March 14, 2026 · London · EAU 2026 · Royal Free Hospital / ExCeL London
Today I had the extraordinary honour of performing live en bloc HoLEP surgery at the Royal Free Hospital in London, broadcast in real time to the main auditorium at ExCeL London during the EAU 2026 Congress.
The session — "The New Kid is En Bloc" — demonstrated the en bloc enucleation technique live, with no cuts or edits, while thousands of urologists watched every step on the big screen.
There is no greater validation of a surgical technique than performing it live, in real time, in front of your peers from around the world. The packed auditorium was a testament to the growing interest in en bloc HoLEP as the next evolution of prostate enucleation.
What Makes Live Surgery Special
- Complete transparency: Every step visible, every decision explained in real time
- No editing: The audience sees exactly what happens — successes and challenges alike
- Interactive teaching: Moderators and audience can ask questions during the procedure
- Peer validation: When thousands of colleagues watch you operate, the technique speaks for itself
Thank you to the European Association of Urology, the Royal Free Hospital team, Cook Medical, Richard Wolf and Quanta System for making this possible. And thank you to every urologist who was in that auditorium — your interest and enthusiasm are what drive this field forward.
The surgery was a success. The patient is doing well. And en bloc HoLEP continues to prove its place as a game-changing technique in prostate surgery.
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