Originally posted November 2, 2017

This time I went to London to join a meeting with other international experts in surgery for BPH to discuss advanced techniques for the treatment of BPH, that at last are going to be promoted internationally in collaboration with Boston Scientific, the manufacturer of the GreenLight laser.

I had to present on my techniques of anatomic vaporization and GreenLEP (Green Laser enucleation of the prostate).

I am also working in the preparation of a manual describing step by step how to perform these techniques, that will be distributed to all GreenLight Users worldwide.

Despite the fact that these techniques that I described have gained wide support by urologists in various countries, as Italy, France and USA, up to now Boston Scientific had not supported them officially, but the good results obtained in studies published in Italy and France and the enthusiasm they generate in their users and patients finally have made it happen!

Originally posted October 18, 2017

As it is becoming a tradition now, we received visitors to our operating room for a new course on GreenLight Laser surgery for BPH.

In these courses we show the different techniques that can be performed with the GreenLight laser, as EP-PVP (ejaculation protective PVP), anatomic vaporization and GreenLEP (Green Laser enucleation of the prostate).

As always, it is very nice to receive visitors and to be able to exchange knowledge with other colleagues.

Originally posted September 16, 2017

This weekend I was in Vienna to participate in a monographic course on Prostate Cancer organized by the European Association of Urology.

It was quite interesting to be able to listen from international experts all the new aspects of the management of this disease. It is a very dynamic field where a lot of research is conducted worldwide every year. These courses are helpful to keep track of all that is changing and that is to come.

I was also happy to see the high standard of care we offer at ICUA Clínica CEMTRO, in line with the best centers of the world in prostate cancer.

Originally posted June 9, 2017

This time I travelled to Bordeaux to participate in the Challenges in Laparoscopy and Robotics course organized by the urology team at Saint Agustin in Bordeaux, where Dr. Richard Gaston, our colleague at the ICUA in Madrid, works.

Three days of many live surgical transmissions and update talks by international experts. I enjoyed so much! The quality of the course was amazing, and we enjoyed with the participation of first line experts like Indebir Gill, James Porter and others.

Dr. Gastón had as always a stellar role, performing a radical cystectomy that left everybody impressed and a lateral approach for radical prostatectomy.

During the congress a faculty dinner took place and I could not assist as I was having a terrible cold, that hit me very hard that night. Dr. Gaston made balance of his professional life in a talk he gave to the dinner guests. A resident working for Dr. Gaston sent me this photo where Dr. Gaston included me in the short list of "journey friends". I really felt very honored for his friendship and consideration and I was very sorry that I could not be there with him in such an important moment in his career. We have worked together for the last 10 years and it has been an honor to share so many moments and surgeries with one of the best robotic surgeons in the world.

Originally posted May 13, 2017

This time I went to Boston to participate in one of the Instructional courses the Congress organizes on specific topics. I spoke about the techniques I described for the treatment of BPH with the GreenLight laser, anatomic vaporization and En Bloc GreenLight Enucleation of the prostate.

I was very satisfied to see that other authors are publishing on these techniques with excellent results. 

One of the presentations in the congress was the first american experience with GreenLight enucleation, a paper coming from Massachussets General Hospital, Harvard University, by Dr. Shahin Tatatabaei and his team.

Two years ago I was in Harvard helping Dr. Tabatabaei with his first steps with this technique and before that he came to visit us in Bulgaria, and now we see the fruits of that collaboration.

Other authors from Europe also published on this technique.

I am very happy to see that my little contribution to urology is coming alive and starting to influence positively the life of many patients.

Originally posted April 29, 2017

This time I received an  invitation from the European Association of Urology and the European School of Urology to travel to Beijing and participate there in two congresses, as a representative of both European Associations.

After the opening ceremony where we all rang the bells as it is traditional over there, two days of courses started with chinese urologists.

First we did three training sessions where my role was to discuss medical and surgical treatment of BPH with two other very good Chinese professors.

My European colleagues representing EAU and ESU where Dr. Peter Alken, a true mythical urologist from Europe, inventor of percutaneous surgery, and Dr. Henk Van der Poel, a very well known urooncologist from Amsterdam.

The following day, a memorial congress celebrating the centenary of dr. Wu Jieping, the father of urology in China. There we had to report on the best papers presented at the EAU congress in London.

And, again we had to give our talks.

It has been a very interesting trip. China is an impressive country, and technologically very advance. I think in Spain we do not realize the dimension of this country and its power in the world.
Then I returned to spain, there is work to do!

Originally posted March 24, 2017

This year's EAU congress is taking place in London.

My role this year is to moderate a session of live surgery with minimally invasive operations with other international experts.

It is quite clear that this year endoscopic enucleation of the prostate is one of the hot topics of the congress. I think open prostatectomy and TURP are finally dying.

Originally posted March 21, 2017

I have recently posted this video on youtube. It shows a radical robotic prostatectomy performed by Dr. Richard Gaston with my help using his lateral approach technique that preserves all the nerves around the prostate. This helps in an early recovery of continence (most often immediate postoperative continence) and erectile function.

Dr. Gaston is an internationally renowned expert and he has been working with us for the last 8 years in Madrid, where he operates with us every month at Clinica CEMTRO. For more information on robotic surgery we have this website in Spanish www.icirugiarobotica.com

Originally posted February 4, 2017

This morning I went to study for a while and I was happy to see that our review paper on Endoscopic Enucleation of the Prostate has been published!

It has been a collaborative effort with other european experts in endoscopic enucleation. There is still much to do. We all know that endoscopic enucleation of the prostate is a fantastic operation, now we have to strive to demonstrate scientifically what we already know.

