Originally posted December 18, 2024

I will perform a live surgery during the next European Association of Urology Annual Congress in Madrid. The procedure will be an En bloc HoLEP with the use of a virtual basket and Magneto technology.

Originally posted December 16, 2024

I conducted an En-bloc HoLEP training session at Hill Clinic in Sofia. We welcomed colleagues from Kuwait, Italy, and Spain. The session utilized the high power 150 w Magneto laser system, now available at the facility. We demonstrated the enucleation technique using the Quanta System technology. The training included practical exercises for the participants to practice the steps. We discussed the laser settings and procedural workflow for high efficiency. The equipment supports rapid tissue removal during the procedure. We reviewed the technique with the international group. The system is available in Bulgaria for HoLEP cases.

Originally posted December 16, 2024

I conducted an En Bloc HoLEP training session at Hill Clinic in Sofia. New colleagues joined from Kuwait, Italy, and Spain for this practical course. I demonstrated the procedure using the high power 150 w Magneto system from Quanta System. We now have this equipment operational in Sofia, enabling advanced local training capabilities. The session focused on the technical application of the technique with the specific laser settings. 

Originally posted December 13, 2024

Visitors from Costa Rica and Greece visited our operating room recently for training purposes. We performed five HoLEP procedures during their stay. The team observed the entire surgical workflow from start to finish.

We discussed the technical aspects of En bloc versus classic enucleation in detail during the breaks. The surgeries were conducted using the Quanta System laser platform. The visiting urologists reviewed the procedural steps and patient outcomes. This exchange allowed for direct comparison of the techniques used in our department.

Originally posted December 13, 2024

We had visitors from Costa Rica and Greece in our operating room. We performed five HoLEP procedures during their stay. The team discussed all aspects of en bloc versus classic enucleation techniques. We utilized the Quanta System laser for the cases. The surgeons observed the live procedures. We reviewed the differences in approach between the two enucleation methods. The discussion focused on tissue removal and apical dissection details relevant to the HoLEP technique. We also addressed specific questions regarding the laser settings and energy delivery during the cases. The visit concluded with a review of the patient outcomes from these procedures.

Originally posted December 1, 2024

Concluding this month’s En bloc HoLEP course at Hill Clinic Sofia with new and old friends from Mexico, Chile, and Spain. The course was conducted using Quanta System technology.

Originally posted December 1, 2024

I concluded this month’s En bloc HoLEP course at Hill Clinic Sofia. Participants included colleagues from Mexico, Chile, and Spain. The training focused on the technical execution of the procedure utilising the Quanta System laser.

I outlined the specific steps for en bloc resection and highlighted the critical technical points. The modules were completed according to the schedule. The collaboration between the instructors and the visiting urologists enabled detailed feedback on surgical steps. It was very nice to have close friends in this session!

Originally posted November 21, 2024

I performed a live surgical case today at the T&T congress in Torino. The setup included a simple instrument tray designed for efficiency during the procedure. I utilized my preferred instruments from Richard Wolf GmbH throughout the operation. The equipment facilitated the dissection steps required for the demonstration.

I recorded the session for the surgical community. The live case showcased the specific technique details without unnecessary complexity. Attendees observed the instrument handling directly. This aligns with my focus on simplifying the learning curve for HoLEP procedures. The venue in Torino hosted this educational segment well. The audience engagement was high throughout the session.

Originally posted November 21, 2024

Today, I am preparing for live surgery demonstrations in two adjacent operating rooms. I will be working alongside Dr. Sergio Proietti. These demonstrations will showcase our surgical techniques and provide valuable learning opportunities for attendees.

Originally posted November 21, 2024

I returned to Torino for the T&T meeting organized by Cesare Scoffone. The program included interesting discussions regarding current urological techniques. We reviewed recent case studies and debated specific procedural nuances. Following the group discussion, I participated in a live surgical case demonstration. 

Originally posted November 15, 2024

I have uploaded a video of a Da Vinci robotic radical prostatectomy. The procedure was performed by Dr. Richard Gastón, assisted by Dr. Moises Socarras. It took place during the Introductory Course on Robotic Surgery, organized by the San Rafael Urology Group in collaboration with ICUA-Clínica.

