Thursday, November 02, 2017

New video of a radical nephrectomy in a patient with renal cell carcinoma and caval tumor thrombus

We have edited this video of a recent surgery we performed at ICUA - Clinica CEMTRO in Madrid.

The Da Vinci Xi robot has improved the contitions to perform this kind of complex surgery that used to entail big open operations with a high risk of surgical complications.

It is in Spanish, I will see if I can produce an English version of this soon.


Wednesday, October 18, 2017

Surgical course on GreenLight in our operating room

As it is becoming a tradition now, we received visitors to our operating room for a new course on GreenLight Laser surgery for BPH.

In these courses we show the different techniques that can be performed with the GreenLight laser, as EP-PVP (ejaculation protective PVP), anatomic vaporization and GreenLEP (Green Laser enucleation of the prostate).


As always, it is very nice to receive visitors and to be able to exchange knowledge with other colleagues.

Saturday, September 16, 2017

EAU prostate Cancer course in Vienna

This weekend I was in Vienna to participate in a monographic course on Prostate Cancer organized by the European Association of Urology.





It was quite interesting to be able to listen from international experts all the new aspects of the management of this disease. It is a very dynamic field where a lot of research is conducted worldwide every year. These courses are helpful to keep track of all that is changing and that is to come.

I was also happy to see the high standard of care we offer at ICUA Clínica CEMTRO, in line with the best centers of the world in prostate cancer.


Friday, June 09, 2017

Challenges in Laparoscopy and Robotics en Burdeos

This time I travelled to Bordeaux to participate in the Challenges in Laparoscopy and Robotics course organized by the urology team at Saint Agustin in Bordeaux, where Dr. Richard Gaston, our colleague at the ICUA in Madrid, works.

Three days of many live surgical transmissions and update talks by international experts. I enjoyed so much! The quality of the course was amazing, and we enjoyed with the participation of first line experts like Indebir Gill, James Porter and others.


Dr. Gastón had as always a stellar role, performing a radical cystectomy that left everybody impressed and a lateral approach for radical prostatectomy.


During the congress a faculty dinner took place and I could not assist as I was having a terrible cold, that hit me very hard that night. Dr. Gaston made balance of his professional life in a talk he gave to the dinner guests. A resident working for Dr. Gaston sent me this photo where Dr. Gaston included me in the short list of "journey friends". I really felt very honored for his friendship and consideration and I was very sorry that I could not be there with him in such an important moment in his career. We have worked together for the last 10 years and it has been an honor to share so many moments and surgeries with one of the best robotic surgeons in the world.


Saturday, May 13, 2017

Instructional Course on GreenLight for BPH at the American Urological Association Annual Congress in Boston



This time I went to Boston to participate in one of the Instructional courses the Congress organizes on specific topics. I spoke about the techniques I described for the treatment of BPH with the GreenLight laser, anatomic vaporization and En Bloc GreenLight Enucleation of the prostate.


I was very satisfied to see that other authors are publishing on these techniques with excellent results. 

One of the presentations in the congress was the first american experience with GreenLight enucleation, a paper coming from Massachussets General Hospital, Harvard University, by Dr. Shahin Tatatabaei and his team.

Two years ago I was in Harvard helping Dr. Tabatabaei with his first steps with this technique and before that he came to visit us in Bulgaria, and now we see the fruits of that collaboration.



Other authors from Europe also published on this technique.




I am very happy to see that my little contribution to urology is coming alive and starting to influence positively the life of many patients.





Saturday, April 29, 2017

Trip to China

This time I received an  invitation from the European Association of Urology and the European School of Urology to travel to Beijing and participate there in two congresses, as a representative of both European Associations.

After the opening ceremony where we all rang the bells as it is traditional over there, two days of courses started with chinese urologists.


First we did three training sessions where my role was to discuss medical and surgical treatment of BPH with two other very good Chinese professors.


My European colleagues representing EAU and ESU where Dr. Peter Alken, a true mythical urologist from Europe, inventor of percutaneous surgery, and Dr. Henk Van der Poel, a very well known urooncologist from Amsterdam.



The following day, a memorial congress celebrating the centenary of dr. Wu Jieping, the father of urology in China. There we had to report on the best papers presented at the EAU congress in London.



And, again we had to give our talks.


It has been a very interesting trip. China is an impressive country, and technologically very advance. I think in Spain we do not realize the dimension of this country and its power in the world.
Then I returned to spain, there is work to do!

Friday, March 24, 2017

EAU congress in London, UK

This year's EAU congress is taking place in London.

My role this year is to moderate a session of live surgery with minimally invasive operations with other international experts.


It is quite clear that this year endoscopic enucleation of the prostate is one of the hot topics of the congress. I think open prostatectomy and TURP are finally dying.