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prostate-massage-relief-of-prostatitisProstate Massage is the medical massage of the prostate, often done concurrently with antibiotics, for a medical result in the treatment of bacterial prostatitis. Many people have sought a prostatitis massage cure, and a significant number still do (in Google searches alone). However the number of prostatitis sufferers who have been cured by massage treatment are few and far between.

The "Manila" Protocol

It also became known as "The Manila Protocol" due to its popularization by Dr Antonio Novak Feliciano (also sometimes called "The Feliciano Method") in his Clinic in the Philippines and was a popular option for many of the desperate at the time. Dr A.N. Feliciano was a bit of a character according to patients who came to the Clinic. However as many patients went on to (repeatedly for those who revisited) relapse, the technique was largely discredited, in spite of the great hope of the founders of Dr A. N. Feliciano has since passed away.

Manila Protocol Imitators

There have been, and still are, several imitators. Dr A.N. Feliciano's staff carried on for a few years, and the Doctor's son, Dr A. E. Feliciano also continues the same work, and largely claims to be the originator which is not correct. Other Clinics survive in the Philippines and one in the USA which seems to have recently disappeared, a symptom of the decline of the protocol..

However patients in exhausting all options often research this method. It suffers from some of the same problems that causes oral antibiotic treatment to fail; antibiotics cannot be introduced into all the infected areas in enough strength to effect a lasting cure.

Prostate Massage Warnings

Prostate massage should not be carried out on patients with acute prostatitis, as the massage can lead to a dangerous spread of infection through the body.

Over-vigorous prostate massage has been cited in life-threatening situations: septicaemia, haemorrhoidal flare-ups, periprostatic haemorrhage, cellulitis, and possible spread of prostate cancer to other parts of the body, so some caution does need to be kept in mind when considering using this treatment for symptom relief.

Prostate Massage for Symptom Relief

Additional to the former hopes of the Prostate Massage technique as a cure, there is still a lot of interest in the method, especially in the USA as a treatment for relief of prostatitis symptoms. Self-massage is not generally recommended, it's difficult to do, and unlikely anyway to be as effectively done as a trained person could do. For a start, ask your Doctor or Urologist if they can do it, or if they can recommend a professional person.
Remember, you are unlikely to find Prostate Massage will result in a cure, and be careful that you take precautions in the form of only allowing a trained person to administer the treatment.

A Video of the Basics of Self-Massage of the Prostate

[Prostate massage with unwanted consequences. Case report] Excerpt

Urologe A. 2003 Jan;42(1):78-9.
Abstract (
We report a case in which a regular prostate massage (chronic prostatitis) turned into a life-threatening event. After the prostate massage, an enormous periprostatic hemorrhage developed. During hospitalization the patient developed an embolic insult to the lungs. To our knowledge no ther cases have been published. This report shows the potentially serious consequences, and we conclude that any pain after prostate massage needs further diagnostic steps (ultrasound, CT scan).

Here's a Published Study of Prostatitis Massage

A little dated, nevertheless, an interesting read for those prostatitis patients researching prostatitis treatment massage

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Urology. 2006 Apr;67(4):674-8. Epub 2006 Mar 29.
To evaluate the efficacy of regular prostatic massage in combination with culture-specific antibiotic therapy for men with chronic prostatitis.
This study included 81 consecutive patients who attended our outpatient clinic with a history or symptoms suggestive of chronic prostatitis (National Institutes of Health category II and IIIA). In addition to prostatic culture and sensitivity, all patients were asked to complete the National Institutes of Health Chronic Prostatitis Symptom Index. According to their chronic prostatitis category, all patients were divided into four groups: group 1, chronic bacterial prostatitis treated with antibiotics and prostatic massage, n = 17; group 2, chronic bacterial prostatitis treated with antibiotics alone, n = 20; group 3, chronic nonbacterial prostatitis treated with antibiotics and prostatic massage, n = 25; and group 4, chronic nonbacterial prostatitis treated with antibiotics alone, n = 19.
Of the 37 patients with initially positive cultures, 30 (81.1%) had sterile final cultures. Overall, 30 patients (37%) of 81 had complete resolution of symptoms, 18 (22.2%) had initial resolution but had recurrence after therapy, 22 (27.1%) had partial improvement, and 11 (13.5%) had no improvement. No significant difference was found in the response between patients treated with antibiotics alone and those treated with antibiotics and prostatic massage in all four groups. Only 29% of class IIIa patients had complete improvement in contrast to 52% complete improvement in the class II patients.
Prostatic massage did not significantly improve the response of patients with chronic pelvic pain syndrome to antibiotics. Patients with National Institutes of Health class II prostatitis should be primarily treated with culture-sensitive antibiotics. Treatment of nonbacterial prostatitis is challenging and requires additional extensive research.

References: accessed 15 Jul 2014 accessed 16 Jul 2014 accessed 17 Jul 2014

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