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Acute and chronic prostatitis discussion. Arnon Krongrad, MD, moderator.

Antonio E. Feliciano,Jr.MD
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  • Manila
  • Philippines
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Pathology report
29 Replies

Started this discussion. Last reply by mauricio chenlo Nov 22, 2010.

Diagnosis of Prostatitis Acurate?????
17 Replies

Started this discussion. Last reply by Travis Thompson Feb 23, 2013.

Non bacterial prostatitis
1 Reply

Started this discussion. Last reply by Blake Sep 9, 2011.

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Comment Wall (10 comments)

At 5:31am on July 14, 2008, Antonio E. Feliciano,Jr.MD said…
Non Bacterial prostatitis is a term used for an inflammatory condition of the expressed prostatic secretion (EPS) with no organism isolated with the traditional culture techniques.
Evidence for this condition is poor,therefore should be reevaluated
At 11:41am on July 14, 2008, Arnon Krongrad, MD said…
Hi Dr. Feliciano. I've heard a lot about you. It's good to find you here. Thank you for joining. It might be good if you load in a photo (in your My Page) and also tell the other members abour your interest and history (you can edit the "prostatitis" box to tell about you).
At 10:37am on July 15, 2008, Arnon Krongrad, MD said…
That would be great. Please feel free to post cases. If you want, you can also use this page (see above) to start your own blog. Then you can keep a running diary of situations, patient clinical course.

Have you referred patients for surgery? If so, what kind and what were the results?
At 10:56am on August 13, 2009, Mike said…
Hello Doctor Feliciano
I was speaking primarily for myself although I have several friends who report the same lack of success. When I went to the Philippines I was treated twice by a very sincere and interested physician, Dr Lazarte, who did his best to help me. Unfortunately, my result was worse in that I became worse than when I started the protocol. I have heard primarily from Polochek, yourself, and Lazarte of people who have had success there, unfortunately I have never had the opportunity to speak with a chronic prostatitis patient who had appreciable results from the Maniloa Protocol. Perhaps you can, as Dr Krongrad has done, ask some of your chronic prosatitis success patients to allow contact with those of us who are interested in the subject. Believe me, if your protocol had worked for me, I would never have done LRP.
Best toy you

Mike
At 12:27am on August 16, 2009, Arnon Krongrad, MD said…
Hi Antonio,

Thank you very much for your questions posted on Jose's page. I will be pleased to answer them and invite any questions you or your patients may have. For convenience for other readers, here is what you wrote:

Could you share with us how the robotics work? How is it better than the traditional total prostatectomy? I have cancer patients that are interested.Perhaps I could refer them to you?

A few thoughts:

We must all recognize that the prostatectomy I have been doing for chronic prostatitis is a radical prostatectomy: Complete excision as one whole specimen of the prostate, capsule, and seminal vesicles. This form of surgery has been a mainstay of prostate cancer treatment for decades.

I wish to distinguish radical prostatectomy from various forms of partial prostatectomy, including transurethral prostatectomy (TURP). Everyone should remember that partial prostatectomy removes only a part of the prostatectomy -- its interior -- and none of its capsule and not the seminal vesicles. This is not an academic distinction and I would point to the story of Merlin Gill as an illustration of why this distinction is important: the partials did not cure his chronic prostatitis but the radical did.

The form that I do is laparoscopic radical prostatectomy, a technique that we described in 1999 (click here to see the original technical manual). We developed this technique to reduce the heavy clinical burden of open radical prostatectomy. Some of the background and history is captured in the essay First Do No Harm.

In brief, the advantages of laparoscopic radical prostatectomy are:

Less bleeding: in my hands the average blood loss with laparoscopic radical prostatectomy is 50 ccs. I have not transfused a patient in 10 years. This is in marked contrast to my 15-years experience with the open radical prostatectomy, which routinely required transfusion.

Less pain: my patients on average take two Tylenols in the first day. This is in marked contrast to my experience with open radical prostatectomy, with which patients routinely needed heavy narcotic medications.

Faster recovery: Patients are routinely walking within a few hours and out of the hospital the morning after surgery. Many are driving and flying within 2-3 days. One of my patients actually broke a swimming world record 90 days after his surgery and the photo shows two brothers who had laparoscopic surgery the same morning, one after the other. The photo is taken about 7 hours post-op. Again … marked contrast with open radical surgery.


I will be pleased to elaborate. For more detail, you may wish to look on our web site and perhaps some of the following links:

A radio interview about prostate cancer and how to pick a surgeon

A television interview about the history of laparoscopic radical prostatectomy

I am not sure if this answered your question. Please let me know and I will be pleased to answer any questions. And if you want to discuss patients privately I can always be reached at ak@laprp.com. My office can be reached by Skype at krongrad_institute. I will be honored to work with you and to support your patients.

Thank you.

Arnon
At 8:56am on August 16, 2009, Mike said…
Hi Antonio

I am happy to do so. I hope it will be helpful to you and others. It certainly raised some questions in my mind. I also have several ultasounds that chronicle the diesease over the last three years. These primarily show calcification and size. If you would like to see them let me know and I will email them to you.

Best regards

Mike
At 4:56pm on August 16, 2009, Mike said…
Antonio

I moved my answer to your post below re: pathology report to group diagnosis at Dr Krongrad's request.

Mike
At 8:32am on August 17, 2009, Mike said…
Hi Antonio

I attached a copy of my pathology report. See Groups, Diagnosis... Pathology Reports.

If you go to main and click on Mike you can read the history that I have provided.

Mike
At 8:33am on August 17, 2009, Mike said…
Hi Antonio

I attached a copy of my pathology reort. See Groups...Diagnosis...Pathology Reports.

On main, click on Mie for my history.

Mike
At 7:59pm on July 26, 2011, Ariel Canela said…

Dr Feliciano,

Do you or any of your fellow medical team menbers at the Prostatitis clinic in Tuczon, AZ have any plans to set up a clinic in the Northeast or East Coast of the U.S.? I would love to have access to one of your Clinic to look for treatment but due to economical means I cannot head ove to the west coast. It would be great to know if you know of  anybody that offer the same treatment as the prostatitis clinic in Tuczon, AZ closer to New Jersey. Thanks in advance for any information or advise that you can provide.

Respectfully,

Ariel

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