Originally posted December 27, 2025

I read a piece published in Urology Times featuring Irina Jaeger. The article discusses her experience with HoLEP. She credits my YouTube videos for helping her learn the technique. The publication highlights her surgical approach and proficiency. Dr Jaeger has demonstrated significant progress with the laser enucleation technique and has now a significant experience. Thank you Irina! The content is relevant for urologists interested in holmium laser.

Originally posted December 20, 2025

I performed two live surgical cases involving HoLEP today. Dr. Kumar moderated the session. He is one of the most experienced enucleators globally, having completed more than 15,000 HoLEP procedures. The case highlighted specific technical nuances in endoscopic enucleation. The live format allowed observers to view the procedure in real-time. Technical aspects of the laser system were explained throughout the enucleation. The interaction between the surgeon and the moderator facilitated the session. This session provided a detailed look at the surgical technique in a live environment. It was great to see Dr. Kumar who I met many years ago in India.

Originally posted December 19, 2025

I arrived in India to participate in the 7th Advancements in Endourology congress. The meeting is focused on recent developments in endourological techniques. I am performing two live surgical cases. The procedures are en bloc HoLEP using the Holmium laser. I show the specific steps of the technique during the session. This event gathers urologists from various countries interested in prostate enucleation. I also did a nearly one-hour talk (masterclass) on surgical technique for En bloc HoLEP.

Originally posted December 5, 2025

Today I am performing a live En bloc HoLEP at Hospital Nuova Villa Claudia in Rome. The procedure is part of the Update Technology in Urology International Conference. Profs. Mauro de Dominicis and Salvatore Sansano are the organizers of this meeting.

I am demonstrating the technique live to the attendees. The focus remains on the En Bloc method using HoLEP technology. We are showing the specific steps of the dissection.

The session covers the surgical approach and laser application. The meeting brings together specialists from various regions. The procedure focuses on the En Bloc technique.

Originally posted December 4, 2025

I recently reviewed the full text of a paper by Prof. Mario Sofer and colleagues on Anatomic Enucleation of the Prostate (AEEP). They propose a new mechanism to explain temporary stress incontinence after the procedure. The study suggests radial forces exerted by the scope during enucleation contribute to this outcome. This is an important read for all enucleators. It details the mechanical interaction involved in the technique. The work adds to the current understanding of patient outcomes following AEEP. I found the concept regarding radial forces particularly interesting for clinical practice.

Originally posted December 3, 2025

Today I had Spanish visitors from different centers in the operating room. We had the collaboration of an Italian intern and the nurses from ICUAurologia. During the surgical session, I successfully performed six HoLEP procedures. I am grateful for the logistical and technological support provided by ItalFarmacoes for the equipment and laser. The procedure focused on prostate enucleation using holmium technology. It was an intense day with the participation of nursing staff and visiting professionals. The activity allowed us to share technical experiences in real time with the international team. Technical assistance ensured the efficient use of the laser during all procedures.