Wednesday, November 26, 2014

Invitation to operate in Gran Canaria

Yesterday I flew early to Gran Canaria to help Dr. Juarez del Dago, urologist and good friend, to operate a patient with a huge prostate gland.

We went to Clinica San Roque and there we performed a Green Laser enucleation of the prostate in a man with a big gland, with more than 150 g of adenoma. The operation went very well and we could finish it in 90 minutes. After the operation we started a bladder irrigation and the bleeding was minimal.

He had a huge middle lobe and this interestingly does not complicate the operation at all. Thanks to the new Richard Wolf morcellator blades VMax we could take out all the tissue in less than 20 minutes. This technique is incredible and it allows us to do things that seemed impossible some time ago. We hope the patient can return home the morning after the operation without a catheter!

Thursday, November 20, 2014

Surgical training session in Florence, Italy

Again I travelled to Italy to work at the Azienda Ospedaliero Universitaria Careggi in Florence.

My role was to perform four operations to demonstrate the GreenLight laser in the treatment of patients with Benign Prostatic Hyperplasia. One of the cases was a man with a huge prostate gland, 170 g, who was a Jehovah's witness, and thus did not want to accept the chance of a blood transfusion.

Everything went well and I could return home that night after a long day of work and travel.

Wednesday, November 19, 2014

GreenLight laser course at Clinica CEMTRO with international visitors

Today we received the visit to our operating room at Clínica CEMTRO of various foreign and spanish urologists. We had programmed four operations for the course. We welcomed Dr. Scanzi Mauro, from the Ospedale de Brescia in Italy, Dr. Alessandro D'Addessi and Dr. Giuseppe Gentile, from the Policlinico Gemelli in Rome, Dr. John van der Hoeven, from Holland, Dr. Abad from Hospital Parc Tauli, in Sabadell, Spain and Dr. Leticia López from the Fundación Jiménez Díaz, in Madrid.

We also welcomed Dr. Emanuel Montaña, from the Hospital de Clínicas in Montevideo, Uruguay and Dr. Carlos Muñoz from Hospital Rebagliati in Lima, Perú, who will be rotating with us at ICUA the following two months.

El Dr. Muñoz y el Dr. Montaña, nuestros rotantes

Monday, November 17, 2014

Publication of a new scientific article in the Journal "Current Opinion in Urology"

Today I saw that my new scientific article on Green Laser surgery for the treatment of BPH has been published in the Journal Current Opinion in Urology.

In this paper I explain that the GreenLight laser has come of age and is now considered a standard option of treatment of BPH (Benign Prostate Hyperplasia) and that the new techniques that I described will surely contribute to improve the long term results obtained with this laser.

Participation in my first online congress!

This afternoon I participated in a congress which took place purely online, from my home. It was an amazing experience, very interesting.

Organized by Dr. Vincenzo Ferrara, we spoke of the treatment of BPH with lasers. I presented the new techniques with the Green Laser and Dr. Muto spoke of his experience with Thulium.

It was a very interesting experience, and it surely has a bright future, I loved it!

Friday, November 14, 2014

Two days of surgery and science at the CDU in Buenos Aires, Argentina

Finally I arrived in Buenos Aires, where we had programmed two days of surgeries and conferences at the prestigious CDU (Center of Urology) in this wonderful city.

There I met my old friends. Dr. Edgardo Becher, Dr. Marcelo Borghi and Dr. Luis Montes de Oca, who was generous enough to give me his recent prostate cancer book as a gift.

For two days we performed surgeries and I lectured to the urologist of this center and other hospitals from Buenos Aires. Everything went very well.

What is impressive from this center is that it is an ambulatory center, and we were able to send patients treated with GreenLEP (GreenLight Enucleation) home the same day of the procedure. We spoke of starting a study to see if it is possible to generalize this approach.

Buenos Aires is a wonderful city and it is always a pleasure to see old friends and learn from their spirit of continuous improvement. Finally I returned to Madrid after a long week of work in South America.

Wednesday, November 12, 2014

Surgeries at the British Hospital in Montevideo, Uruguay

After a night flying from Perú, I arrived in Montevideo, I took a good rest and then I went to the British Hospital, where Dr. Daniel Porto and his colleagues were waiting to perform a surgical training session with the GreenLight laser.

The session went very well and again I could show the different surgical techniques and talk comprehensively about laser physics and technical aspects of Green Laser prostatectomy.

I was happy to meet Dr. Zeballos there, also a pioneer in the country of the use of the GreenLight laser and to meet Dr. Montaña, who is coming to Spain with us to stay for a month.

That same night I departed to Buenos Aires, where I still had two more days of surgery remaining of this tour through South America.

Tuesday, November 11, 2014

Surgeries at the Hospital Edgardo Rebagliati Martins, in Lima, Perú


Today I went to the public university hospital Edgardo Rebagliati Martins in Lima, Perú, where we had a teaching program with lectures and four operations throughout the day.

The operations went very well and we could use the day to comment on all aspects of the treatment of Benign Prostatic Hyperplasia with the GreenLight laser.

Many residents and urology staff members as well as urologists from other hospitals in the country came by to watch the procedures and interact with us.

Dr. Elvis Sueldo joined me in the operating room and look after all the details to guarantee the success of the surgical session. We performed enucleation, anatomic vaporization and vapo-enucleation.

With the satisfaction of the work well done, I departed that same night to Montevideo, where I had to operate the following day, very happy to have had the chance to return to Perú after 4 years and see my friends there.