Pioneering Care in Non-Surgical Treatment of Prostate Disorders

Manila Genitourinary Clinic, benign prostatic hyperpl, urethritis, transurethal resection, Chlamydia

How the clinic started

In the 70`s, the clinic was originally operating as a community out patient, medical and surgical unit. Most of the patients at that time were Filipino families wishing to migrate to Canada.

In House Diagnostic Facility
This made way for the birth of an in house diagnostic facility. Asymptomatic emigrants with excessive white blood cell (WBC) in their urinalysis were easily managed and therefore the process for immigration was faster. Manila Genitourinary Clinic, benign prostatic hyperpl, urethritis, transurethal resection, Chlamydia

Influx Of Prostatitis Patients
By the mid 70`s, patients with urinary and pelvic symptoms (UPS) began to come in because of the conveniences of a quick diagnosis followed by a more objective, monitored treatment

Monitored Lab. Results and tri-weekly Prostate Drainage
In the 80`s Patient with UPS increased to more than 60 visitations per day. Soon after recruitment of more doctors also followed. This allowed plenty of room for learning. A training program was also realized. The monitored diagnosis allowed both senior and junior physicians to observe that the tri-weekly drainage with monitoring of WBC count from the prostate showed more predictive WBC readings as compared to patients that were drained less frequently. More patients were being cleared from Prostatitis. Cure was based on what the patents told us at the end of the treatment, through letters, and from patents referred to us by previous sufferers.

Transformation of a community clinic to a Genitourinary Clinic
In addition to the Pelvic symptoms, sexual dysfunction i.e., erectile, ejaculation and infertility were also corrected. The protocol was found to also to relieve symptoms of men in urinary retention. Previously enlarge prostates was also seen to decrease in size. Women both young and old were also being referred because of recurring urinary tract infections, or UTI. Patients from other countries and fellow physicians also began to come in by this time. With more variations in the patients respond to treatment improvement in diagnosis was imperative. Objective identifications of different pathogens were added into the diagnostic facility of the clinic.

A Practical Protocol Realized
With the much more improved diagnostic facility, the treatment protocol became more predictive, and effective. This protocol caught the attention of the local Department of Health and recommended the clinic as a model clinic for visiting South East Asian Physicians. By the mid 80`s, a pattern called the clinical horizon was realized by the physicians. This pattern served as a “map” of what was to be the Manila Protocol.

The birth of the Internet and the Manila Protocol
The advent of the Internet in the early 90`s allowed us to communicate with the Prostatitis Foundation from the US. At that time they were searching for a cure for Prostatitis. On the clinic`s end we were curious what the Internet had that we didn’t.

Curing a few patients from the newsgroup led a snowball of other patients; unfortunately we failed in a few perhaps due to poor compliance. Joint studies comprising of Filipino, American and Canadian researcher followed. These studies were published in mainstream medical journals; hence The Manila Protocol was born. The studies showed the protocol to have the highest reported rate of complete remission or improvement of symptoms even beyond 2 years.

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The Manila Protocol

Date: Wed, 23 Apr 2003 18:35:21 GMT
From: MiamiNiceShyGuy <>
Subject: Manila Protocol

Before the advent of the Miami Protocol there was the Manila Protocol: This review summarizes the history of published results of the Manila Protocol of repetitive prostatic massage, intensive microbial diagnosis, and antimicrobial therapy. It concludes that the Manila Protocol currently has the highest published rates of clinical remission for all symptoms of chronic prostatitis.

1) Hennenfent BR, Feliciano Jr. AE: Clinical Remission of Chronic Refractory Pelvic Symptoms in Three Men. The Digital Urology Journal, July 24, 1998. Available at:

Three American men with chronic prostatitis refractory to treatment in the USA were treated at the Manila Genitourinary Clinic with microbial diagnosis, antimicrobial therapy, and 19, 27,and 21 prostatic massages respectively. All three men, who were continuously symptomatic, underwent complete resolution of symptoms. At last follow-up at 29 months, 26 months, and 15 months respectively, after treatment, all men still remained asymptomatic. Conclusion: 3 of 3 men underwent complete remission of all symptoms.

2) Hennenfent BR and Feliciano AN: Release of Obstructive Prostatic Disease and Improvement of Erectile Dysfunction by Repetitive Prostatic Massage and Antimicrobial Therapy. The Digital Urology Journal October 5, 1998. Available at: A 69-year-old male presented to the Makati Genitourinary Clincic with for acute urinary obstruction with a urinary catheter in his bladder. He had been diagnosed with BPH by a urologist and had been told he needed surgery called TURP (transurethral resection of the prostate). He also complained of impotence, having had no erection for many years. The catheter was removed, the man was treated with 8 prostatic massages, was diagnosed with prostatitis, microbial tests were done, and antibiotics were given. His urinary symptoms completely resolved and his sexual function returned 60 – 70 percent. At last follow-up, the man has avoided surgery for over 5 years and at 5 years reported normal urination with only occaisional nocturia. Conclusion: 1 man avoided surgery for over 5 years and had lasting improvement of urinary symptoms with 60 – 70 percent improvement of impotence from the Manila Protocol.