He specialized in urology at the Hospital de La Princesa in Madrid. He later worked at the London Institute of Urology, where he subspecialized in reconstructive urology and the treatment of urethral strictures.
Upon returning to Madrid, he founded the Institute of Advanced Urological Surgery and was a pioneer in the introduction and development of minimally invasive techniques for the treatment of benign prostatic hyperplasia (green laser prostatectomy and Holmium laser) and prostate cancer (cryosurgery and high-intensity focused ultrasound – HIFU).
He described a new surgical technique, GreenLEP (green laser enucleation of the prostate), which allows for the operation of prostates of any size and is currently used in many European and American hospitals. He later described the HoLEP en bloc technique with early apical release, which has minimized the risk of urinary incontinence associated with this procedure, earning him international recognition. He has performed surgeries in hospitals and at conferences on all five continents.
For many years he has trained other urologists in hospitals around the world in these techniques, as reflected in his blog.
Since 2006, he has collaborated closely with Dr. Richard Gastón in the laparoscopic and robotic treatment of patients with prostate cancer and other urological tumors. After training in robotic surgery in Belgium and Strasbourg, he is currently Head of the Urology Department and Director of the Robotic Surgery Program at ICUA-Clínica CEMTRO in Madrid.
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