Prostatic massage may be necessary to treat prostatitis if medicines do not successfully cure the condition, according to WebMD. As of 2015, it is believed that milking the prostate opens blocked ducts, allowing antibiotics to enter the prostate, while also improving circulation.
A prostatic massage is when a doctor inserts a gloved, lubricated finger into a man's rectum, and presses on the prostate multiple times, states WebMD. This procedures is usually performed two or three times weekly. Prostatic massage is only used for chronic prostatitis, as milking the prostate can cause acute prostatitis to spread bacteria and cause an infection.
Before recommending prostatic massage, a doctor may treat prostatitis by prescribing antibiotics, notes WebMD. If the antibiotics do help at first, the patient usually takes them for 2 to 3 months. If symptoms do not subside after taking antibiotics, a physician may recommend 5-alpha reductase inhibitors, muscle relaxants, alpha blockers or nonsteroidal anti-inflammatory drugs, known as NSAIDs, depending on the cause of the pain.
Some doctors may recommend exercise, physical therapy or massage therapy for treating prostatitis, states WebmD. In cases when excessive stress is causing prostatitis pain, a doctor may recommend relaxation techniques such as biofeedback or counseling to reduce stress. Bee pollen extract or other plant extracts may help to alleviate prostatitis symptoms.