Originally posted November 21, 2025

Today I performed another live case transmission to Medellín, Colombia. The procedure was part of a urology symposium at UROCLIN, celebrating 25 years of urological excellence at the institution. I collaborated directly with the team at HillClinic for the surgical procedure. The operation utilized the Quanta System laser for the case. The case was broadcast live to the urologists attending the symposium. I ensured the video feed was stable throughout the broadcast. This continues our series of live cases for international colleagues.

Originally posted November 21, 2025

I performed a live En bloc HoLEP procedure today from the Hill Clinic in Sofia, Bulgaria. The surgery was transmitted live to the Philippines Urological Association Global Urologic Summit. The HoLEP technique was broadcast directly to the attendees. I demonstrated the en bloc technique during the session. The transmission allowed urologists from the Philippines to observe the procedure directly.

This was a standard surgical day shared with an international audience. The laser system was used for the enucleation of the prostate. This specific technique focuses on removing the adenoma in one piece. The procedure was completed successfully without complications. The live feed connected the operating room with the summit venue.

Originally posted November 13, 2025

I moderated a live surgical case performed by Dr. Mehmet İlker Gökce. It was an excellent operation, showcasing his skill and precision.

Originally posted May 16, 2025

Next September I travel to Brazil to participate at the BEM meeting. I will be presenting on HoLEP techniques. The congress gathers urologists from the region to discuss surgical advances. This visit is part of my international teaching schedule. We will share updates on laser applications and patient outcomes. The event provides a platform for exchanging clinical experiences with local colleagues. I plan to review current protocols for benign prostatic hyperplasia management. The meeting includes educational sessions for urologists.

Originally posted May 3, 2025

I attended the BEAM25 meeting in Gent, Belgium. I conducted a session discussing BPH cases with a panel of urologists. The group included Dr. Teva Ho, Dr. FCAFigueiredo, Dr. Pieter Uvin, Dr. Thomas Herrmann, and Dr. Thomas Tailly. We reviewed complex BPH cases and discussed management strategies for endourologists. I presented the cases.

The meeting focused on endourology advancements and clinical practice. This session allowed for a detailed exchange of views. We covered specific technical aspects of the procedure. The discussion was productive for all participants.

Originally posted May 1, 2025

This time I hosted Spanish urologists in my operative room. They came to learn about en bloc HoLEP. The visit was organized with ItalFarmaco, Clinica CEMTRO, and ICUA. I demonstrated the en bloc dissection using the Holmium laser. The visitors observed the live procedure and discussed the technical steps. We focused on practical application during the session. The group specifically reviewed the apical dissection phase. I appreciate the partner institutions for facilitating this training. It was a useful exchange of surgical knowledge. The visitors gained direct experience of a very polished surgical process and teamwork with the technique.

Originally posted April 27, 2025

This weekend we had a new course on En bloc HoLEP. We had urologists visiting from several countries for this training session. The participants came from Mexico, Greece, Palestine, Perú and Chile. We focused on the technical aspects of the en bloc technique using the Holmium laser. We discussed the nuances of the procedure and how to maintain mucosal preservation during the dissection. The group was engaged throughout the training period. I look forward to seeing how they implement these techniques in their own centers. This continues our work on teaching HoLEP internationally.

Originally posted April 11, 2025

I am starting a two-day course on En Bloc HoLEP in Guadalajara, Mexico. The course is organized in collaboration with @EndouroPaco, Richard Wolf GmbH, Quanta System, and ICUAurologia.

We will focus on the practical application of the En Bloc technique using the Quanta System laser. Participants will learn the specific steps of enucleation and morcellation. The training covers surgical details and laser settings required for this approach. I will be present throughout the two days to demonstrate the procedure and debate with other experts from the regionn. This session allows urologists to observe the method directly in the operating room. The schedule includes both theory and observed advanced techniques practical observation.

Originally posted April 6, 2025

Dr. Wilmer Soliz spent three months with us at ICUAurologia and Hill Clinic. He has now returned to Buenos Aires. During this period, he worked alongside our team. Dr. Norberto Bernardo was also involved in the coordination. Dr. Soliz is an excellent urologist.

We maintained professional contact throughout his stay. I consider him a new friend. The visit proceeded without issues. He is practicing independently again now. The collaboration ended successfully. We will continue to be in touch!

Originally posted April 5, 2025

This was the second day of the Robotic HoLEP course held at Hill Clinic. Dr. Georgiev performed a robotic HoLEP case during the session. The procedure concluded successfully.

I acknowledge the support from Andromeda Surg, Quanta System, Richard Wolf GmbH, Hill Clinic and ICUA for the equipment and organization. The technical execution during the live case was precise.

The focus remained on robotic enucleation techniques throughout the session. We observed the surgical steps in real-time. This training continues to advance the standard of care for BPH patients. The participants observed the excellent ongoing progress with this concept.

