: no secretion, pain, burning and other consequences

The American Urological Association excluded massage from the treatment protocol for prostate diseases back in 1968.

Doctors found no benefit from this procedure. Following them, European specialists abandoned prostate massage.

But in other countries, urologists prescribe this procedure to patients and consider it effective.

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Can there be complications or damage from the procedure?

Doctors do not deny that the rectum and prostate can be damaged as a result of massage. Symptoms of prostatitis may intensify after this.

IMPORTANT! Massage manipulations can be performed if the patient does not have any changes in the rectum and there are no irreversible changes in the prostate.

Massage procedures are usually performed through the patient's rectum using the doctor's finger. In some cases, the gland can be massaged externally by pressing on the area between the scrotum and anus.

There is a type of hardware massage in which a pneumatic device is inserted into the rectum. When exposed to it, the pelvic muscles contract. To take secretions for analysis, a metal tube (bougie) is sometimes used, which is carefully inserted into the urethra.

Despite the use of latex gloves, the massage therapist may scratch the mucous membrane with his fingernail, after which the patient may develop hemorrhoids. Cracks may appear in the anus.

Intense pressure on the prostate area can cause infection to spread to surrounding organs and tissues (rectum, kidneys, bladder, urethra).

Practitioners note that after a course of massage procedures, the prostate gland decreases in size and its inflammation decreases. But inflammatory processes in nearby organs often intensify.

Thus, in the medical literature (Japan, 1990) a case of a patient developing gangrene of the genital organs is described. The disease appeared after massage manipulations. In 2003, in a German clinic, a patient suffered a stroke after similar procedures.

What to do to avoid?

A thorough and complete medical examination carried out in a clinic will help to accurately diagnose and identify concomitant diseases. They are the ones who impose restrictions on the appointment of procedures.

IMPORTANT! To avoid complications and damage, a patient wishing to undergo a massage course should rely only on experienced specialists.

There are many contraindications to prostate massage.

Massage manipulations cannot be performed for the following diseases:

There are a lot of contraindications for massage procedures, so the patient should not diagnose himself and resort to treatment with folk remedies and self-massage. The health consequences of such an attitude can be very serious.

The purpose of a one-time prostate massage is to obtain the secretion (juice) of the gland. The secret is needed for laboratory research. Analyzes of the secretion make it possible to make a correct diagnosis. The composition and appearance of the secretion are different in acute, non-bacterial and chronic prostatitis.

During massage, prostate juice is not always released. Why is there no secretion released during prostate massage?

The reasons for the absence of secretion in the sample can be very different:

1. The prostate gland is sluggish and functions poorly. The secretion may end up in the bladder rather than the urethra. In this case, the laboratory assistant collects urine, from which secretory mucus is then separated in a centrifuge.
2. The secretion may not be released if the patient had sexual intercourse on the eve of the test. The doctor should warn the patient that the last sexual intercourse should be 4-7 days before taking a secretion sample.
3. Juice may be absent after a man visits a hot bath, performs heavy physical work, or drinks alcoholic beverages the day before.
4. In acute and chronic forms of prostatitis, the outflow of juice may be obstructed by pus accumulated in the ducts.

Consequences and first aid

Not all men tolerate medical procedures without consequences.

Unpleasant consequences of prostate massage can include:

• pain during the procedure;
• pain after prostate massage;
• the appearance of blood in the urine;
• the appearance of blood in the rectum;
• the appearance of blood in the stool;
• burning in the anus.

With prostatitis, the prostate gland often enlarges, becomes painful, and puts pressure on the surrounding organs.

If there are indications, the doctor may prescribe massage treatments. But since the gland has not yet returned to its previous size, the patient may feel pain when massaging the prostate.

Painful sensations arise from mechanical injuries accidentally inflicted during procedures or intense impact on organs. Pain may appear if the patient is tense, tense, embarrassed and cannot relax. In this case, the urologist advises to consciously relax the buttocks, abdominal and back muscles.

After the massage, the prostate ducts are open and the man may suffer from cutting pain when urinating. At the same time, a burning sensation is felt in the penis.

After some time, the unpleasant sensations disappear, but after the next session everything repeats. To quickly close the ducts, the doctor may prescribe medications (uroantiseptics) or herbal infusions.