The video shows the complete surgical technique. The Da Vinci surgical system was used during the procedure. The collaboration between institutions made it possible to hold the course. The material is available for technical review in our youbute channel.

Dr. Socarras' assistance was essential to the development of the procedure. The organizing group facilitated the teaching environment. The video is available for consultation.

Originally posted November 9, 2024

We concluded the robotic surgery training course. Dr. Gaston coordinated the sessions with the participants. We covered technical modules on robotic assisted procedures. The team completed all practical sessions. I reviewed the outcomes with the students. Dr. Gaston managed the coordination. The program included practical training and discussions. We focused on standard robotic techniques used in our department. The participants demonstrated proficiency in the basic skills. We will pause for a short break before scheduling the next training session.

Originally posted November 8, 2024

Today we are starting the Introductory Course to Robotic Urological Surgery. The program is the result of collaboration between the San Rafael Urology Group and ICUA. The Spanish Urology Foundation and Francisco de Vitoria University are also participating. We are honored to have Dr. Richard Gastón as our keynote speaker.

The event includes sessions on current robotic surgical techniques. The main focus is on practical training in the use of the robotic system. The event is sponsored by IpsenGroup.

The training is aimed at urologists interested in robotic surgery. Attendance has been active during the first day. We are continuing with the schedule established for this week.

Originally posted November 4, 2024

I conducted a course at Hill Clinic focused on HoLEP. We welcomed a visitor from Botswana, Dr. Ash Maher. During the four-day program, we performed 30 HoLEPs. The curriculum allowed plenty of time to discuss all subtleties of En Bloc HoLEP. We covered specific technical aspects using the Quanta System laser. The participants engaged in live surgical cases and discussions regarding patient outcomes and technique refinement. This intensive training ensured a deep understanding of the procedure.

Originally posted October 26, 2024

My colleague Moisés Socarrás has captured this powerful image that encapsulates the beauty and spirit of endoscopic surgery. Each procedure is a unique journey, where we strive for precision and dedication, drawing on the wisdom from many cases.

Originally posted October 24, 2024

This week visitors from Italy and Algeria came to our operative room for a practical session. I performed 5 HoLEP procedures while they were observing the surgeries closely. I demonstrated the En Bloc technique using the Magneto system throughout the surgeries. The laser used was the Quanta System. I focused on the specific steps of the laser dissection and tissue removal. The visitors watched the entire procedure from beginning to end without interruption. We discussed the technical aspects of the operation in detail. It was a practical session focused on the technique and the equipment. The team worked efficiently during the cases.

Originally posted October 23, 2024

I have joined the EAU Section of Endourology as an associate member. I will work with Prof. Thomas Herrmann on this section. The focus is developing projects and ideas for endourologists worldwide. We aim to advance endourology through these collaborative efforts. This membership facilitates increased interaction within the international urological community. Activities will include educational initiatives and technical improvements. The work will focus on practical applications for the specialty. This collaboration supports the development of new methods in the field. We plan to launch specific initiatives within the next year to support the community.

Originally posted October 19, 2024

Today I participated in the National Congress of the Turkish Society of Urological Surgery. I gave a presentation discussing how to avoid complications with laser enucleation. The talk focused on specific surgical steps and safety protocols for the procedure.

I explained technical nuances to help urologists minimize risks during the operation. The session was targeted at surgeons attending the congress in Turkey. We covered advanced aspects of laser application in the prostate. It was a productive discussion on technique refinement and patient safety.

Originally posted October 6, 2024

I organized a surgical training course at Hill Clinic. The attendees were urologists from Venezuela, Hungary, and Ireland. Some participants were colleagues I have worked with before, while others were new to the program.

The week was conditioned by a shortage of saline irrigant in the region, which required logistical adjustments for the laser systems. We proceeded with the HoLEP technique training regardless of the supply constraints. I presented on Enucleation. We completed the practical sessions for the group. The procedure was performed using Holmium laser technology.

Originally posted September 2, 2024

Nice course at the Hill Clinic with visitors from Mexico, Brazil, the Philippines, Spain, Venezuela, and Switzerland. The course covered en bloc HoLEP. 