Originally posted December 21, 2016

Every month we receive visits from Spanish and foreign urologists who want to learn the new techniques for the treatment of BPH with the GreenLight laser.

Recently in December and November we received many visitors.

It is always a pleasure to share with other colleagues and to feel that I might have not only influence over my own patients, but also on theirs, by helping them to improve their techniques and their results.

Originally posted November 21, 2016

It is now possible to see my interview in the Spanish TV program El Ojo Clinico. It was surprising to see an old recording of Dr. Resel in an interview many years ago... such memories...

It is visible through this link http://www.rtve.es/v/3807250/ 

Originally posted November 21, 2016

I am glad to see that this paper finally got published. It is a study in collaboration with the CROES (Clinical Research Office of the Endourological Society).

Originally posted November 6, 2016

I am very happy for the publication of this new scientific article. We are now promoting a multi center study comparing learning curves with the participation of Dr. Misrai (Institute Pasteur, France) , el Dr. Giovanni Ferrari (Módena, Italy), el Dr. Shahin Tabatabei (Harvard, Boston), Dr. Enrique Rijo (Barcelona) and myself.

Originally posted November 6, 2016

In my spare time I have managed to edit this video of a Partial Nephrectomy with the kidney rotation maneuver, in Spanish. I hope you like it.

Originally posted November 6, 2016

This time I went to Tenerife to participate in this meeting where I was invited to perform a live surgical case that would be transmitted to the main auditorium.

There I had the chance to meet my friends Drs. Juarez del Dago.

A very nice congress organized by Dr. Monllor, who spoke with me to send his urologist to train with us in laser prostatectomy.

Originally posted November 5, 2016

This time I participated in Madrid in a meeting on the Guidelines of the EAU organized by Dr. Ignacio Moncada who kindly invited me to participate.

We discussed the European Guidelines in the management of BPH with other spanish experts in BPH.

I expressed my opinion that guidelines are a very good orientation tool but they have limitations and of course they are too "politically correct". The guidelines still say that there are two options of management of big sized prostates, endoscopic enucleation of the prostate and open prostatectomy. Then it states that open prostatectomy has an elevated morbidity.

I think they should be a little bit more brave to say things as they are. Nowadays in my opinion it is not ethical to submit patients to open prostatectomy when we have much less invasive options equally efficacious and the guidelines should encourage urologists worldwide to learn these new techniques and not contribute to keep a situation that has no sense today.

Open prostatectomy was first performed in 1808 and in many centers in the world it keeps happening exactly the same. Gentlemen, we now live in 2016!

Originally posted November 4, 2016

This time I went to Fundació Puigvert in Barcelona to participate in the Masterclass in Lasers organized by the European School of Urology.

My role was to give two talks and to perform a live surgical procedure to broadcast to the main auditorium.

During the course Dr. Liatsikos invited me to join the faculty of the ESUT (European School of Uro-Technology) and I accepted willingly.

In the meeting I said that to me it is unethical to continue to do open prostatectomy for BPH when there are techniques that are much less aggressive and equally effective and that despite TURP is the most common treatment for BPH it is no longer the best. ¡There were strong reactions in Twitter!

Originally posted October 30, 2016

This time we received as visiting urologist Dr. Rodrigo Melogno, who spent with us two weeks, attending the operating room sessions including one robotic session with Dr. Richard Gastón (in the photo) and who could witness around 34 laser procedures including GreenLight and Holmium enucleation procedures, as well as robotic procedures.

He returned home quite convinced of the endoscopic enucleation of the prostate and specially of the En bloc enucleation, a fast and extremely safe operation for the patients.

It was a pleasure to have you with us Rodrigo!

Originally posted October 19, 2016

As every month, we received visitors today who wanted to witness the techniques we carry out for our patients with benign prostate hyperplasia with the GreenLight laser.

It was very interesting to comment on the different aspects of this surgery, the anatomic vaporization and GreenLEP procedure. We love to receive visitors! it is always a pleasure to make new friends and I always learn from all of them.

Originally posted September 30, 2016

In this occasion I participated in a round table on lasers in the treatment of benign prostatic hyperplasia with my residency colleagues Dr. Francois Peinado and Dr. Manuel Fernández Arjona.

It was a pleasure to be with them. As we had to be controverted I said it is inmoral that there are still open prostatectomies for BPH being made when there are minimally invasive techniques as the endoscopic laser enucleation. There was much discussion. I think urologists must open their eyes and abandon for good open prostatectomy and start learning how to do an endoscopic enucleation.

Originally posted September 29, 2016

Today we received the visit of Dr. Porto, from Montevideo, who came to our operating room to witness surgical procedures with us. I really loved to see his devotion for urology and learning. A big example, he stayed with us to see surgeries until very late!

It is always a pleasure to receive the visit of friends!

Originally posted September 23, 2016

We are very happy to incorporate a new AIRSEAL insuflation system in our operating room. From now on we will use it in all robotic and laparoscopic operations.

We are also happy as we will become reference center for this technology in Spain and we will receive the visit of all surgeons and urologists who want to see how it works.

It is basically a very sophisticated insuflator that adds enormous advantages in safety for the patient and for the surgeons.

We are very grateful to Clinica CEMTRO for their support in the adoption of this technology. We are always compromised with excellence and offering the best to our patients.

Originally posted September 22, 2016

Despite I am traveling less nowadays, to be able to devote myself to my patients and due to my heavy dedication now to robotic surgery, I still participate in international meetings to demonstrate the laser techniques for the treatment of BPH.

This time I was invited to perform a live demonstration of a Green Laser Enucleation of the Prostate at the congress Technology and Training in Endourology 2016.

This operation is becoming popular in Europe after my publication in the Journal of Endourology describing the technique and how to learn it.

It was a nice day in the company of many international friends.