Thursday, September 12, 2013

Invitation to operate at Clinique Saint Agustin, Bordeaux, France

This time I visited the prestigious Clinique Saint Agustin in Bordeaux, France

This clinic is the most important center in Europe in laparoscopic urology. There they perform 5000 laparoscopic procedures and more than 1000 robotic surgeries per year. Dr. Gaston, Dr. Piechaud and their colleagues are very well known worldwide for their specialization in laparoscopy and specially in robotic radical prostatectomy.

Dr. Richard Gaston ready to start a robotic laparoscopic prostatectomy with one of the two robots available at St. Agustin

Dr. Gastón has collaborated with us for the last 7 years and comes to operate every month to Clínica CEMTRO, we are very good friends.

The reason for this invitation was that the urologists at Saint Agustin wanted to learn to perform Holmium laser enucleation of the prostate in patients with big prostates, e.g. high volume benign prostatic hyperplasia.

They prepared five patients that we operated in two days, and I had the occasion to demonstrate the details of this technique. All patients had big glands, some also had big and multiple bladder calculi (stones) that we could fragment seamlessly with this Holmium laser. We also tried the Storz morcellator, that has improved recently and the Piranha system with the Vmax blades, my favourite morcellator.

All surgeries went very well and patients recovered extremely fast. My french colleagues were very happy to see this and I think they were convinced that it is perfectly possible to treat big prostate adenomas with laser enucleation. Also they could ascertain its superiority to the laparoscopic approach they were using up to now, as patients can be discharged the next day as opposed to three days after the laparoscopic operation.

With Dr. Piechaud during the surgical session
I really enjoyed collaborating with these great urologists, true living legends of urology, and help to light their enthusiasm for laser prostatectomy. It was a great honor to help them and I returned to Madrid very happy after this session.

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