Originally posted October 19, 2024

Today I participated in the National Congress of the Turkish Society of Urological Surgery. I gave a presentation discussing how to avoid complications with laser enucleation. The talk focused on specific surgical steps and safety protocols for the procedure.

I explained technical nuances to help urologists minimize risks during the operation. The session was targeted at surgeons attending the congress in Turkey. We covered advanced aspects of laser application in the prostate. It was a productive discussion on technique refinement and patient safety.

Originally posted October 6, 2024

I organized a surgical training course at Hill Clinic. The attendees were urologists from Venezuela, Hungary, and Ireland. Some participants were colleagues I have worked with before, while others were new to the program.

The week was conditioned by a shortage of saline irrigant in the region, which required logistical adjustments for the laser systems. We proceeded with the HoLEP technique training regardless of the supply constraints. I presented on Enucleation. We completed the practical sessions for the group. The procedure was performed using Holmium laser technology.

Originally posted September 2, 2024

Nice course at the Hill Clinic with visitors from Mexico, Brazil, the Philippines, Spain, Venezuela, and Switzerland. The course covered en bloc HoLEP. 

Originally posted August 30, 2024

It has been a lovely summer. I'm now back to work with lots of new projects, courses, surgeries, and challenges! I'm working on a presentation for the meeting in Salzburg. Additionally, I'm preparing a webinar for South African colleagues.

Originally posted August 15, 2024

Saddened by the passing of Dr. Ali Serdar Gozen. He was a great man and a respected colleague. My condolences to his family and friends.

Originally posted July 28, 2024

I returned to Madrid following a course with new friends from multiple countries. Participants arrived from India, Indonesia, Brazil, and Spain for the training sessions. We conducted the instruction at the facility in Sofia.

I am now preparing for my summer holiday after the course concluded!

Originally posted June 30, 2024

This month’s course at Hill Clinic has come to an end. It was interesting to interact with new friends from Mexico and Spain.

Originally posted June 26, 2024

We hosted a group of urologists from Belgium and Portugal at our operative room. During their visit, I demonstrated the HoLEP technique. We performed five en bloc HoLEPs over a period of five hours using the Quanta System laser. This allowed the visitors to see the technique in a live setting. The efficiency of the workflow was highlighted throughout the session. The laser system facilitated the rapid dissection required for en bloc resection. It was a focused day of surgical teaching and case performance.

Originally posted June 15, 2024

Here are some photos from the recent workshop in Manila. The Philippine urologists showed great interest in learning HoLEP. The enthusiasm was palpable, and the discussions were informative.

Originally posted June 14, 2024

I traveled to Boracai for the Philippine Urological Association meeting. I met Dr. Karl in person for the first time during this event. He is a recognized reference for Anatomic Enucleation of the Endoscopic Prostatectomy (AEEP) in this region. He is actively engaged in teaching the Quanta System laser technology. We discussed specific techniques and training protocols. The meeting brought together surgeons interested in endoscopic enucleation for BPH. The event facilitated technical exchange regarding laser enucleation methods.

Originally posted June 13, 2024

I traveled to Manila, Philippines, to conduct a HoLEP masterclass at Malvar General Hospital. The session involved four HoLEP procedures performed live. Two of the cases were redo surgeries, requiring careful dissection of the adenoma plane. One patient presented with a large prostate, 200 cc in volume. We utilized the Quanta System laser for all enucleations during the training.

The local urology team participated in the observed advanced techniques practical observation cases. We discussed specific technical steps for managing large glands and complex anatomy. The training allowed for direct observation of the surgical technique. I reviewed the outcomes for the redo patients with the surgical team. The session covered the practical application of HoLEP.

Originally posted June 4, 2024

I am getting ready for the HoLEP masterclass in Manila, Philippines. During the masterclass, I will perform five live HoLEPs on not-so-straightforward cases. I will demonstrate the surgical technique on these specific patients. Following the surgical sessions, I will be lecturing at the PUA Midyear Convention. The convention takes place shortly after the masterclass. The audience will include urologists from the Philippines and the region. I will discuss the management of complex prostates and recent applications of the laser during the lecture. This schedule includes multiple days of focused training. I will share the details of the live cases.

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.