Specialist in the treatment of benign prostatic hyperplasia and prostate cancer with minimally invasive techniques. Dr. Gómez Sancha is a pioneer in the use of green laser in the treatment of prostatic hyperplasia, and high intensity ultrasound in the focal treatment of prostate cancer. He has developed the technique of prostatic enucleation with green laser that allows to operate with laser on large prostates. He works with the father of urological laparoscopy, Dr. Richard Gaston, treating prostate cancer with robotic surgery (DaVinci Robot).
The En-bloc MoLEP with early apical release technique has many advantages over the traditional 3 lobe HoLEP technique. Those provided by the Moses technology are better cutting and excellent hemostasis, ideal for this approach.
With Lumenis
Published
Sep 2019
Many new developments have recently taken place in the field of BPH minimally invasive surgical treatment. There is a trend towards favoring anatomic endoscopic enucleation of the prostate (AEEP) over older alternatives such as simple open prostatectomy and other options like laparoscopic or robotic simple prostatectomy. The minimally invasive nature of AEEP, its excellent results in the long term, as well as its low morbidity, justify this trend. AEEP was initially described with monopolar energy and then popularized with the use of a Holmium laser. However, there has been a realization that the merits of this endoscopic approach lie in the complete removal of the adenomatous tissue, following the anatomical plane between adenoma and surgical capsule, mimicking the open procedure. The source of energy used to perform AEEP seems to be less relevant. AEEP can be performed using Holmium (2140 nm), Thulium (2000 nm), GreenLight (532 nm) and Eraser (1318 nm) lasers, a well as both bipolar and monopolar generators. End- firing and Side-firing laser fibers can be used, as well as different kind of endoscopic monopolar and bipolar electrodes with different shapes. The learning curve for AEEP is quite lengthy and requires proper training and mentoring.
With Boston Scientific
Published
Sep 2018
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