After a prostate massage, a burning sensation in the anus sometimes occurs due to an allergic reaction of the body to the cream. In this case, the doctor may change the lubricant.

If traces of pus and blood appear in a man’s urine after a therapeutic prostate massage, the doctor will immediately cancel the massage course. Pus and bloody discharge indicate an active inflammatory process, in which massage is contraindicated. With such discharge, the urologist can assume the presence of a tumor.

Blood from the rectum may be released after a massage if the patient has hemorrhoids. The knots are easy to break when inserting your finger. After a prostate massage, blood may appear in the stool and rectum if the patient has other intestinal diseases.

IMPORTANT! If unpleasant sensations and phenomena are caused by massage, they quickly pass. If bleeding and pain continue the next day, the man should consult his doctor. If there is severe bleeding during a massage, first aid is immediate hospitalization.

Doctors have a negative attitude towards prostate massage at home. A man cannot do such a massage himself, and as a rule, there are no qualified doctors in the family who know all the intricacies of the structure of the male body.

Prostate massage should be performed by a urologist, proctologist, andrologist or a qualified nurse who has undergone training.

Prostate massage is not a mandatory procedure, but may be recommended to the patient by the attending physician. In some cases, the effect of massage manipulations significantly exceeds the possible risks and brings recovery closer.

Source: https://samec.guru/anatomiya/polovaya-sistema/prostata/massazh-i-stimulyatsiya/oslozhneniya-i-posledstviya.html

Reasons for the absence of ejaculation during prostate massage

The prostate gland is an important organ in the male reproductive system, controlling the production of seminal fluid and the functioning of the genitourinary system. When diagnosing pathologies of this glandular organ, urologists focus on an integrated approach to therapy.

For this reason, it is necessary to combine medication and stimulation of the gland. Questions about why juice is not released during prostate massage continue to remain relevant at all times. Only a qualified specialist will help you understand this.

Diagnosis of prostate condition

During the initial examination of the patient, the urologist palpates the glandular organ. During this procedure, prostate juice is normally released, which is taken as a biomaterial for analysis.

Only if diseases of the genitourinary system are detected in a timely manner can serious consequences be avoided. In order to diagnose the condition of the prostate gland, urologists use various laboratory and bacteriological tests and instrumental research methods.

Prostate massage is prescribed as an additional treatment method for the following diseases:

• prostatitis in a chronic form;
• urethritis;
• benign prostatic hyperplasia;
• congestion in the pelvic organs;
• erectile dysfunction;
• increased libido.

However, rectal palpation of the glandular organ is also carried out in order to obtain seminal fluid necessary for bacteriological analysis.

It is this procedure that in most cases acts as the primary diagnosis of the genitourinary system.

Depending on the severity of infectious and inflammatory diseases, the composition of seminal fluid may vary in visual and laboratory indicators.

In the presence of severe prostate pathologies, the absence of secretion is a characteristic symptom. This may indicate the presence of a chronic form of prostatitis.

A course of rectal massages is designed to improve local blood circulation and cleanse prostatic lumens. As a result, erection and the processes of natural secretion should be restored.

Thus, it is possible to answer the question why juice is not released during anal massage of the prostate only after a series of additional examinations.

Features of collecting prostatic secretions for analysis

As a rule, this manipulation occurs during the initial visit to a specialist after collecting an anamnesis and analyzing the patient’s complaints.

The procedure, during which prostate secretions are released and biomaterial is collected for analysis, is carried out by a competent urologist in a medical institution. In such situations, residual mucus collects in the urethra.

Semen can only be collected through rectal stimulation of the prostate gland.

Due to the specific nature of this study, the procedure causes a high degree of embarrassment and embarrassment for most urological patients.

However, this stage of diagnosis cannot be avoided, since it is this analysis that allows us to identify the true causative agent of infectious and inflammatory diseases of the prostate.

It is extremely important that the attending physician conveys to the patient the feasibility of conducting this study and, in general, the effectiveness of massage therapy in diagnosing prostatitis and other pathologies of the genitourinary system.

Stimulation of the prostate for health purposes can also be done at home.

In such situations, men can purchase special massagers and use them independently without the involvement of medical professionals.

If, after a prostate massage, no secretion is released, the doctor suspects the presence of serious pathologies and refers the urological patient to undergo an ultrasound examination.

