Originally posted December 20, 2025

I performed two live surgical cases involving HoLEP today. Dr. Kumar moderated the session. He is one of the most experienced enucleators globally, having completed more than 15,000 HoLEP procedures. The case highlighted specific technical nuances in endoscopic enucleation. The live format allowed observers to view the procedure in real-time. Technical aspects of the laser system were explained throughout the enucleation. The interaction between the surgeon and the moderator facilitated the session. This session provided a detailed look at the surgical technique in a live environment. It was great to see Dr. Kumar who I met many years ago in India.

Originally posted December 19, 2025

I arrived in India to participate in the 7th Advancements in Endourology congress. The meeting is focused on recent developments in endourological techniques. I am performing two live surgical cases. The procedures are en bloc HoLEP using the Holmium laser. I show the specific steps of the technique during the session. This event gathers urologists from various countries interested in prostate enucleation. I also did a nearly one-hour talk (masterclass) on surgical technique for En bloc HoLEP.

Originally posted December 5, 2025

Today I am performing a live En bloc HoLEP at Hospital Nuova Villa Claudia in Rome. The procedure is part of the Update Technology in Urology International Conference. Profs. Mauro de Dominicis and Salvatore Sansano are the organizers of this meeting.

I am demonstrating the technique live to the attendees. The focus remains on the En Bloc method using HoLEP technology. We are showing the specific steps of the dissection.

The session covers the surgical approach and laser application. The meeting brings together specialists from various regions. The procedure focuses on the En Bloc technique.

Originally posted December 4, 2025

I recently reviewed the full text of a paper by Prof. Mario Sofer and colleagues on Anatomic Enucleation of the Prostate (AEEP). They propose a new mechanism to explain temporary stress incontinence after the procedure. The study suggests radial forces exerted by the scope during enucleation contribute to this outcome. This is an important read for all enucleators. It details the mechanical interaction involved in the technique. The work adds to the current understanding of patient outcomes following AEEP. I found the concept regarding radial forces particularly interesting for clinical practice.

Originally posted December 3, 2025

Today I had Spanish visitors from different centers in the operating room. We had the collaboration of an Italian intern and the nurses from ICUAurologia. During the surgical session, I successfully performed six HoLEP procedures. I am grateful for the logistical and technological support provided by ItalFarmacoes for the equipment and laser. The procedure focused on prostate enucleation using holmium technology. It was an intense day with the participation of nursing staff and visiting professionals. The activity allowed us to share technical experiences in real time with the international team. Technical assistance ensured the efficient use of the laser during all procedures.

Originally posted November 29, 2025

I finalized my talk on ‘Mastering the Light’ for the ETS meeting in Kobe, Japan. The presentation outlined specific steps for laser enucleation. I met Profs. Endo and Shitara during the conference days. Several Japanese colleagues attended who were interested in AEEP techniques. We discussed the nuances of holmium laser settings and tissue handling. The team reviewed surgical outcomes in similar anatomy. I reviewed the latest case series presented by the local team. The meeting concluded with a discussion on standardizing the technique across different institutions. This exchange provided a platform to share practical insights on the procedure.

Originally posted November 29, 2025

I am preparing for my presentation at the ETS Congress in Japan. The meeting covers endoscopic techniques. This year the ETS Congress takes place alongside the ICE25 conference. I am the only European surgeon not attending ICE25. I am participating in the Japanese event instead. My talk will cover specific surgical protocols. I will discuss technical details with the attendees. The ETS Congress is held in Japan. All materials are ready for the session. The focus remains on the procedure itself. I will present the latest data on outcomes. I look forward to the discussion.

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.