Originally posted April 4, 2025

I successfully completed the first Robotic HoLEP case in Europe at Hill Clinic today. This procedure follows the initial cases performed worldwide in Chile. The surgery utilized the Quanta System laser and Richard Wolf GmbH instruments. I collaborated with the Andromeda Surgical team during the operation. The procedure was completed without intraoperative complications. The team worked together efficiently. We are documenting the technical aspects for the ongoing clinical trial. The operation was performed under general anesthesia. This marks the first European application of this specific robotic configuration.

Originally posted March 29, 2025

This time I conducted a training session at Hill Clinic focused on En-bloc HoLEP. I worked with urologists from Bolivia, Brazil, Mexico and Philippines. We covered the specific steps of the technique using the Holmium laser. I demonstrated the procedure on the laser system. The group participated actively in the observation of cases. We exchanged experiences regarding the surgery and patient selection. The session concluded successfully with a review of the cases. I shared insights on the technical aspects of the surgery. The participants showed good engagement throughout the day. We discussed all  the nuances of the enucleation process.

Originally posted March 27, 2025

I hosted visitors to our operating room from Australia, Perú, and India this week. They came to observe the en-bloc HoLEP procedure. We demonstrated the technique live, focusing on apical dissection and mucosal preservation. The group reviewed the instrumentation required for the Quanta System laser during the surgeries. They watched multiple cases and discussed the specific challenges of the en-bloc approach. We covered the technical details of the resection plane and the subsequent morcellation. The session was dedicated to observation-based training on the method we use daily.

Originally posted March 24, 2025

We observed contrasting approaches to instrument sizing in urological surgery recently. While Dr. Figueiredo is working to miniaturise instruments for HoLEP, Dr. Gozzi is pursuing the opposite direction. As the inventor of the transobturator male incontinence sling, he is now making instruments larger to facilitate suprapubic resection of the prostate in big chunks.

Specifically, he is utilizing a 42 F resectoscope for this purpose. This discussion covered various methods for managing prostate volume during surgery.

Originally posted March 23, 2025

We have recently published the OPTIMUM trial results in JAMA. The study compares microultrasound versus MRI for prostate cancer diagnosis. We worked with our colleague Moisés Rodriguez Socarrás and collaborated with ExactImaging on this trial to evaluate diagnostic protocols. We demonstrated non-inferiority of the microultrasound technique for diagnostic accuracy compared to standard MRI imaging. This work was conducted in collaboration with ICUA. The trial confirms the role of microultrasound as an alternative to MRI for prostate cancer diagnosis in urology.

Originally posted March 22, 2025

I participated in the EAU live surgery program performing an En bloc HoLEP. The live surgeries were organized by LYX Foundation and Viamed Salud. I was impressed by their work. Giuseppe Maiolino was an excellent host. The session allowed for the demonstration of the technique. The organization ensured smooth execution of the cases. I thank the LYX Foundation and Viamed Salud teams for everything. The event was held as a live surgery broadcast. The technical details were covered during the presentation.

Originally posted March 20, 2025

I conducted an En bloc HoLEP session with colleagues from Argentina, Colombia, and Bolivia. We discussed the technical aspects of the procedure during the live case. The international group participated in the training and observed the dissection closely. The session allowed for direct teaching on the specific steps of the enucleation. We focused on maintaining the apical dissection and sphincter preservation during the laser work. The Quanta System laser was used for the enucleation. The procedures lasted less than 60 minutes. The colleagues from the three South American countries reviewed the outcomes together. I recorded the video for future reference.

Rafael Sánchez Salas has joined ICUAurologia as an international consultant. He will visit Madrid regularly to perform focal and non-focal treatment of prostate cancer. We are utilizing Sonablate technology from Angiodynamics for these interventions. The collaboration focuses on ultrasound-guided ablation techniques for targeted therapy using specific devices.

This arrangement allows for expanded capacity in Madrid. The schedule is set for recurring visits. I will be present for the procedures. This expands available treatment options in Madrid. We will track the outcomes of these specific interventions.

I attended the EAU congress this year. It has been quite a ride to see the EAU develop over the years. Frans Debruyne and all the other urologists spent their time and efforts building such a strong and valuable association. I attended the sessions. The meeting concluded with a celebration of the association's growth. I have attended the EAU for many years. I am part of the association. The association continues to organize international events for urologists around the world and includes members from various countries.

Originally posted February 27, 2025

I spent two days at Clínica CEMTRO and ICUA performing En bloc HoLEPs. I was joined by new friends from Brazil who are interested in laser prostate surgery. We focused on the technique using the Quanta System laser. The cases included standard and complex anatomical enucleations.

We worked together during the sessions to refine the approach for larger prostates. The team at the clinic supported the procedures throughout the two days. This visit allowed for a shared experience in laser enucleation techniques. We discussed specific steps regarding apical dissection and mucosal preservation. The collaboration continued through the live surgical cases, a definitely interesting session!