The removal of seminal fluid in the process of stimulation of the prostate gland occurs due to the work of the contractile muscles of the organ, responding to forward movements and stimulation.

The resulting secretory substance is placed in a sterile container and sent to the laboratory for detailed analysis.

Based on the results obtained, the attending physician can finally confirm the suspected diagnosis and decide on treatment tactics.

The reliability of this analysis is achieved provided that the day before the patient abstained from sexual intercourse, did not mechanically impact the prostate gland, and did not undergo TRUS (transrectal ultrasound).

Reasons for the absence of prostate secretion during stimulation

During normal functioning, the male glandular organ secretes about 2 ml of prostatic juice. This quantitative indicator may vary based on the patient’s age and the presence of an active sexual life (frequency of sexual contacts).

The release of internal secretion of the prostate is not always observed during one-time stimulation of the organ in order to obtain laboratory biomaterial. The reasons for this development of events can be a variety of factors:

1. Poor performance of the prostate gland.
2. Presence of vesicoureteral
3. After anal massage of the prostate, no secretion is released if, on the eve of the analysis, the patient had sexual intercourse that ended in ejaculation. You should abstain from sex 5 days before the test.
4. During heavy physical or sports activities, it is also difficult to achieve prostate secretion.
5. Drinking alcoholic beverages before the sampling procedure negatively affects the ejaculation process.
6. In extremely severe forms of prostatitis, the secretory substance is not released against the background of existing stagnation of purulent fluid in the ducts of the organ.

There are situations in which, due to the lack of experience of the medical laboratory technician, the procedure for collecting seminal fluid cannot occur.

For this reason, it is extremely important to consult qualified specialists in the field of urology.

To obtain reliable results of a bacterial analysis, the urologist will familiarize the patient in detail with the factors in the presence of which prostatic secretions cannot be released from the urethra.

Consequences of a massage procedure

Not in all cases, a one-time palpation of the prostate during the collection of biomaterial and, in general, the massage procedure is well tolerated by urological patients.

After this manipulation, a man may experience the following characteristic symptoms:

1. Spasmodic pain may occur during and after the massage. As a rule, such sensations are observed in the presence of severe pathologies of the pelvic organs. However, given the intimacy of this procedure and a certain amount of stiffness in the man, the muscles of the prostate gland contract too much. Against the background of excessive tension of the patient, prostate massage does not cause seminal fluid discharge.
2. In situations where prostate stimulation was too intense, a man may complain of discomfort in the anal area.
3. If, when releasing sperm, the patient notices a small amount of blood in it, we are talking about hemospermia, which requires immediate treatment.
4. After manipulation, when the internal secretion of the prostate is released, urological patients may feel a tingling and burning sensation in the urethra. This condition is due to the fact that the massage had a therapeutic effect and during the procedure the ducts of the prostate gland were cleared. In such situations, the urologist prescribes special preparations based on herbal components to close the ejaculatory ducts.
5. If after a massage a man notices the presence of blood drops in the stool, then he has hemorrhoids or fresh cracks in the anus.
6. After secretion, a burning sensation in the rectum may occur due to the development of an allergic reaction to the lubricant gel used. The lubricant must be water-based, not silicone or oil-based.
7. If blood clots are detected in urine, the doctor may assume the presence of hematuria, which develops against the background of complex pathologies of the prostate.
8. Slight discomfort is acceptable due to the fact that the man is not used to anal impact on the prostate gland. They usually go away on their own within a day. However, if the patient notices long-term painful symptoms, you should immediately contact a qualified specialist in order to receive timely medical care.

Conclusion

It is generally accepted that prostate massage is prescribed by urologists for the purpose of therapeutic effects. However, men cannot avoid this procedure even at the initial stage of diagnosing the condition of the pelvic organs.

During initial palpation of the prostate gland, it is extremely important to collect seminal fluid. Analysis of the secreted secretion will reveal the true causative agent of the disease.

Secretion can be released from the penis provided there are no serious pathologies of the internal organs of the genitourinary system.

Sources: medicalnewstoday.com, ncbi.nlm.nih.gov, health.harvard.edu.

