March 22, 1996

In this second report I will give information from Dr. Feliciano, Jr. that explains what causes prostatitis and how it is easily cured. Then I will contrast this with current medical attitudes which act in a manner to not only limit the understanding of this disease but also prohibit its effective
treatment and cure.

To understand prostatitis let's look at a primitive diagram cross section of the prostate (Figure 1.) at one of the ducts. (To view the diagram properly you will need to be using a computer font with all characters having the same screen width.) The prostate is a walnut-sized gland that surrounds
the urethra just outside of the bladder. Here we are only concerned with presenting one of the ducts that contribute to fluid during ejaculation. This diagram only shows the left half of our cross-section and only a single duct. There are around fifty of these ducts in all.

The acini are bulb-like sacs that open into the duct. In the above diagram picture the duct as being about half the height of a computer text line and the acini as being in the form of rounded elongated lightbulb shapes.  Prostatic fluid is generated in them. During ejaculation the prostate is contracted by muscles and the compressive force drives the fluid into the urethra for expulsion. Prostatitis is caused when a pathogen like a bacteria or fungus makes its way into the urethra and then into the duct and settles into the acini and then causes a blockage to form trapping fluid and pus there. The acini bulbs expand causing inflammation and pushing on major urogenital nerves that are next to the prostate thus indirectly causing most of the pain symptoms experienced by prostatitis sufferers.

As an engineer, I can use this model of prostatitis to explain the many guises that prostatitis symptoms present such as some sufferers having symptoms that come and go while others have them constantly. According to Dr. Feliciano, Jr. men can be carrying pathogens in their prostates for years or even decades before symptoms appear and it is possible that this leads to the problem of BPH. I hope to do a future report to illustrate how this model can be used to explain the many various symptoms reported by prostatitis sufferers.

Dr. Feliciano, Jr. cures the prostatitis by simply pushing on the prostate such as to drain it every other day while the patient takes the proper antibiotic to kill the pathogen(s) present. Eventually the physical pressure of the drainage causes the blockages to break up and give way to be
flushed on out. The body heals itself as new prostatic fluid with antibiotics is introduced into the acini and flow through the ducts on later drainages.

Isn't that simple? All very logical. Now let's go into the reasons why coming up with such a simple treatment is unlikely by the best brains in our medical community.

First, Dr. Feliciano believes that there should be no flora (bacteria and other microorganisms) in a man's urogenital system. He considers these as pathogens. On your first visit to his clinic he drains the prostate (by pushing on it with his finger) and has cultures done to uncover the live pathogen(s)
found. You are then prescribed antibiotics which are shown to be effective on the pathogen(s). You are cured when ALL pathogens (and symptoms) have been totally eliminated.

Believe it or not, I understand that our medical community is taught that IT IS NORMAL to have flora living here. I would love to ask why. Sure, we have live bacteria in the alimentary tract to help digest food and as a result bacteria in the colon/rectal system. But why should live bacteria be present in the urinary tract?

Second, many urologists around the world have a belief that the prostate is a delicate organ and that massage or stronger manipulation should not be done to avoid traumatization. However, as Dr. Feliciano explains the prostate.

"It is a tubuloalveolar gland surrounded by fibro-muscular stroma. It is an elastic tissue with abundance of smooth muscles."

He has explained to me that pushing hard on the prostate is no more damaging then pushing hard with your finger on your arm. And the over 4,000 patients successfully treated by prostate drainage in the Philippines would seem to prove his point. I can tell you that after 20 such drainages I
do not feel my prostate has been damaged in any way and neither does the other American patient who was cured right before me.

It is obvious that many urologists here are frustrated about prostatitis and would love to cure it if they only knew how. But this does not excuse the ignorance and inhumanity of some doctors who tell their patients that "it is all in your head" or "you'll just have to adjust your lifestyle and learn to live with this pain for the rest of your life." Yes, these are actual quotes to prostatitis patients.

It is imperative that we assist the Prostatitis Foundation to get the word out on Dr. Feliciano, Jr.'s successful cure for prostatitis and have his treatment immediately investigated and implemented in local areas. Just imagine the possibility of a year from now having a physician near you who can cure any prostatitis sufferer with a simple few week treatment.

Questions and Dave's answers:

I'm sure you can probably write a book. A few questions on #2. Ron, described the draining of his prostate by saying something to the effect that Dr. Feliciano was much better at draining this fluid
than other doctors he had seen. I believe he indicated that other doctors caused him discernible pain but expressed very little fluid while Dr. Feliciano expressed significant amounts of fluid with little or no pain. Did you have a similar experience?

My case was different. The two Austin urologists I saw and Dr. Krieger in Seattle never had trouble getting prostatitic fluid out of me. However, Dr. Feliciano got larger amounts out.

I hope that in future reports you will share the specifics of your treatment including what pathogens were found, what antibiotics were used to eradicate them, the duration and cost of your treatment.
Thanks for the continued info.

Yes, one of my reports will be a complete log of each treatment day along with the events and results found at each.

Did you ever have a transrectal ultrasound conducted, and if so, did it show any calcifications? While Dr. Feliciano's method of cure (draining the prostate) makes perfect sense to me, I'm concerned that (1) it will not solve the problem of someone with calcifications and (2) it could exacerbate the problem by causing some damage to someone with calcifications. Correct me if I'm wrong, but I believe this second concern is shared by Dr. Tarfusser.

Yes I had a rectal ultrasound and it did show calcifications. They were said to be "located near the urethra".

Since a significant percentage of men have calcifications then if these caused problems curing prostatitis Dr. Feliciano would not be having such a high success rate. If you read my earlier reply post on this topic you would understand that he believes stones are the result of the body's
natural defence mechanism against pathogens from the urinary tract reaching the prostate. If this is true the it is no surprise that so many men have them.

Let me add that I spoke at length with Dr. Tarfusser during the NIH conference and I have a high regard for his capabilities and the work he is doing in the area of prostatitis treatment. In fact before I found out about Dr. Feliciano, Jr. I was planning to see him in Italy this summer. However,
I now believe that Dr. Tarfusser is mistaken about his concerns that the prostate is a delicate gland.

David Trissel
Austin, Texas