Urología de Mínima Invasión y Mínimo Acceso |HOSPITAL UNIVERSITARIO DEL RIO|HOSPITAL MONTE SINAÍ •Experto en CirugíaLáser• 🇪🇨
Cuenca, Ecuador
Joined July 2012
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I'm sure it's the best technique for BPH treatment. And in LATAM we do it very well. Congratulations to all the enucleators in LATAM and the world 🌍 @LucaMartinel @quanta_system
The vascular substrate of prostatic hematuria.
Endoscopic close-up of prominent, tortuous submucosal prostatic veins—a potential source of bleeding in BPH.
Striking vascular anatomy beneath a thin urothelial covering.
#Endourology #BPH #Hematuria @so_uro @Endo_Society
Alfredo Sanchez Urólogo retweeted
Fellowship in AEEP
Fellowship Duration: 6 months
Certification and Accreditation: @udec_oficial
Course Director and Chief Trainer: @dr_karian and
@UroRadillo
Speciality: For urologist
Location: Colima, México.
@CAU_URO @ResidentesCAU @smumexico @Residentes_SMU @drjorgemagana @lfredosanchez @charliebrowncy @so_uro @luiisbobby @quanta_system
Alfredo Sanchez Urólogo retweeted
🔬 Small prostate ≠ Small obstruction!
33 cc prostate with severe, refractory LUTS, marked BOO, elevated bladder neck & trabeculation.
⚡ MiLEP: 22 Fr sheath + low-energy laser.
🎯 Clinical pearl: Treat the obstruction, not the size! A thin, adherent capsule and poorly defined planes demand meticulous dissection.
#MiLEP #BPH #Endourology
Alfredo Sanchez Urólogo retweeted
From resident to master: 2nd International Course on Live Anatomical Prostate Enucleation. 12–14 May 2027, Jerez University Hospital, Spain. Three days of live surgery. Early-bird fees until 31 Dec → r2mjerez.com
#HoLEP #EEP #urology
Alfredo Sanchez Urólogo retweeted
🔥 260+ cc prostate. HoLEP. Just 8 days later.
Check out the ultrasound transformation from POD 2 to POD 8! 🔥
✅ No bleeding
✅ Back behind the wheel
✅ Back to the office
Few techniques can match this recovery and these results.
HoLEP: The Gold Standard for a reason! 🏆😎
#HoLEP #BPH #Urology
Alfredo Sanchez Urólogo retweeted
Técnica Híbrida paso a paso.
AEEP
Laser Magneto 2 j/50 htz VB—— 0.8 J /40 Htz EM
@so_uro @quanta_system @Endo_Society @Moser_DanielC @LucaMartinel @terralucas1 @fgomsan @MSGONZALEZURO @trwherrmann @endohugologo @HugoLopezRamos @lfredosanchez @adiazhung @fseguradiazURO @amy_krambeck @uroledezma @FCAFigueiredo @ThiagoHotaUro @PabloNContreras @UroRadillo
In this HoLEP video, note the white line marked on the mucosa and the broad, high apex.
Early in the learning curve, case selection should be guided by anatomy—not prostate weight alone.
Read the apex before choosing the case.
#HoLEP @urosome @quanta_system @Endo_Society
Alfredo Sanchez Urólogo retweeted
Ready to join the enucleationist family? Great opportunity coming this February @UCI_Urology with amazing faculty list.
@DrDAgarwal @SmitaDeMD @fgomsan @ChrisManakas @UroLori @b_gao @ahmedmansour1st
teach.uciurology.com/uci-hol…
Alfredo Sanchez Urólogo retweeted
Introducing my En bloc HoLEP Video Library.
Real cases, searchable by technique, prostate size and documented challenges. Free access, with an interface in 8 languages. Save the link below!
I hope it helps with your learning curve!
holep.icua.es/library/
#HoLEP #Urology
Alfredo Sanchez Urólogo retweeted
When the ureteral orifices sit close to the bladder neck in a large, broad-based, congested prostate, visibility and traction can become challenging.
A useful HoLEP strategy: split the adenoma in two. Better visualization, less traction, and easier identification of the ureteral orifices.
This case: 120 cc prostate, urinary retention, and metastatic prostate cancer.
