ROC Clinic, the advanced Urology medical-surgical clinic led by Dr. Javier Romero Otero, director of the Department of Urology of HM Hospitales in Madrid, has reached 3,000 benign prostate hyperplasia interventions with the Holmium or HoLEP laser prostate enucleation technique, an achievement that makes them the urological team with the highest number of interventions with this technique in Spain.
Through its national and international Holmium laser prostate enucleation program, HoLROC, started in 2007 by doctors Alfredo Rodríguez Antolin Y Javier Romero-Otero, the patient is operated on in a minimally invasive way.
This laser simulates open surgery, which makes it possible to remove the entire prostate adenoma, obtain excellent functional results and minimize the complications of the intervention. As no incisions are made, transfusion is minimized and the patient can return to normal life in a few days.
The Holmium laser is a treatment “with great advantages that requires great experience and endoscopic skill on the part of the surgeon, as well as specialized instruments,” indicates the center. This technique is used for the treatment of all prostate sizes and allows treating other pathologies in the same intervention, such as bladder stones, urethral strictures or bladder tumors.
Another of its virtues compared to other laser surgery techniques is that the removed tissue can be subjected to a histopathological analysis, which makes it an ally for the detection of prostate cancer, since the presence of a prostate cancer can be diagnosed. type in patients without previous data of suspicion for this pathology.
All these advantages mean that the clinical practice guidelines of the European Association of Urology recognize this technique as the most versatile and as the technique of choice or gold standard for the surgical treatment of BPH.
“These 3,000 enucleations make us extremely proud, since we offer the best in hyperplasia to our patients through a program that contains the essence of the pillars on which the clinic is based, which are quality of care, research and teaching” , says the medical director of ROC Clinic and director of the Department of Urology at HM Hospitales in Madrid, Dr. Javier Romero-Otero.
Training and outreach
The ROC Clinic team, as a pioneer in this technique, is a national and international leader in the training of other professionals who want to join in being able to perform this treatment in their centers to help their patients in the best possible way. In this sense, the team has developed the first training program, together with the HM Hospitales Research Foundation, aimed at urologists to learn how to use the Holmium laser surgical technique with a simulator with realistic prostate phantoms.
“In this way, we have become the first center in Spain, and a pioneer in Europe, to offer a practical training program with Holmium laser”, indicates Dr. Romero-Otero.
With a face-to-face modality and that takes place in the HM Montepríncipe University Hospital from Madrid, it lasts one day and is carried out with a very small group of students, which includes a theoretical introduction and a practical part on phantoms, as well as live visualization of various surgeries. This course is taught by the members of the HoLROC program, doctors Javier Romero-Otero, Alfredo Rodríguez-Antolín and Borja García-Gómez.
In the last quarter, more than 30 urologists from all over Spain and from hospitals such as Gregorio Marañón, The Princess, King Juan Carlos, Prince of Asturias The Marquis of Valdecilla They have been trained with this program offered by ROC Clinic. In addition, the ROC Clinic has communicated their experience with this technique in the most important scientific conferences and journals in the specialty.
Benign prostatic hyperplasia
Benign Prostate Hyperplasia is the most common benign pathology suffered by man and the one most often treated by specialists in Urology, with a prevalence of 50-75% in those over 50 years of age and up to 80% in those over 70 years of age.
It consists of the prostatic enlargement that causes the obstruction to the exit of the urine and that has negative consequences in the urinary system and in the quality of life of the patient. This situation causes a deterioration in the urination quality of the male, since it can cause pain or difficulty when starting urination, or have an increase in urinary frequency, since it can cause the patient the need to urinate between 7 or 8 times each night, which causes obvious sleep disturbances and significantly affects your quality of life.
The treatment of BPH should be designed according to the age and comorbidity of the patient, the prostate size, the sequelae that it has caused in the urinary system, the ejaculatory function and the sexual function.
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