Manhood Therapy: What and How?

By Ian Chow, CERTIFIED Massage Therapist

From my first article on manhood therapy (urut batin), there are a number of readers who asked me how does the therapy go and what do we do.  So, here you go, the steps that one can expect during the session. To note, as stated in my first article, different practitioners may include different techniques or combine with other modality of massage to enhance their treatment.

And once again, this article is not to scientifically prove that manhood therapy is effective. It is to give an idea what the therapy entails; whether you believe in the treatment, that is your prerogative entirely. 

I will combine both layman term as well as some anatomical reference in my explanation.  If you are interested to read more about the muscle mentioned, you may also click on the “name of the muscle” as I have linked it onto wikipedia.



While on prone (facing down), 

Step 1: 
TLDR: Working on your lower back.

Details: A typical treatment will usually start with the lower back focusing on the erector spinae muscle (lumbar level) and iliolumbar ligament. While on these areas, the therapist will also be able to work on the psoas muscle, the lower portion of latissimus dorsi muscle and if they go deeper, the quadratus lumborum muscle


Step 2: 
TLDR: Working on your buttock region.

Details: The therapist will work on the gluteus muscles (the largest muscle in our body) as well as the rotator group muscles. Most therapist will also work directly on the sacrum / coccyx (tailbone) with the intention on the ligaments attached and restoring the slight mobility that these bones have.   

For Step 1 and 2, the process is mainly what we would have experience during most of the other massage sessions. Just that longer time will be spent on these areas and it involves deeper muscles work. It could also addresses issue like lower back pain and soreness. To note, deeper muscle work does not mean more strength put onto one muscles but rather going to the layer beyond the superficial muscles.

For my treatment, I will also work on the ischial tuberosity (your sit bone) and the greater trochanter of the femur bone with circular strokes as there are a lot of related muscles insertion at this two points.


Step 3:
TLDR: Working on the back portion and inner portion of your thigh.

Details: The step continues with working on the posterior (back) of your thigh, mostly focusing on the adductors muscle group and the hamstring muscle group.

Just like Step 1 and 2, this would be a similar experience in other massage but the concentration is mostly towards the medial portion (inner thigh) and deeper muscle work. The therapist strokes will go all the way up til the gluteal sulcus. In fact, from this step onwards, the areas that the therapist work on are usually prohibited in a lot of the established brands / outlets.

Side tracking, from Step 1 to 3, therapist may also be able to help you to address other issues such as sciatica and piriformis syndrome.

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While on supine (facing up),

Step 4: 
TLDR: Working on your thigh again but on the anterior (front) portion

Details: After the therapist turn you over, your leg will be bent (“frog-leg” position). This position will enable the therapist to focus easily on the adductors once again and other muscles such as sartorius (our longest muscle in the body), gracilis and pectineus muscle. The therapist stroke will reach til femoral triangle (which once again, not possible at other established brand / outlet).

This step even though may be similar to some other massages that you have been through, the difference is the therapist may go very hard and deep. Do communicate with your therapist if it gets too painful. 

A lot of the traditional practitioners will claim this is to “buang angin” and may ask you to just bear with the pain. I am not going to put up another argument on that but if you have read my other articles, you will realize that I am not a fan of “no pain no gain” concept. For a treatment to work, I feel that it shouldn’t be a prolong or excruciating pain.

Before working on the adductors. I will also work on the foot reflex points that correspond to your hormonal glands, solar plexus, kidney, testicles and prostate. And not forgetting certain acupressure points on the lower limb area including Liver 3, Kidney 3, Spleen 6 and Spleen 9.

With Step 3 and Step 4, therapist may also assist in addressing groin pain issue that arises from muscle strain (which happen quite a lot to athletes who are into contact sports)


Step 5: 
TLDR: Working on the perineum region (the area between your anus to your scrotum).  

Details: Now, the therapist will be working on the sensitive perineum area with the intention of working on the ischiocavernosus muscle (a muscle which assist in maintaining penis erection) and bulbospongiosus muscle (a muscle which assist in expelling remaining urine in the urethra, ejaculation and erection). 

This massage could get sensual, you may get erection and you could be embarrassed especially if this is your first time. But whatever you do, just continue with deep breathing and don’t tense up.

For me, I will also include in acupressure point Ren 1 (CV1) into my treatment by pressing it for 10 seconds and relaxes it with gentle strokes and then repeat for another two to three more times. 

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Step 6
TLDR: Working on your scrotum, penis and your lower stomach. 

Details: The final step will be on the scrotum and the penis itself. Mind you, when I say scrotum, it is not (and should not) be directly on the testis itself but rather on the skin (by pulling / stretching the skin in between the two testicles then on the left and right). The intention is on its fascia.

During this portion, therapist will continue to work on your femoral triangle as well as the more intricate femoral ring. I usually won’t go hard (which some therapist do). This area has important neurovascular structure to your lower limb as well as lymph nodes and ligaments. The intention is to loosen the possible restriction around the area. It is easy to work on as it is not covered by any thick muscle hence hard force is not really necessary in my opinion.

On the penis, the massage include a lot of gripping, pulling and thumb stroke. The therapist will be working from the root to the body then the glans (head) of penis. Some treatment will include “mengasah” (grinding) technique on the tip of the glans which can feel uncomfortable after a while. You must maintain communication with your therapist should there be any concern or question. 

And here onwards, therapist will usually mix in massaging the stomach (focusing on the abdominis muscle); from lateral to the pubic bone and from the solar plexus down to the pubic bone

Therapist may also work directly on the pubic bone with circular motion or superior pressure point. For me I do add on acupressure point Ren 6 (CV6) when I am doing the stomach massage. 

Step 5 and Step 6 will usually be repeated a couple of times. And during the actual treatment, you may not feel the steps being rigidly follow as described here. It can be pretty fluid with one step merge into another and according to my Sifu, this is the “seni” in the urut (the arts of the treatment). 


We will end the session with effleurage on the leg portion, wiping off the oil on the massaged areas, some simple hip joint stretches and for me, my last step will be deep breathing with Ren 20 (CV20) acupressure point.

As mentioned in some of the steps, one other benefit of manhood therapy is helping to address other lower limb muscle related issues that one may faced. Hence, kill two birds with one stone. 🙂

Do get in touch with me for your therapy session to restore, regain and rejuvenate your manhood health!

Back: Manhood Therapy: Fake or Real
Next: Male Sexual Dysfunction – Overview

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Ian Chow 周 奕 延

Your personal massage therapist who enjoy frequent massages and spa treatments

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