Monday, November 21, 2016


It is now possible to see my interview in the Spanish TV program El Ojo Clinico. It was surprising to see an old recording of Dr. Resel in an interview many years ago... such memories...


It is visible through this link http://www.rtve.es/v/3807250/ 

Publication of a new paper in collaboration with the CROES

I am glad to see that this paper finally got published. It is a study in collaboration with the CROES (Clinical Research Office of the Endourological Society).


Sunday, November 06, 2016


I am very happy for the publication of this new scientific article. We are now promoting a multi center study comparing learning curves with the participation of Dr. Misrai (Institute Pasteur, France) , el Dr. Giovanni Ferrari (Módena, Italy), el Dr. Shahin Tabatabei (Harvard, Boston), Dr. Enrique Rijo (Barcelona) and myself.




New video on Robotic Partial Nephrectomy

In my spare time I have managed to edit this video of a Partial Nephrectomy with the kidney rotation maneuver, in Spanish. I hope you like it.


Live surgery at the Congress of the Urology Society of The Canary Islands


This time I went to Tenerife to participate in this meeting where I was invited to perform a live surgical case that would be transmitted to the main auditorium.


There I had the chance to meet my friends Drs. Juarez del Dago.


A very nice congress organized by Dr. Monllor, who spoke with me to send his urologist to train with us in laser prostatectomy.

Saturday, November 05, 2016

Meeting in Madrid on the EAU Guidelines in Urology


This time I participated in Madrid in a meeting on the Guidelines of the EAU organized by Dr. Ignacio Moncada who kindly invited me to participate.


We discussed the European Guidelines in the management of BPH with other spanish experts in BPH.

I expressed my opinion that guidelines are a very good orientation tool but they have limitations and of course they are too "politically correct". The guidelines still say that there are two options of management of big sized prostates, endoscopic enucleation of the prostate and open prostatectomy. Then it states that open prostatectomy has an elevated morbidity.


I think they should be a little bit more brave to say things as they are. Nowadays in my opinion it is not ethical to submit patients to open prostatectomy when we have much less invasive options equally efficacious and the guidelines should encourage urologists worldwide to learn these new techniques and not contribute to keep a situation that has no sense today.

Open prostatectomy was first performed in 1808 and in many centers in the world it keeps happening exactly the same. Gentlemen, we now live in 2016!



Friday, November 04, 2016

ESU Masterclass in Lasers in Urology, Fundación Puigvert, Barcelona


This time I went to Fundació Puigvert in Barcelona to participate in the Masterclass in Lasers organized by the European School of Urology.


My role was to give two talks and to perform a live surgical procedure to broadcast to the main auditorium.



During the course Dr. Liatsikos invited me to join the faculty of the ESUT (European School of Uro-Technology) and I accepted willingly.

In the meeting I said that to me it is unethical to continue to do open prostatectomy for BPH when there are techniques that are much less aggressive and equally effective and that despite TURP is the most common treatment for BPH it is no longer the best. ¡There were strong reactions in Twitter!




Sunday, October 30, 2016

Rotating urologist from Uruguay

This time we received as visiting urologist Dr. Rodrigo Melogno, who spent with us two weeks, attending the operating room sessions including one robotic session with Dr. Richard Gastón (in the photo) and who could witness around 34 laser procedures including GreenLight and Holmium enucleation procedures, as well as robotic procedures.


He returned home quite convinced of the endoscopic enucleation of the prostate and specially of the En bloc enucleation, a fast and extremely safe operation for the patients.

It was a pleasure to have you with us Rodrigo!

Wednesday, October 19, 2016

Visitors to our operating room

As every month, we received visitors today who wanted to witness the techniques we carry out for our patients with benign prostate hyperplasia with the GreenLight laser.


It was very interesting to comment on the different aspects of this surgery, the anatomic vaporization and GreenLEP procedure. We love to receive visitors! it is always a pleasure to make new friends and I always learn from all of them.

Friday, September 30, 2016

Summit in Controversies in Urology in Madrid


In this occasion I participated in a round table on lasers in the treatment of benign prostatic hyperplasia with my residency colleagues Dr. Francois Peinado and Dr. Manuel Fernández Arjona.


It was a pleasure to be with them. As we had to be controverted I said it is inmoral that there are still open prostatectomies for BPH being made when there are minimally invasive techniques as the endoscopic laser enucleation. There was much discussion. I think urologists must open their eyes and abandon for good open prostatectomy and start learning how to do an endoscopic enucleation.