Presentation of the Manual of En bloc HoLEP at the EAU 26 Congress

After more than two decades performing and teaching en bloc HoLEP across 50+ countries, I am proud to announce that "The En bloc HoLEP Manual" is finally here.

This comprehensive manual covers everything I have learned over 10,000+ laser enucleations — from the anatomical principles that underpin the technique to advanced tips for the most complex cases. It is designed for every urologist who wants to learn or master anatomical en bloc enucleation.

WHERE TO GET IT

EAU26 London — This Friday, March 13th

Limited copies available at the Wisepress stand. I will be there for a "Meet the Author" session — come say hello!

Amazon — Available in Days

The book will be available on Amazon in both English and Spanish within the next few days.

WHAT'S INSIDE

• Step-by-step anatomical en bloc enucleation technique

• Tips for large glands (100g+) and complex cases

• Morcellation strategies and troubleshooting

• Learning curve guidance — from first cases to mastery

• Detailed anatomical illustrations

• My personal experience from 10,000+ procedures in 50+ countries

This book represents my life's work in prostate surgery. I hope it helps the next generation of urologists provide better outcomes for their patients.

See you at EAU!

Originally posted January 30, 2026

Today I performed three live surgical cases for the InaSER Masterclass in Bali, Indonesia. The session was dedicated to teaching advanced endoscopic enucleation techniques. We utilized the Quanta System laser for all procedures. The live cases demonstrated the HoLEP method in a real clinical environment. Attendees from the region observed the surgical workflow directly. I explained specific technical steps during the intervention, focusing on apical dissection and mucosal preservation. The event served as a practical training module for local urologists. The cases were recorded and made available for review in my youtube channel.

Originally posted January 29, 2026

I conducted a 2-day workshop on HoLEP at Ngoehra Public Hospital in Bali, Indonesia. The course included lectures on technique simplification and hands-on training for the participants. Participants practiced the dissection steps using the Holmium laser system. Local urologists from the region attended the event to learn new skills. We covered patient selection and procedural nuances in detail. The session focused on practical experience sharing among the attendees. The hospital facilities supported the training requirements effectively. Several complex cases were discussed during the theoretical part. The feedback from the participants was positive.

Originally posted January 25, 2026

I spent the weekend at Hill Clinic teaching urologists from Turkey en bloc HoLEP. The group included new friends interested in the technique. We focused on the recent advances in Anatomic Enucleation using the Holmium laser. I explained how the procedure is simplified and how to perform early apical dissection. Live surgical cases were discussed to clarify the steps for mucosal preservation. The participants asked specific questions regarding the laser settings and tissue handling.

We completed the training session on Sunday afternoon.

Originally posted January 23, 2026

I updated my recording setup this week. I used the same capture card but connected it to a Mac. I added a simultaneous audio track using Rode Wireless Pro microphones. I also implemented OBS Studio for Mac to manage the stream.

The whole setup is relatively simple and affordable. Grok helped me configure the software. This allows me to record surgical cases or lectures more efficiently. I tested the audio quality during a recent demonstration. The system runs smoothly on the Mac platform. I plan to use this for future webcasts and training sessions.

Originally posted January 21, 2026

I found a nice capture card that allows me to record surgeries directly to my iPad. This will make it easier to document procedures and share surgical techniques with colleagues.

Originally posted December 27, 2025

I read a piece published in Urology Times featuring Irina Jaeger. The article discusses her experience with HoLEP. She credits my YouTube videos for helping her learn the technique. The publication highlights her surgical approach and proficiency. Dr Jaeger has demonstrated significant progress with the laser enucleation technique and has now a significant experience. Thank you Irina! The content is relevant for urologists interested in holmium laser.

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.