Tuesday, January 27, 2015

GreenLEP tutorship in Portugal

Again I flew to Porto to reach Coimbra with Dr. Antonio Oliveira, who is determined to learn the En bloc GreenLEP (GreenLight Enucleation of the Prostate) technique.

We went to the Hospital Idealmed to perform three operations. All patients had prostates over 100 cc.


I was very happy to see the fast progress that Dr. Antonio Oliveira had, he is now independent in the performance of this operation. I helped surpass some minor difficulties in two of the cases, but he was able to complete one on his own.


I am very proud to see that this technique that took me five years to develop is now reasonably easy to teach and learn and I liked the interest and determination of Dr. Oliveira to learn properly.


The following day we went to another hospital, the Hospital at Oia, to do another case. Dr. Oliveira completed it perfectly well!


Then I returned to Madrid to rest for the weekend. I was happy thinking that this technique is going to help a lot of patients.

Thursday, January 22, 2015

Surgical session at Ospedale de Guastalla, Italy

Again I travelled to Italy. I went to Milan and slept there, and then drove to the Ospedale di Guastalla, near Parma. In this occasion I had to help Dr. Frattini with his learning curve of anatomic vaporization of the prostate. This technique I developed is becoming the standard technique for Green Laser vaporization in Italy.


Two of the patients had very large glands, over 120 cc, and I performed an En Bloc enucleation of the prostate with the Green Laser. Both went very well. Al the urology staff was there for the session. Then I endured two more hours in the car back to Milan to take a late return flight to Madrid. These sessions are nice and gratifying but it is a hard job!


Wednesday, December 17, 2014

Course on GreenLight laser new surgical techniques with foreign visitors

Again we organized a surgical course at Clínica CEMTRO, several foreign as well as national urologists joined us for the course.



I performed five operations that went very well. I could demonstrate the different techniques that can be carried out with the GreenLight laser, the anatomic vaporization, the vapo enucleation technique and the En Bloc enucleation (GreenLEP).


We received the visit of the french urologists Marc Shenider y Ludovic Obringer (Colmar), François Faur (Strasburg) y Daniel Gassman (Paris). Also two portuguese urologists joined Dr. Bruno Graca and Dr. Ferreira Coello (From the Hospital de la Luz at Lisbon) and we hosted as well two spanish urologists  Dr. Leticia López Martín, from the Hospital Fundación Jiménez Díaz in Madrid and Dr.  Jorge García Rodriguez, from the Hospital Universitario Central de Asturias.

Thursday, December 04, 2014

Live Surgery at the 5th Course on Endoscopy of the Lower Urinary Tract at Policlinico Gemelli in Rome, Italy.

From Paris I flew to Rome to participate in the 5º Corso di endoscopia del basso aparato urinario at the Policlínico Gemelli de Roma, Of the Universitá del Sacro Cuore


They invited me to demonstrate the technique of anatomic vaporization of the prostate in a patient with a moderate enlargement. The Hospital has a beautiful statue of Juan Pablo II in the entrance, and patients and family members of patients make the sign of the cross when they see it.


The operation went very well and I managed to explain the evident advantages of this technique over the traditional transurethral resection of the prostate (TURP). Before it was my turn to operate I watched the other scheduled operations, as the TURP with suprapubic trocar.

Frankly, to me it was like traveling back in time to the pleistocene. In our center we abandoned open surgery and TURP many years ago.


The program had a lot of delay and I finally arrived late to Madrid, as almost always. Very tired after so much work and wishing to rest during the bank holiday.

Wednesday, December 03, 2014

Surgical session at Hopital Saint Joseph, París

After my visit to Hopital Tenon with Prof. Lukacs, I went to Hopital Saint Joseph, to visit Dr. Hervé Baumert. We had met years ago as he helped us to organize laparoscopic courses in Madrid.


It was a pleasure to see him again. He had prepared two patients to operate with the GreenLEP technique. Their prostates were not excessively big, about 80 g.

Both cases went very well, despite not having the optimal instruments to perform the operations.


It is important to use a cystoscope with a blunt tip and there must be some space between the telescope's tip and the cystoscope's tip to allow for direct visualization of the mechanical dissection as it is being performed.

Everything went very well, it was a pleasure to see Hervé again. A great French Urologist.

Surgical session at Hopital Tenon, París, France with Dr. Lukacs

I travelled to Paris the night before in order to start early in the morning. Dr. Lukacs received me at Hoptial Tenon in Paris. He had prepared a patient with a 150 g prostate for the session.

I performed a GreenLEP and the operation underwent really well, allowing me to show him all the technical details.


When we finished the operation we obtained 110 g of morcellated tissue. Dr. Lukacs was very impressed by the technique and by the fact that the patient can leave the hospital the following day.


Then we went to his office and he showed me his recent investigations on voiding cystoscopy, that consists in visualizing the micturition dynamics directly. He has observed different kinds of obstruction that might benefit from minimally invasive operations aimed to preserve ejaculation. It seemed all very revolutionary to me. A great man Dr. Lukacs and a scientist that thinks "out of the box".

Sunday, November 30, 2014

New training session in Sofia

Again I went to Sofia to participate in another training session. This time we had two visiting surgeons Dr. Montaña from Uruguay and Dr. Muñoz, from Perú.


Both enjoyed the experience and were amazed by the incredible team work we carry out at Hill Clinic.


Thursday, November 27, 2014

Course on GreenLight laser for BPH in Barcelona

Today I took the high speed train to Barcelona to participate in a course on GreenLight for the treatment of Benign Prostatic Hyperplasia.


I gave a talk on the new techniques, anatomic vaporization, capo-enucleation and enucleation and then we had an animated discussion with the attendees.


Then I returned to Madrid. Despite the high speed train being fast and convenient, going and returning in the same day is 6 hours in the train!