Surgical session in Sofia with important international visitors

This time I travelled to the Hill Clinic in Sofia, Bulgaria, to operate 9 patients in two days.

We had two international very prestigious guests, Dr. Henry Woo, Professor of Urology of the University of Sydney and Dr. Rainer Schmidt, from Germany, who already came to Madrid to visit us some years ago.

They are both international experts of Green Laser treatment of BPH (Benign Prostate Hyperplasia) and they both train urologists in their respective countries. They have both published extensively in international peer-reviewed urology journals. They came to Bulgaria to see for the first time the Green Laser En Bloc Enucleation technique that I developed during the last four years.

The operations went very well and they were impressed with the speed, safety and elegance of the technique. The truth is that it is a beauty and I think it will be more and more considered and important in the urological world.

Hill Clinic organized a press round due to its nomination as a European Center of Excellence in the treatment of BPH with the GreenLight laser. In the photo, Dr. Woo and myself with all the cameras in the back who came from the 5 Bulgarian TV channels to interview us.

Dr. Woo is editor of CME (Continuous Medical Education) of the British Journal of Urology (BJU International) and is always commenting things with Twitter. This time he made this comment of the session.

We had a great time and I was delighted to be able to show the result of very tough work during the last 4 years to my colleagues and I am proud to see that they appreciate it and consider it relevant. Both went home happy and willing to offer this technique to their patients.

Live surgery in Oporto

Today I performed a live surgical demonstration of a Green Laser En Bloc Enucleation followed by endoscopic morcellation (fragmentation and extraction) of the tissue (this is the technique I developed) at the Hospital Complex in Oporto,

The operation was retransmitted to the congress meeting room and it was recorded to be used as a webcast at the SIU (Société Internationale d'Urologie) website. I suppose they will publish it online soon.

I was constantly communicating with the meeting room and they asked me about the technical aspects of the operation. Everything went very well and then Dr. Luis Osorio, the organizer of the meeting, commented that the patient recovered very well.

This operation generates a lot of interest, as it is simple, safe and tremendously efficacious. The patient had a 60 cc prostate with a big middle lobe, and I could finish the operation in 30 minutes.

I could also demonstrate the morcellation with the Piranha morcellator from Richard Wolf, and the new Vmax blades, that are very fast.

Surgery in Gran Canaria

As part of the close and constant collaboration we have at ICUA with the Gabinete de Urología y Andrología of Las Palmas de Gran Canaria, I travelled to the island to help Dr. Juarez del Dago to operate a patient with a huge prostate with the GreenLEP technique (Green Laser Enucleation of the Prostate).

I am more and more convinced of the advantages of this approach for the endoscopic treatment of BPH. The GreenLight laser offers an unparalleled reliable coagulation of prostatic tissue that avoids bleeding during and after surgery. It allowed us to solve the big problem this patient had elegantly and smoothly.

Everything went very well, and Dr. Juarez told me the postoperative recovery was excellent. It is always a pleasure to travel to Gran Canaria, although the weather was a bit fresh this time.

If there is any international reader of this blog who needs laser surgery for his BPH condition, a nice plan would be to contact Dr. Juarez, travel with the family to Gran Canaria for a Holiday and have us operate him over there!

New technique "En bloc GreenLEP" - Green Laser Enucleation of the Prostate

This is the new technique of "En Bloc" GreenLEP (Green Laser Enucleation of the Prostate) that I have developed over the last 4 years.

It is a very safe procedure and extremely efficacious. Normally we operate patients in the afternoon and they return home the morning after without a urinary catheter. I hope it is useful for urologists wanting to adopt enucleation with this laser type.