Tuesday, March 21, 2017

New video of a radical prostatectomy with Dr. Richard Gaston

I have recently posted this video on youtube. It shows a radical robotic prostatectomy performed by Dr. Richard Gaston with my help using his lateral approach technique that preserves all the nerves around the prostate. This helps in an early recovery of continence (most often immediate postoperative continence) and erectile function.



Dr. Gaston is an internationally renowned expert and he has been working with us for the last 8 years in Madrid, where he operates with us every month at Clinica CEMTRO. For more information on robotic surgery we have this website in Spanish www.icirugiarobotica.com

Saturday, February 04, 2017

Publication of a new paper

This morning I went to study for a while and I was happy to see that our review paper on Endoscopic Enucleation of the Prostate has been published!


It has been a collaborative effort with other european experts in endoscopic enucleation. There is still much to do. We all know that endoscopic enucleation of the prostate is a fantastic operation, now we have to strive to demonstrate scientifically what we already know.

Wednesday, December 21, 2016

Visitors to our surgical room

Every month we receive visits from Spanish and foreign urologists who want to learn the new techniques for the treatment of BPH with the GreenLight laser.



Recently in December and November we received many visitors.


It is always a pleasure to share with other colleagues and to feel that I might have not only influence over my own patients, but also on theirs, by helping them to improve their techniques and their results.

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!