Source: https://konstantinsmirnov.ru/terapiya/stimulyatsiya/pochemu-pri-massazhe-prostaty-ne-vydelyaetsya-sok.html

Reasons why secretion may not be released during prostate massage

Congestion in the prostate gland is, to one degree or another, characteristic of any pathological process in it. Diagnosis of the type of prostatitis is based on the secretion of secretions during prostate massage and its analysis .

Diagnostic massage improves the patient's condition because it relieves the patient of stagnant juice, which is usually released from the prostate during a massage. However, sometimes it happens that the secret is not released.  

Photo 1: A healthy prostate produces and “stores” so much juice that it is sure to be released after a massage. The absence of this may indicate the development of pathology. Source: flickr (Sida).  

Prostate massage as a method of obtaining prostate secretions

Prostate secretion is a fluid produced by the prostate gland. It is necessary to ensure sperm motility and protect them from the external environment.

healthy prostate produces juice that is opaque, slightly viscous, the color of diluted milk , and the pH reaction is slightly alkaline.

It contains metal salts, proteins, lecithin grains, and leukocytes. 

The most convenient way to take prostate juice for analysis is by its natural secretion through the urethra. In order to forcibly “evacuate” the fluid, a finger massage of the gland is performed with access to it through the rectum.

The procedure is performed with an empty bladder . This is a necessary condition, since a full bladder pushes the prostate gland upward, which pinches the ducts and makes it difficult to obtain secretions. It is necessary to cleanse the intestines first .

Note! When performing massage movements, the doctor does not “squeeze” the contents of the prostate. Under the influence of the massage, the muscle fibers of the organ contract, and the gland independently pushes the secretion into the urethra.

Comfortable massage position to obtain secretions

The most comfortable position for the patient during a massage to remove secretions is the elbow-knee, with a slight bend of the back down. This body position ensures the symmetry of the location of the prostate lobes and its maximum accessibility.

The patient can also take a “standing” position, with legs apart, resting his elbows on the table. 

If the patient is not able to take one of the above positions for a massage, then it can be carried out in the position of the patient “lying on his side, with his knees bent.” The patient in this position has his back to the doctor. The “lying on your side” position is the least favorable for taking prostate secretions, since the gland is displaced to the side.

Massage technique

The urologist massages the prostate gland with his index finger through the anus. The finger is immersed 4 - 5 cm and the prostate is felt . Stroking movements are carried out with light pressure from the periphery to the center, to the dividing groove. The procedure takes no more than 1 minute .

After massaging both lobes, you should press on the furrow itself. After which a few drops of the necessary juice are released from the urethra.

Healthy reasons for the lack of secretion of prostate juice when palpating it:

• sexual intercourse performed the day before. In a healthy man, the prostate may be empty after natural ejaculation;
• visiting a hot bath or sauna;
• heavy physical activity;
• severe alcohol intoxication.

Therefore, when conducting an analysis for prostate juice, a man should abstain from the above actions a week before taking the test .

Note! Failure to comply with the required conditions before the diagnostic massage procedure may lead to the need to repeat it.  

Pathological reasons for the lack of secreted juice during prostate massage:

• too little secretion produced. The prostate gland does not work well enough and its contents are so small that it does not reach the exit from the urethra or enters the bladder. In this case, its contents are analyzed;
• The prostate ducts are clogged with purulent contents or secretions thickened due to stagnation.

Interesting fact! The last reason for the lack of secretion for analysis is the inexperience or unprofessionalism of the doctor who performed the procedure.

Photo 2: Sometimes, in the absence of secretions, the patient’s urine is taken for analysis immediately after the procedure. However, such an analysis is considered uninformative. Source: flickr (Jim Chambers)

Why does a massage produce a lot of secretions?

A large amount of secretion released after a diagnostic massage may indicate the following points:

1. The patient has an irregular sex life ; he has not had full sexual intercourse for a long time. As a result, its contents accumulated in the prostate, which, under mechanical influence on it, was completely released.
2. A large number of curdled lumps are released . The reason is stagnation of secretion in the gland. Possible congestive prostatitis.
3. The patient's prostate tone is reduced . Secretion is released during any physical or mechanical impact on the prostate. For example, when straining or passing hard feces through the rectum. The phenomenon is called “prostatorrhea”. Analysis of the secretion will show the presence of inflammation in the gland. The secreted juice differs from healthy juice in color and consistency.

Note! Discharge from the urethra may not be associated with the activity of the prostate gland. They can be “produced” by inflammatory diseases of the urinary system.