#HoLEP #Urology #Endourology #BPH #ProstateCancer
Alfredo Sanchez Urólogo retweeted
Este 26 septiembre tuvimos el honor de realizar el primer simposio de Colombia 🇨🇴 HoLEP Live donde tuve el
Privilegio de ser director y participar en 2 cirugías en vivo con @BostonSciLatam y @DornierMedTech y compartir con excelentes cirujanos del todo el mundo @lfredosanchez @rojuaneda @fedetirapegui
Alfredo Sanchez Urólogo retweeted
Lima, here we come! 🇵🇪
We’re getting ready for #CAU2026, the XXXVI Congreso de la Confederación Americana de Urología.
Visit #CasaQuanta at👇
🏡 Booth 4
📅 7–10 October
📍 Lima Centro de Convenciones
Don’t miss our scientific symposium 👉 “Stones and BPH: How new Laser Technologies can help?” featuring Dr. @PabloNContreras, Dr. @lfredosanchez and Dr. @dr_karian.
📅 9 October | 🕧 12:30 | 📍 Salón Lima
See you there! ❤️
#UrologyInnovation #QuantaSystem #BeQuanta
RT @charliebrowncy: Happy to welcome to our first meeting in Cali -Colombia 🇨🇴 Saturday September 26, five live enucleations ( HoLEP @Bost…
What defines a high-quality HoLEP?
Watch the interface: progressive adenoma–capsule separation, with the dissection plane kept in view.
Anatomical precision deserves a central place in how we teach—and assess—enucleation.
#HoLEP #Endourology @LucaMartinel @fagnani_filippo @quanta_system @Endo_Society @so_uro #MAGNETOLASER
Anatomy remains the roadmap.
Salvage HoLEP after previous simple prostatectomy.
Even in a reoperative field, the principle remains unchanged: identify the surgical capsule, follow the correct plane, preserve the sphincter, and achieve complete anatomical enucleation.
#HoLEP #SalvageHoLEP #Endourology @LucaMartinel @quanta_system @so_uro @Endo_Society
The apex is not the final step—it is where control begins.
En-bloc HoLEP with early apical release and controlled 360° enucleation under clear laminar irrigation.
Watch the full surgical video on YouTube through the link below—English subtitles available.
#HoLEP #BPH
youtu.be/mEWoehX7Qoo?si=t1ez… vía @YouTube
@fgomsan @MSLee_MD @MSGONZALEZURO @amy_krambeck @PabloNContreras @jfunkmd @fseguradiazURO @adiazhung @charliebrowncy @ThiagoHotaUro @FCAFigueiredo @Moser_DanielC @RomanCarvajal @Mohamedendourol @dr_romero_otero @terralucas1 @HugoLopezRamos @so_uro @LucaMartinel @quanta_system @Endo_Society @michaelzellmd
A staged intradenomatous incision creates depth, distance from the sphincter, and a controlled entry into the capsule. Early apical release becomes a geometric strategy, not simply a cut. @urosome @Endo_Society @LucaMartinel @quanta_system #HoLEP
•ERBT•
Extreme vascularity is not a reason to lose the plane.
Laser en bloc resection of a vascular bladder tumor: controlled dissection, clear vision, precise hemostasis and a preserved specimen.
Cyber Ho Magneto | 1 J × 30 Hz = 30 W | Magneto Effect
Technique before power. @quanta_system @LucaMartinel @Endo_Society
Alfredo Sanchez Urólogo retweeted
Enucleation is only if tissue is enucleated not resected ! This a good surgical video to demonstrate this . And if one leaves such tissue patinet will come back .
Two HoLEPs. Two surgeons. Two very different outcomes—2 years later.
One: a wide, anatomic prostatic fossa.
The other: substantial residual adenoma requiring salvage HoLEP after HoLEP.
Finding the plane is not enough. Complete enucleation defines anatomy—and durability. #HoLEP @so_uro @quanta_system @Endo_Society @Moser_DanielC @RomanCarvajal @LucaMartinel @terralucas1 @fgomsan @MSGONZALEZURO @MSLee_MD @jfunkmd @trwherrmann @dr_karian @endohugologo @HugoLopezRamos @adiazhung @fseguradiazURO @amy_krambeck @michaelzellmd @FCAFigueiredo @ThiagoHotaUro @dr_romero_otero @PabloNContreras @charliebrowncy @Mohamedendourol #AEEP