Prostatic massage first came into popular use in 1894, at which time it was adopted by the Royal Institute of Massage at Stockholm. Posner1 of Berlin, in 1893, mentioned the cure of chronic prostatitis by repeated digital expression. Prior to the general acceptance of this therapeutic procedure, diseases of the prostate were treated by applications to the perineum in the form of counterirritation, heat, cupping, leeches and the like. Mitchell,2 in 1904, suggested that the beneficial effects of horseback riding on hypertrophy of the prostate is brought about by a kind of massage of the prostate gland from the alternating pressure as the rider rose and fell to the horse's motion.
The technic or method of massage has passed through stages of experimentation. When first adopted, the procedure was to massage around the prostate with a circular rotatory motion of the forefinger, but not to massage directly over