Friday, July 24, 2015

New robotic radical prostatectomy session with Dr. Richard Gaston

As usual, Dr. Gastón came to Madrid to work with me at Clínica CEMTRO and we performed two days of radical prostatectomy cases prostatectomía radical robótica.

We are very impressed with the functional results we are obtaining in the patients we have operated during the last few months with the latest generation Da Vinci robot. The robot itself is a technological wonder, but what is really important to be able to achieve these results, a high quality urinary continence and the preservation of erectile function, is the vast experience of Dr. Gaston in robotic surgery. To me it is an immense privilege to be able to assist him every month and to learn from a master like him. In surgery it is paramount to share the experience, what has been learnt by one surgeon performing thousands of cases, to avoid mistakes, to achieve objectives. Learning from a true master is a luxury and an unparalleled opportunity.

After many years dedicated with devotion to the treatment of prostatic diseases, I feel we have managed to build up a urology department where we offer the best in the diagnosis of prostate cancer and in the treatment of BPH and prostate cancer.

Wednesday, July 15, 2015

New course at Clinica CEMTRO with spanish visitors

This time we received the visit of Dr. Leopoldo Cogorno, from Hospital Infanta Sofía, from Madrid, Dr. Ernesto de Nova, from the Hospital Gereral de Elche, Dr. Alvaro Juarez Soto, from the Hospital de Jerez, Dr. Jose Manuel Fernández Montero, from the Hospital Marbella Highcare. We also were accompanied by Dr. David Rendón, ex-staff member from ICUA who is now living and working in Medellín, Colombia.

I performed 5 operations during the afternoon that went very well, and allowed us to demonstrate the versatility of the GreenLight laser for the treatment of BPH, for enucleation, vaporization, ejaculation preserving techniques, etc.

We had good critics in twitter ;-)

Friday, July 10, 2015

Surgical demonstration at Hospital Quirón in Barcelona

This time I went to Barcelona early to perform a surgical demonstration at Hospital Quirón in Barcelona, where I did two GreenLEP (Green Laser Enucleation of the Prostate) operations to two patients with big sized prostates, 95 and 110 cc.

Everything went very well and I could demonstrate the efficiency of the technique, as the operations only took 35 and 45 minutes from beginning to end.

Urologists at Quirón were fascinated with the technique. It is very impressive to see the easiness with which it is possible to treat these big adenomas, with little bleeding, and very fast. It is an elegant, intuitive, anatomic and safe technique.

They told me later that patients were very well, although I already knew they were ;-). I returned to Madrid to rest for the weekend, summer is coming!

Friday, July 03, 2015

Surgeries in Coimbra, Portugal, with Dr. Antonio Oliveira

Again I went to Cimbra to operate with Dr. Antonio Oliveira at Hospital Idelamed. Dr. Oliveira is now performing GreenLEP regularly and he is happy with his results.

We had a patient who had been submitted to prostatic arterial embolization despite having a stone in the bladder, and a prostate 170 cc in volume. After a total failure of embolization and not experiencing any improvement, he decided to undergo endoscopic enucleation with the GreenLight laser.

To me it was a new clinical situation and it was interesting to see how the dissection of the capsular plane could be performed without any trouble. In the postoperative TRUS control the prostatic fossa was very huge.

I am very skeptical about prostatic arteries embolization. It seems to me a relatively illogical concept, to produce a prostatic infarction and then wait for the tissue to evolve, to atrophy. Very unpredictable. Some interventional radiologists are promoting it without having much scientific evidence to do it, and they apply it without any urological criteria (¿in a patient with a stone in the bladder?).

I think endoscopic enucleation in the hands of a properly trained urologist is today the best option for the surgical treatment of BPH. Endoscopic enucleation is without doubt the best option in patients with large prostates.

Monday, June 29, 2015

Conference at the meeting "Challenges in Endourology" in Paris

Again I travelled to Paris to participate in the congress "Challenges in Endourology" in Paris. The last two years I was invited to perform live surgery, but this time I was invited to give a talk at the plenary session on the treatment of BPH.

The talk will be available in webcast format in about a month at the congress website.

Friday, June 26, 2015

Important visitor to our surgical room

We were performing a Da Vinci Xi Robotic session at Clinica CEMTRO in Madrid with Dr. Gaston when we received the visit of the prestigious Dr. Henry Woo, from Sydney, Australia.

It was a pleasure to demonstrate Dr. Woo the robotic radical prostatectomy with Dr. Gastón. He was very impressed with the quality of the work we do at Clínica CEMTRO.

Also during these dates we launched our new web on robotic surgery at and the new twitter acount for our robotic unit @UroRobotica, as well as the new corporate image of the joint work of ICUA and Clínica CEMTRO.

Visit our web if you want to see Dr. Gastón explaining the advantages of robotic surgery and the opinion of the patients!

Wednesday, June 24, 2015

Visitors to our surgical room at Clínica CEMTRO

As usual, we received the visit at our operating room from Dr. Miguel Angel Alonso and Dr. Mario de Arriba Alonso, from the Hospital de León in Spain.

I performed several operations and was able to show the different techniques of anatomic vaporization and Green Laser enucleation of the prostate. They were very happy to have seen the new possibilities of the GreenLight laser in the treatment of benign prostatic hyperplasia.