Recently we published our technique for En bloc enucleation of the prostate with Holmium laser in the World Journal of Urology.

The paper describes the surgical technique and the results obtained in the first 137 patients treated from January 2015 to March 2017.

This technique is a variation of the original one described by Peter Gilling to perform HoLEP (Holmium Laser Enucleation of the Prostate) that provides higher speed, safety, and better results, diminishing the risk for temporary urinary incontinence postoperatively.

Originally posted March 8, 2019

Today we received the visit of Prof. Tullio Sulser, head of the department of Urology of the University Hospital in Zurich, Switzerland. Prof. Sulser is an old friend who has shared with me the interest for lasers for many years. He came accompanied by Dr. Etienne Keller, from his department.

He shared the morning with us at the operating theater at Clinica CEMTRO in Madrid, where we performed 5 en-bloc enucleations with Holmium laser during the morning..

En bloc HoLEP is a very fast and safe procedure for the definitive treatment of BPH. It was a pleasure to share time with Prof. Sulser.

Originally posted March 2, 2019

This time I flew to Warsaw, to participate in a course of the Lumenis Academy, on Holmium laser enucleation of the prostate. My role was to give a couple of talks and to perform a live surgical procedure, to demonstrate En bloc HoLEP to the audience.

There were more than 50 urologists from various nationalities. It was a pleasure to meet there with some colleagues from the Hill Clinic in Bulgaria, Dr. Jordan Tomov and Dr. Goran Derimachkovski, as well as with Dr. Marek Zawadzki, from the EMC Sant Anny Hospital in Piasezcno, Poland, where I am going to operate lately.

A very well organised course and very interesting, with very prestigious invited professors, like Dr. Tev Aho, from Cambridge, UK, and Dr. Tobias Bothmann, from Berlin.

Originally posted November 8, 2018

This time we welcomed two respected urologists from Jordan, who were interested in the En Bloc approach for HoLEP (Holmium laser enucleation of the prostate).

I performed 8 operations in two consecutive days at ICUA-Clínica CEMTRO in which they could appreciate the advantages of this surgical approach.

We could complete all the operations in 30-40 minutes and I could demonstrate how this approach is much more simple than the classic technique for HoLEP in which the adenoma is fragmented into two or three pieces.

Originally posted November 2, 2018

As every month, I flew to Bulgaria to work at the Hill Clinic. This time I was invited to participate in an interview in Bulgarian National TV, to discuss the movement Movember, and the importance of early diagnosis of prostate cancer.

The interview can be viewed here.

Originally posted October 27, 2018

Again I flew to Warsaw to operate at EMC Sant Any Hospital in Piaseczno with my Polish friends.

This time we performed 16 HoLEPs that went very well. It seems that the collaboration is establishing itself and I will be traveling there every month to collaborate with the department of urology at the Hospital with Dr. Marek Zawadzki and Przemislaw Zugaj.

Originally posted October 18, 2018

I was honoured to be invited to the 55th Course of Fundació Puigvert in Barcelona. An impressive course with more than 600 attendees and an exciting programme with multiple live surgical transmissions and world class invited speakers.

I had to perform an endoscopic enucleation of a patients prostate with the Green Laser, a GreenLEP procedure in a patient with a prostate size of 125 cc, that was technically very complex, but that I could successfully perform. I think the attendees enjoyed a very difficult case and also due to the moderators of the session, that did an excellent job with their questions.

Later on that day I gave a talk on Endoscopic Enucleation of the Prostate.

I returned to Madrid, very impressed by the enormous effort carried out by Fundació Puigvert to organise this very high level course.

Originally posted October 16, 2018

This new paper on aquablation for the treatment of BPH is now available online. It is published under the umbrella of the ESUT (European Society of Uro-Technology).

Originally posted September 28, 2018

After six months with us, we are departing from our friends Dr. Giussepe Saitta, from Italy and Dr. Ernesto Aguayo, from Mexico, with great sorrow.

They have been excellent company and very helpful during their stay in Madrid, and witnessed a lot of endoscopic and robotic surgery throughout these months. 

We will miss them! 

Originally posted September 21, 2018

This time I fleew to Paris to participate in the World Congress of Endourology

My role was to give a lecture on GreenLEP (GreenLight Enucleation of the prostate) in a simposium of the congress.

I was also invited to participate in a panel on Benign Prostatic Hyperplasia but I could not stay and a french colleague used my presentation on my absence.

I love to see how the technique I described of Green Laser Enucleation of the Prostate is gaining popularity in Europe and has more and more presence in high level congresses.

Originally posted September 14, 2018

Again I flew to Warsow in Poland, to operate in the Hospital in Piaseczno with my Polish colleagues.

It was an intense surgical session where we performed 12 HoLEPs (Holmium Laser Enucleation of the Prostate).

It was good to know that all patients fared well and were able to go home the next morning.

Originally posted September 13, 2018

The prestigious international channel of advances in surgery AIS Channel, very well known worldwide in General Surgery for the quality of their live surgical transmissions, initiates its experience in the specialty of Urology.

I had the honor to participate in this new channel with the transmission of a live surgical procedure, performing an En-bloc GreenLEP.

This initiative is fully backed by the European Association of Urology and can be seen here https://aischannel.com/director-greenlight-bph/

Originally posted September 12, 2018

This time we receive the visit of urologists from different European Countries, Holland, Germany, UK, Lebanon, Denmark and others to participate in the advanced surgical techniques with GreenLight laser at ICUA - Clínica CEMTRO.