Causes of bleeding during prostate massage

When, during a diagnostic massage, a secretion mixed with blood is released from the urethra, there are several reasons:

1. Insufficiently delicate massage, which injured the prostate tissue. This is accompanied by painful sensations, which the patient must report immediately.
2. The presence of purulent inflammatory foci in the prostate that were damaged during the procedure.
3. The patient has tumor changes in the prostate gland.

The presence of pathological discharge during diagnostic massage will not go unnoticed by the urologist . He will suspend the procedure and take the necessary measures to find out the cause of what is happening.

Note! The presence of inflammatory (in the acute stage) or tumor pathologies of the prostate or rectum in a patient is a contraindication for diagnostic massage. A relative contraindication is hemorrhoids.

Source: https://vylechim-prostatit.ru/prostata/pri-massazhe-ne-vydelyaetsya-sekret-142

When massaging the prostate, a secret is not released: what does the symptom mean and what does it mean if a lot of juice is released

One of the most frequently asked questions from men is why the prostate secretion is not released during prostate massage. You can only understand why this happens with the help of a competent doctor. In this article we will look at why the prostate secretion is not released during stimulation, and whether the release of a large amount of this fluid is considered normal.

The reasons for the absence of this secretion are divided into physiological and pathological. The production of juice and its accumulation in the channels occurs constantly. It makes up about a third of the total amount of seminal fluid that comes out during ejaculation. The volume of fluid produced varies depending on age.

Chronic excess or deficiency of gland juice is the most important diagnostic criterion, which helps to accurately determine the cause of a disease of the male genitourinary system.

Why is there no juice released during a massage?

The prostate gland is an important organ in the male genitourinary system, which controls its functioning and the production of seminal fluid.

When diagnosing diseases of this organ, experts emphasize that their treatment should be comprehensive. Therefore, it is recommended to combine medication and prostate stimulation.

Of the physiological factors due to which during the procedure there is no release of gland juice when stimulating the organ, the following should be noted:

• the patient visiting a hot steam room the day before;
• drinking large amounts of alcohol shortly before the procedure;
• exposure to increased physical activity;
• recent sexual intercourse - after ejaculation, complete emptying of the gland may occur.

Among the pathological reasons why secretions are not released during prostate massage, the main ones can be identified:

• prostatitis in severe form;
• improper functioning of the prostate gland;
• accumulation of pus at the outlet, due to which the fluid cannot come out.

If the provoking factor for not releasing juice during manipulation is precisely the overlap, then the solution to the problem can only be found in stimulation.

After just three or four sessions, restoration of the functioning of the prostate gland is observed. In more serious situations, surgery is required. Drug therapy in such cases is usually also powerless.

Important! The secretion should not be spontaneous if the patient was in a state of excitement.

Constant secretion of juice is a pathology that indicates inflammation.

Why does the secret stand out?

Typically, this procedure is performed when the patient first consults a doctor - after anamnesis has been collected and the patient’s complaints have been analyzed.

Prostate massage is performed by a qualified specialist exclusively in a medical facility. In this case, residual mucus in the urethra is collected.

Collecting seminal fluid is possible only through rectal stimulation of this organ.

But it is impossible to ignore this stage of diagnosis, since it is such a study that helps to discover the true cause that caused the infection and inflammation of the prostate gland.

It is important that the patient clearly understands that the procedure is appropriate and effective in diagnosing diseases of the genitourinary system.

The procedure for primary palpation stimulation of the prostate gland is a necessary stage in a comprehensive diagnosis. The material collected during the procedure not only helps to determine the bacterial etiology of the disease, but also to detect structural changes in the prostate gland.

When no secretion is released during prostate massage, the doctor may suspect the presence of serious illnesses and refer the patient for an ultrasound.

Stimulation ends with the release of seminal fluid due to the functioning of the contractile muscles of the prostate gland, which respond to prostate massage and forward movements.

The released liquid is placed in a sterile container and delivered to the laboratory, where a detailed study of the biomaterial will be carried out.

By analyzing the data obtained, the specialist will be able to establish an accurate diagnosis and determine what treatment should be prescribed to the patient.

Source: https://prostatu.guru/massazh/pochemu-pri-massazhe-prostaty-ne-vydelyaetsya-sekret.html