Sunday, June 05, 2016

Interview in the National Spanish Radio

This time I was interviewed by Teresa Viejo in her program "La Observadora"..


You might want to listen to it in Spanish here.

Friday, June 03, 2016

Conference on BPH and sexual life in Las Palmas de Gran Canaria

This time I travelled to Gran Cnaria to participate in a course, directed to family physicians on BPH and sexual life, organized by Dr. Juarez del Dago, from the Gabinete de Urología at Las Palmas de Gran Canaria, at the building of theMedical college of Las Palmas.


My contribution was to talk on BPH and sexual function and discuss the impact of medical and surgical treatment on sexual function.


It was a pleasure as always to visit Gran Canaria, and to spend time with my friend, Dr. Juarez del Dago.

Tuesday, May 31, 2016

Live surgery during the congress "Challenges in Endourology" in Paris, France


This year I was invited again to the congress "Challenges in Endourology" in Paris. This time my role was to perform a surgical procedure that would be retransmitted live to the auditorium, where more than 600 urologists worldwide witnessed the live surgery session.


I performed a GreenLight laser enucleation while other surgeons performed enucleations with alternative energy sources.

What seems to be quite clear at this time is that the Gold Standard for BPH is endoscopic enucleation of the prostate, and that very likely there will be only minor differences among energy sources.


Also there was a quite unanimous opinion that the best morcellator in the market is the Piranha system, specially with the fast Vmax blades.

Soon the live videos will be available at the website of Challenges in Endourology. It is already possible to see past years live procedures.



Friday, May 06, 2016




This time I travelled to San Diego, USA, to participate at the Annual Congress of the American Urological Association, as faculty of the course on Green Laser surgery for BPH treatment.


The director of the course is Prof. Henry Woo, from Sydney, Australia, and also Dr. Oliver Reich, from Munich, Germany, participates.


My role in the course was to talk about the new surgical techniques I developed, anatomic vaporization and endoscopic enucleation with the Green Laser.


These techniques are gaining popularity in Europe, specially in Italy and France, as I devoted a lot of time and trips to popularize them, and slowly they are being adopted in other countries. There was a lot of participation in the course.

It was a great honor to participate in these courses, in the most important urology congress in the world.


Monday, March 21, 2016

Publication of our experience with US-MRI fusion biopsies with the BIOPSEE system

At last our paper reflecting our initial experience with the US-MRI fusion transperineal prostate biopsy has been published online.


We pioneered this technology in Spain and the experience we have obtained since its implantation just confirms that we are in the right track and that this diagnostic protocol for prostate cancer diagnosis improves a lot what we were doing with transrectal biopsies of the prostate, both in terms of diagnostic yield as well as with regards to patient safety.



Monday, March 14, 2016

EAU Congress in Munich: live surgery, presentations and video

Every year the European Association of Urology celebrates its annual congress, one of the most important urological events worldwide, with more than 12000 urologists attending from all over the world. In this occasion it was celebrated in Munich, Germany.

This time I was invited to operate in the ESUT session (European School of Uro Technology) where operations were transmitted to the main auditorium of the congress. I had to perform an en-bloc green light enucleation in a man with a 110 g prostate.

Con el Dr. Straub y el Dr. Maisch, antes de la intervención

The operation went really well, and was later transmitted to the main auditorium which was full. I felt really well, after so many years of very hard work, so much sacrifice and dedication, to be able to show a surgical technique that I have developed over many years in the most important forum in urology in Europe... it was a really fulfilling sensation and a moment of personal culmination that I really enjoyed.

I was also very happy to know that more and more surgeons are using this technique successfully, specially in France. I like to think that my small contribution can influence positively the lives of patients who I will never know, further than those that I can treat personally.









The following day Dr. Straub confirmed that the patient was recovering perfectly. And the congress moved on...


On Saturday night I participated in a session where the new iTIND device for the treatment of BPH was presented. The room was full and it generated a lot of interest. In my talk I reflected on the place this device can have in the treatment of BPH and the kind of patient that can benefit from its use.






The next day I participated in a session of troubleshooting in endoscopic procedures for BPH and I spoke about morcellation problems. It was a very lively session, the room was also full.






This session's webcast can be seen in the congress website www.eaumunich2016.uroweb.org


With this my participation in the EAU congress came to an end, although still Dr. Rijo will present today a surgical video on En Bloc GreenLEP that we both sign. I was helping him with his first steps with this technique and he produced a wonderful didactic video. He is a computer genius and he did a great job!

In summary, an excellent congress!!

Friday, February 05, 2016

Surgical demonstration at Ospedale San Rafaele Turro in Milan, Italy

This time I went to Milan to perform a surgical demonstration at Ospedale San Rafaele Turro in Milan, invited by Dr. Franco Gaboardi.


They do a lot of Holmium laser surgery and are great specialists in this area, but they were curious to see the GreenLight laser in action and in particular the anatomic vaporization and en bloc enucleation techniques that I described.

First I gave a talk in the department to explain the physics of Green lasers and then I operated four patients, performing two anatomic vaporizations and two enucleations.


The session went very well and the operations were fast and I could return earlier than expected to Madrid.

Dr. Silvia Proietti, urologist from the department tweeted this a little while later:


And she told me that patients fared very well postoperatively.