Manila Genitourinary Clinic is the clinic behind “The Manila Protocol” that paved the way for the introduction of the first ever nonsurgical treatment of various prostate disorders including prostate cancer. This was the result of repetitive prostatic massage, intensive microbial diagnosis, and antimicrobial therapy. Today, this is recognized as the first step and front-line management to disorders that affect the prostate.
The clinic started as a community outpatient, medical, and surgical unit. By the mid 70’s, it was transformed into an in-house diagnostic facility specializing in diagnosing urinary and pelvic conditions. It was then transformed into Manila Genitourinary Clinic where diagnosis and treatment were both provided for pelvic symptoms, sexual dysfunction, and infertility. The clinic then launched “The Manila Protocol” in collaboration with the Prostatitis Foundation in the United States.
The clinic is headed by Dr. Antonio E Feliciano, Jr., who has 25 years of solid experience in treating and conducting research on many aspects of prostate disorders. His biggest project, “The Manila Protocol” has been featured in several scientific literatures and published in a textbook.
Dr. Antonio E. Feliciano Jr. is the pioneer in nonsurgical treatment of prostate cancer. He is deeply committed to exploring the many aspects of prostate disorders and introducing safe treatment for both local and international patients.
Complete Female Genitourinary (GU) Test
A complete female GU test is conducted to determine the state of a female patient’s genitourinary system, which includes the reproductive organs and the urinary system. Due to the close location of these two systems, they are commonly grouped together and usually appear in visual diagnostic images together. Certain disorders may affect the genitourinary system, making complete and regular female GU testing important. Disorders of the genitourinary system may be caused by several risk factors, such as infectious diseases, congenital problems, or trauma. Thus, a complete female GU test may include a bladder stress test, urinalysis and urine culture test, and urodynamic testing, which may include cystometry and postvoid residual measurements. To examine the reproductive organs, x-rays and ultrasound examinations are also necessary. Manila Genitourinary Clinic offers this exam to both local and international patients.
Complete Male GenitoUrinary (GU) Test
A complete male GU test provided by the Manila Genitourinary Clinic to both local and international patients is used in determining the state and diagnosing problems of the genitourinary system, which encompasses the reproductive and the urinary systems. To provide a complete GU test to a male patient, several different exams will be given; these include a genital or testicular exam, rectal exam, and prostate exam. The complete list of examinations that will be conducted will depend on the symptoms that a patient may be exhibiting. To get a full view of the genitourinary system, doctors usually order plain x-rays, x-rays with contrast, an IVU or IV urography or a pyelography, a percutaneous antegrade urography, a retrograde urography, a cystourethrography, and an angiography. Ultrasonography, magnetic resonance imaging (MRI), and computed tomography (CT) can also provide pertinent images of the genitourinary structures. On the other hand, an ultrasonography examines the kidneys, bladder, scrotum, prostate, penis, and urethra while a CT scan and MRI provide a broad image of the urinary tract.
Comprehensive Prostatitis Exam (Female)
A comprehensive prostatitis exam for a female patient is given when prostatitis is suspected. To diagnose prostatitis and determine the specific type that a patient has, a comprehensive examination is needed. This includes a physical exam, an assessment of medical history, a urine culture that determines the presence and type of bacteria, a pre and post massage test (PPMT) that determines the specific prostatitis type, and an expressed prostatic secretions test. Depending on the results of these procedures, more tests will be conducted, which may include a complete blood count, a digital rectal exam, a blood culture, a CT scan or MRI, a prostate specific antigen, and a transrectal ultrasound. A comprehensive prostatitis exam is also requested if an abscess or other complications are suspected. Manila Genitourinary Clinic offers this exam to both local and international patients.
Comprehensive Prostatitis Exam (Male)
A comprehensive prostatitis exam for male patients is conducted if prostatitis is suspected. Prostatitis is the condition where the prostate becomes infected. Although prostatitis does not increase the risk of prostate cancer, it is important that infections of this kind be detected and treated early. To confirm the presence of an infection or determine whether prostatitis is acute or chronic, it is important to get a comprehensive prostatitis exam. This is typically requested when a male patient experiences symptoms that include the frequent urge to urinate, difficulty urinating, fever, chills, and pain or a burning feeling when urinating. Pain may accompany prostatitis and may affect the lower abdomen, anus, groin, and back. Comprehensive prostatitis exams for men include a digital rectal exam, prostate fluid analysis, transrectal ultrasound, biopsy, and a voiding study, which collects and analyzes urine to determine the exact location of the infection.
Digital Rectal Exam (DRE)
A Digital Rectal Exam (DRE) given to a male patient is conducted to detect problems in the pelvic and lower belly area. During the procedure, the specialist inserts a gloved finger into the rectum and presses the lower belly with the other hand. This exam is always part of a complete physical examination for males, but it can be requested by a health professional upon suspicion of prostate problems, such as when there are changes in urination or other symptoms are observed. Its primary purposes are to check the prostate gland for growths or tumors and to find the source of rectal bleeding or pelvic pain if these symptoms are present. As such, it is a necessary part of the examination for the detection and diagnosis of prostate cancer. Manila Genitourinary Clinic, the leading provider of noninvasive treatment for prostate diseases, offers Digital Rectal Exam to both local and international patients.
A female internal physical exam refers to the physical examination of the female’s internal and external genitalia. Also known as the pelvic exam, it focuses on the vagina, cervix, and vulva. This is a routine examination often incorporated into annual gynecological exams and is necessary for the maintenance of good sexual and reproductive health. It includes a speculum and a bimanual exam. A speculum exam is used to examine the external cervical region for signs of foreign bodies. This is also known as a Pap smear, in which swabs of the cervix’s epithelium layer are taken. A bimanual exam, on the other hand, involves the insertion of two fingers into the vagina until the cervix is isolated to test cervical motion tenderness. Manila Genitourinary Clinic offers this procedure to both local and international patients.