Originally posted August 30, 2024

It has been a lovely summer. I'm now back to work with lots of new projects, courses, surgeries, and challenges! I'm working on a presentation for the meeting in Salzburg. Additionally, I'm preparing a webinar for South African colleagues.

Originally posted August 15, 2024

Saddened by the passing of Dr. Ali Serdar Gozen. He was a great man and a respected colleague. My condolences to his family and friends.

Originally posted July 28, 2024

I returned to Madrid following a course with new friends from multiple countries. Participants arrived from India, Indonesia, Brazil, and Spain for the training sessions. We conducted the instruction at the facility in Sofia.

I am now preparing for my summer holiday after the course concluded!

Originally posted June 30, 2024

This month’s course at Hill Clinic has come to an end. It was interesting to interact with new friends from Mexico and Spain.

Originally posted June 26, 2024

We hosted a group of urologists from Belgium and Portugal at our operative room. During their visit, I demonstrated the HoLEP technique. We performed five en bloc HoLEPs over a period of five hours using the Quanta System laser. This allowed the visitors to see the technique in a live setting. The efficiency of the workflow was highlighted throughout the session. The laser system facilitated the rapid dissection required for en bloc resection. It was a focused day of surgical teaching and case performance.

Originally posted June 15, 2024

Here are some photos from the recent workshop in Manila. The Philippine urologists showed great interest in learning HoLEP. The enthusiasm was palpable, and the discussions were informative.

Originally posted June 14, 2024

I traveled to Boracai for the Philippine Urological Association meeting. I met Dr. Karl in person for the first time during this event. He is a recognized reference for Anatomic Enucleation of the Endoscopic Prostatectomy (AEEP) in this region. He is actively engaged in teaching the Quanta System laser technology. We discussed specific techniques and training protocols. The meeting brought together surgeons interested in endoscopic enucleation for BPH. The event facilitated technical exchange regarding laser enucleation methods.

Originally posted June 13, 2024

I traveled to Manila, Philippines, to conduct a HoLEP masterclass at Malvar General Hospital. The session involved four HoLEP procedures performed live. Two of the cases were redo surgeries, requiring careful dissection of the adenoma plane. One patient presented with a large prostate, 200 cc in volume. We utilized the Quanta System laser for all enucleations during the training.

The local urology team participated in the observed advanced techniques practical observation cases. We discussed specific technical steps for managing large glands and complex anatomy. The training allowed for direct observation of the surgical technique. I reviewed the outcomes for the redo patients with the surgical team. The session covered the practical application of HoLEP.

Originally posted June 4, 2024

I am getting ready for the HoLEP masterclass in Manila, Philippines. During the masterclass, I will perform five live HoLEPs on not-so-straightforward cases. I will demonstrate the surgical technique on these specific patients. Following the surgical sessions, I will be lecturing at the PUA Midyear Convention. The convention takes place shortly after the masterclass. The audience will include urologists from the Philippines and the region. I will discuss the management of complex prostates and recent applications of the laser during the lecture. This schedule includes multiple days of focused training. I will share the details of the live cases.

Originally posted June 2, 2024

This week I conducted a training session at HillClinic. The participants included urologists from Mexico, Chile, and Brazil. We focused on HoLEP techniques during the intensive program. New colleagues from these Latin American countries joined the team. We reviewed specific steps of the enucleation procedure in the OR. Several cases were discussed in the lecture hall. I provided feedback on the dissection planes and mucosal preservation. This group is now familiar with the simplified approach. We completed the practical modules successfully. The training concluded with a review of patient selection criteria.

Originally posted May 28, 2024

Trying a new concept! ExactVU micro-ultrasound integrated with our Biopsee fusion system to get the best of both worlds. The micro-US image quality is amazing and enhances MRI fusion with 3D tracking of all samples. This setup allows for targeting MicroUS visible lesions not seen on MRI.

Originally posted May 16, 2024

I met Mr. Gerald Rix, my mentor in HoLEP. We had not seen each other since 2010. The meeting took place recently in a professional setting. We discussed specific nuances of enucleation and patient selection. Mr. Rix continues to be a reference in the field. The discussion covered technical aspects of the procedure. We exchanged views on laser enucleation. The encounter occurred without prior scheduling. This personal contact is part of my ongoing practice. The reunion reflects years of professional association.