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.

Originally posted May 16, 2024

I attended the Cure Masterclass on enucleation held in Modena. The session focused on advanced endoscopic techniques for BPH treatment. I participated in the lectures and practical demonstrations organized by the Cure Center team. Many urologists and colleagues were present for the training. We covered specific steps in the enucleation procedure. The curriculum included discussions on laser settings and tissue management. This was a dedicated teaching event for surgeons interested in improving their skills. I contributed to the discussions during the live cases. The focus remained strictly on the technical aspects of the operation. Participants exchanged views on the latest advancements in the field. The event allowed for direct observation of complex cases.

Originally posted April 25, 2024

Last week, I hosted a group of visiting urologists to our operative room. The group included colleagues from Belgium and Algeria. We spent the session discussing the En bloc approach to prostate surgery. The discussions were detailed and focused on the technical aspects of the technique.

I showed them the specific steps involved in the procedure, ensuring they understood the anatomical dissection. We reviewed the advantages of this method during live observation. It was a productive exchange of information regarding the surgical technique. The visitors observed the procedure directly and asked specific questions regarding the approach. We concluded the session with a review of the technical details.

Originally posted April 18, 2024

We hosted visitors in the operating room today. Over a six-hour period, I performed five HoLEP procedures and one ThufLEP procedure. Representatives from Quanta System and ItalFarmacoes observed the surgical techniques directly. The cases demonstrated the efficiency of the laser system during enucleation. This session allowed the team to see the practical application of the technology in real-time. The procedures were completed without complications. The team focused on the laser settings during the cases. All procedures followed standard safety protocols. It was a productive day of observation and surgical execution.

Originally posted April 10, 2024

This week I welcomed visitors from Australia to our operative room. We performed 6 En Bloc HoLEPs during their visit. This number of cases was sufficient to discuss the subtleties of the technique in depth. We utilized the Quanta System for the laser enucleation throughout the day.

The interactions with the visiting urologists were productive. The team coordinated well to maintain the flow of the session. We focused on the technical aspects of the procedure during the live cases. We maintained a high level of concentration throughout the operations. It was a busy day with international colleagues observing our workflow.

Originally posted March 25, 2024

I have installed a new 4k monitor for HoLEP and endoscopy procedures. The equipment is manufactured by Richard Wolf. Stefan Gille provided sustained support during my professional lifetime regarding this specific technology. The image quality offers crisp details during the operation, allowing for better visualization of the prostate tissue. This setup improves the overall workflow for the HoLEP technique. We are utilizing this system for current surgical cases. The integration into the existing infrastructure is effective. The monitor enhances the view during endoscopic procedures.

Originally posted March 24, 2024

I concluded an En bloc HoLEP course at Hill Clinic this week. The attendees included urologists from Venezuela, Costa Rica, and Italy. Some participants were returning students from previous years, while others were new to the technique.

We focused on the specific steps of the enucleation and mucosal preservation. I supervised the practical sessions and discussed case selection. The training environment allowed for direct feedback on the laser settings and tissue handling with the HoLEP technique.

Originally posted March 22, 2024

This time I am organizing the first Masterclass on prostate enucleation with the Centro Urologico Europeo group. The event will take place on 16 and 17 May 2024 at Hesperia Hospital in Modena.

I will be teaching the specific technique of prostate enucleation. The first 30 registrations are free. You can register on the Over website. We expect urologists to attend the sessions.

Originally posted March 13, 2024

This time I had an enigmatic patient in my HoLEP lists. I really don’t care much about size with HoLEP though.

The gland volume was significant, but I proceeded with the enucleation. The procedure went without complications. I utilized laser dissection for the removal of the adenoma. I focused on maintaining the apical dissection plane. The case was complex.

I documented the specific anatomical challenges encountered during the operation. The patient is recovering well with expected outcomes. The outcome was good.

Originally posted February 22, 2024

We hosted a group of visitors from Spain in our operating room. Over a six-hour period, we performed six En Bloc HoLEP procedures. The surgical team is trained and coordination is polished, which allows for excellent turnover and surgical times. We utilized the Quanta System laser during these cases. The visitors observed the entire workflow from beginning to end. This session demonstrated the efficiency of the technique when managed by an experienced team.

Originally posted February 4, 2024

I conducted a training session on En Bloc HoLEP at Hill Clinic in Sofia. Participants included colleagues from Brazil, Serbia, the Philippines, the USA, and Spain. The event involved the use of the Quanta System laser platform and was organized with Andromeda Surgical. We discussed the specific steps of the En Bloc technique during the practical session. The training took place over a full day of practical demonstrations and case reviews. I explained the indications for using Holmium laser in this specific anatomical approach. The group focused on technical nuances and operative strategies relevant to Holmium laser enucleation.

Originally posted January 25, 2024

Later today, I will present a semi-live HoLEP procedure for the audience at the Urotech meeting in Vienna, Austria. This presentation will demonstrate the technique in real-time, offering insights into the procedure's execution and outcomes.

Originally posted January 11, 2024

Today, I tested the new interface of Chat GPT. I found the Consensus app and asked a simple question. The answer was generated instantly. This is getting better fast.

I evaluated the response quality and checked the links provided in the output. I plan to use this for future case reviews. I shared the link with my team. We are observing the improvements closely in our clinical workflow. The information retrieval system is improving daily. The speed of the tool is notable.

Originally posted January 11, 2024

Today I explored the new show from Chat GPT. I found the Consensus app and asked a simple question. The system returned a summarized answer with cited sources. The quality of the response is improving quickly. I reviewed the references provided within the app interface. This tool assists in finding recent studies efficiently. The process takes less time than manual searching. I will continue monitoring the updates. The technology supports literature review tasks.

Originally posted December 18, 2023

I am watching my padawan, Dr. Georgi Georgiev, perform En bloc HoLEP at the Hill Clinic. He is performing at a top, international expert level, and it is moving to see how far he has come. I am very fulfilled by his progress and performance.

Originally posted December 18, 2023

I taught an En-bloc HoLEP course at Hill Clinic. The technique involved specific steps for en-bloc resection using the Holmium laser.

Attendees came from Chile, Mexico, and Brazil. We discussed the indications for this approach and the practical execution of the procedure. We focused on the anatomical landmarks required for safe dissection.

The group included new colleagues from these Latin American countries. We covered technical details regarding laser settings and tissue removal.

The session covered the En-bloc method for the participants. We reviewed patient selection criteria and postoperative considerations.

Originally posted December 15, 2023

I traveled to Thessaloniki to visit Dr. Andreou. We spent time in the operating theatre together. We performed En Bloc HoLEP procedures during this visit. The procedure involves the use of the Holmium laser for prostatic enucleation. We focused on the specific steps of the En Bloc removal technique in the operating room. This was a collaborative surgical session in Greece. The case demonstrated the practical application of the method. I discussed the technical aspects with Dr. Andreou. We completed the surgeries successfully. This visit allowed us to exchange surgical techniques.

Originally posted December 13, 2023

Today I received visitors from Ukraine and Lebanon. They came to review surgical cases. We discussed HoLEP techniques. The group included urologists interested in laser enucleation. I showed them recent procedures performed with the Holmium laser. We reviewed the operative details and outcomes. The cases involved benign prostatic hyperplasia treatment. It was a productive session focusing on technical aspects. I explained the approach for apical dissection. The visitors asked questions about the laser settings. We concluded the visit after reviewing the recorded videos. The discussions were focused on prostate management.