Antibiotics and Prostate Massage

History of Antibiotics and Prostate Massage

Antibiotics and Prostate Massage
Don’t risk your health. This is an outmoded form of treatment with no scientific support.

Repetitive prostatic massage has a long history. Once the most popular therapeutic maneuver used to treat prostatitis, it was abandoned as primary therapy in the 1970s. It made a short-lived comeback in the late 1990s, based on isolated stories of cures emanating from the Philippines, and by the relentless promotion of the technique by the website (the “Prostatitis Foundation”).

Then in 2003 a study found that antibiotics, in the end, are no better than placebo for men with CP/CPPS. Finally in 2006 another study showed that patients who had prostate massage in combination with antibiotics did no better than patients who took antibiotics alone, thus invalidating the whole idea.

The “Manila Protocol”

The Manila Protocol, so-called because it started in Manila in a clinics run by the late Dr A. N. Feliciano and his son Dr A. E. Feliciano, is an outmoded form of treatment that used antibiotics in conjunction with prostate massage to effect improvement in some patients. But recent studies showing that antibiotics are ineffective in chronic pelvic pain suggest that the intrarectal massage component of this protocol was actually the helpful element of the protocol. Intrarectal massage functions inadvertently as a form of physical therapy to the intrapelvic trigger points identified by recent research.


One of the men behind the now-defunct Prostatitis Foundation, ex-family doctor Bradley Hennenfent, teamed up with the younger Feliciano, a man who struggled to obtain a medical degree (according to an investigation conducted by one of his disgruntled patients — see our forum for details), to publish a study promoting this form of treatment. It was published in a low quality journal (the “Digital Journal of Urology”). This non-peer-reviewed, cash-for-comment PR-type journal went bust after a few years.

So during the late 1990s and early 2000s, demand for “antibiotics + prostate massage” treatment expanded significantly after the (non-urologist) Filipino doctors claimed a 100% cure rate on postings to Usenet and on their websites. They called their “cure” the Manila Protocol. Many sufferers, eager for an answer, any answer, latched onto this claim. Word spread like wildfire thanks to the efforts of the now-defunct Prostatitis Foundation. This foundation worked hand in glove with the younger Filipino doctor, touting his methods as “the answer” for CP/CPPS. The inference was that corrupt Western doctors had deliberately ignored this simple cure because of they profited from patients remaining unwell. The proponents of this “new” technique overlooked the fact that doctors had frequently used this method in the pre- and post-War era to help relieve symptoms, although it had fallen into disuse because it is labor-intensive and ultimately ineffective. Very few durable cures using this method were verifiably reported, and as time passed more and more men posted their disappointment to the Usenet newsgroup (now defunct) after attending the Manila clinics, effectively killing off the popularity of the protocol.

What little success the protocol enjoyed was almost certainly a combination of the placebo effect, the anti-inflammatory effect of many antibiotics, and the unintended myofascial release aspects of prostate massage. However, massaging deep muscles adjacent to the bladder and prostate, such as the insertions of the levator ani muscles, is best accomplished by using a specially designed wand (see our forum), rather than by travelling to Manila or Tucson AZ (where one of Feliciano’s acolytes, ex-ship’s doctor Dr John Polacheck, used to run a similar clinic until it closed in 2009).

This protocol is not used in the Western world today, although some doctors in China still massage the prostate as a form of treatment.

If you are confused about the worth of this treatment, consider joining the Prostatitis Network forum where it is extensively discussed and dissected.

Throw out the antibiotics and try these….


Q-Urol for prostatitis

Buy 1 get 1 FREE! Remember, use code 50UROL18. There is no better anti-prostatitis medication on the market, period. Q-UROL offers all of the benefits of Prosta-Q, but with time release technology and extra strength anti-inflammatory power. Published studies prove that both quercetin and pollen extract (also known as cernilton) calm CPPS symptoms. The combination is very effective for the majority of patients, and has been shown in published urological studies to help maintain prostate health and specifically target pelvic or genital discomfort.


BP-Qmax for prostatitis and BPH

Buy 1 get 1 FREE! Remember, use code 50QMAX19. BPH and Prostatitis share many symptoms. The proprietary blend of clinically proven all-natural ingredients found in BP-Qmax was developed in collaboration with leading urologists at major medical centers to assist men with prostate and urinary health issues and provide support for those seeking powerful, but natural, prostate health support. Contains optimum amounts of Beta-Sitosterol, Saw Palmetto, Flower Pollen and enzymes, as studied by academic urologists. Reduce nighttime urination and sleep through the night with BP-QMax™

TriverexMD and Trinoboost

trinoboost and triverex for libido repair

Buy 1 get 1 FREE! Remember, use code 30TRIN456. Trinoboost increases levels of nitric oxide (NO), vital for erections. TriverexMD contains Panax Ginseng, which has extensive clinical evidence (7 human clinical studies) proving effective for boosting male sexual health, especially erectile dysfunction. Try these natural remedies and avoid harmful ED drugs.


Multiright acide free vitamins

Buy 1 get 1 FREE! Remember, use code 2Multi3295. MultiRight is the only pH neutral, low acid multivitamin which means that it’s more bladder friendly than ever!  Most multivitamins are acidic (usually because of the cheap form of Vitamin C they contain) and can burn inflamed bladders, prostates and urethras. This product won’t do that. Kill the burn now!

New Product

New product

Your product here. Contact site management to advertise your product or medication to the pelvic pain community.


New Product

New product

Your product here. Contact site management to advertise your product or medication to the pelvic pain community.