This time we started in the main auditorium. Dr. Giusseppe Saita and Dr. Ernesto Aguayo, our fellows helped us greatly with the moderation of the live transmission from the operating room

The course took place over two days where we had first a live surgical sesion, where Dr. Misrai and myself showed the anatomic vaporization technique and the en bloc GreenLEP technique.

After a nice course dinner at Restaurant Filandon, near the Clinic, we started the second day, where we discussed different aspects of BPH surgery with the GreenLight laser, with lectures from Dr. Misrai, Dr. Giovanni Ferrari and myself.

As always, a great occasion to interact with other colleagues and to learn all together!

Originally posted August 15, 2018

This video-article published in the journal UROLOGY is the result of the hard work of Dr. Enrique Rijo, who edits fantastic and very formative videos, with the help of Dr. Aho and Misrai and my contirbutions. An excellent source of information for those who want to learn the techniques of anatomic enucleation of the prostate that are followed by the step of morcellation, or aspiration of prostatic tissue to be able to send it for histological analysis.

Originally posted August 2, 2018

I travelled to Poland in the beginning of August, to help Dr. Marek Zawadzki and his team with their training in Holmium laser enucleation of the prostate at the Hospital in Piaseczno, near Warsaw.

It was a very interesting experience as I could see how much easier is to learn the En Bloc HoLEP technique in comparison to the classic three piece technique. After a two-day session with surgeries my very talented polish colleagues could perform the technique independently.

Dr. Zawadzki proposed the idea of collaborating in the future and for some time I will go to operate patients with them in Poland on a regular basis.

They are very experienced in endoscopic treatment of stone disease and I can tell they are a great team, ambitious, very scientific and with a great future in Poland. The hospital had impressive surgical facilities as well.

My visit had some impact in the local press!

Originally posted July 18, 2018

Again we received visitors to our operating room. This time we welcomed Dr. Francisco Félix, from Hospital Comarcal Santiago Apóstol, Dr. Omar Ben Miloud, from Hospital de Zumárraga and Dr. José Alvarez Kindelan, from the Hospital Reina Sofía in Madrid.

It was as always an interesting session and we could discuss at large the subtleties of the anatomic vaporization and GreenLEP techniques with our colleagues.

Originally posted July 12, 2018

This time I had to travel quite far away, to Singapur, to participate in the congress UROFAIR. My role was to perform a GreenLight Enucleation procedure that was broadcasted to the congress. The Surgeries took place at the Tan Tock Seng Hospital.

There were other international colleagues in the congress and it was very nice to be able to share time with them. Specially Dr. James Porter, an international expert in Robotic retroperitoneal surgery who I admire for being such a good surgeon.

I was very impressed by Singapur, very modern and futuristic, the hospitality of my Singaporean colleagues was spectacular.

Originally posted July 5, 2018

This time I went to Oporto to participate in a meeting with Portuguese urologists interested in the treatment of BPH (Benign prostatic hyperplasia) with lasers. This took place in the University Hospital Fernando Pessoa in Gondomar, near Porto, where I demonstrated the en bloc enucleation technique with two kinds of lasers, the GreenLight and the Holmium laser. The course was wonderfully organized by Dr. Fabio Almeida and the Hospital was excellent, with a very modern and interesting design.
I liked to see that the anatomic vaporization technique that I described in 2014 is becoming widespread and even announced in the hospital.

It was very nice to interact with the portuguese colleagues in this course. It is the first time that I demonstrate live the use of two lasers in the same congress. I think it is a very interesting format to be able to appreciate the advantages and disadvantages of both lasers in each step of the operation. At the end, the important aspect is to achieve an anatomic technique that guarantees the total removal of the adenomatous tissue.

Originally posted June 26, 2018

This time I went to Holand to participate in the yearly meeting of laser users of the Netherlands.

My role was to give a talk on the evolution of the endoscopic prostatectomy techniques with the GreenLight laser. I spoke on the development of anatomic vaporization as well as GreenLEP (Greenlight enucleation of the prostate).

It was a short trip, I flew forth and back in the same day. It was good to see old friends.

Originally posted June 20, 2018

Today we received visitors to our operating room again, to our monthly course on GreenLight laser. This time we received the visit of Dr. Felipe Cáceres and Dr. Pedro Cabrera from Hospital NISA in Madrid and Dr. Emilio Izquierdo from Hospital Morales Meseguer in Murcia, Spain.

They could learn about the anatomic vaporization technique as well as see some GreenLEP (GreenLight Enucleation of the Prostate) cases.

It is always a pleasure to share with urologists from other countries the techniques that we developed to optimize the treatment of benign prostatic hyperplasia with laser.

Originally posted June 15, 2018

This year the National Urology Congress took place in Gijón, Asturias. My role in the congress was to lecture the residents with a talk entitled "Endoscopic Enucleation of the Prostate, the new treatment of choice of BPH".

I also contributed with three posters, that were presented by my colleague and friend Dr. Enrique Rijo. 

But without doubt, the most beautiful moment in the congress was the award from the Spanish Urological Association of the Francisco Diaz Medal to Dr. Richard Gaston. This is the highest recognition the Spanish Urological Association gives to urologists that contribute significantly to spanish urology.

It was a true honor to accompany him in such an important moment. Dr. Gaston confessed that he was truly moved by this and that he had donated the economic prize to a humanitarian organization. He is a great man and an amazing surgeon. My master and friend, Richard. Congratulations!

And with the national congress the academic year comes to an end, although we still have to work the rest of june and july before the summer holiday comes.

Originally posted June 14, 2018

We proudly receive this prize to initiatives for humanization of medicine granted by the Medical Council of Madrid. It is to honor our protocol for personalized attention of the patient. A great recognition for the work our team at ICUA as well as the staff from Clínica CEMTRO do every day for the care of our patients.