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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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
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
RT @charliebrowncy: Happy to welcome to our first meeting in Cali -Colombia 🇨🇴 Saturday September 26, five live enucleations ( HoLEP @Bost…
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
Alfredo Sanchez Urólogo retweeted
What an incredible two days at Stone Busters & Flow Masters 2026! 🙌
A huge THANK YOU to all our outstanding speakers for sharing their expertise, experience, and passion for advancing Endourology. It was a privilege to have you with us in Cleveland! @CaseUrology
Alfredo Sanchez Urólogo retweeted
Training Lab Mexico 2026
Técnica En bloque (Donut ) VS Híbrida
@lfredosanchez @LucaMartinel @luiisbobby @UroRadillo
@CAU_URO @colmexuro @quanta_system @so_uro @Endo_Society
Alfredo Sanchez Urólogo retweeted
✳️ HoLEP + ThuFLEP + pulsed ThuLEP = AEEP
✅ First Annual Enucleation Course at @NorthwesternMed Department of Urology
📍Chicago 🇺🇸
1️⃣ Learning from Dr @amy_krambeck a global leader in HoLEP, with thousands of procedures performed and an outstanding scientific and educational contribution to prostate enucleation.
2️⃣ Experiencing @NM_Urology high-volume HoLEP program, combining surgical expertise, live surgery, hands-on training, and a strong focus on optimizing the learning curve.
3️⃣ Discovering Dr @aghazimd @SLICE_JHU innovative surgical simulation models, with exciting possibilities for training and education — and hopefully the beginning of a future collaboration with the @SCUColombia 🇨🇴
#BostonScientific #Lumenis #Quanta #CyberHo #Magneto #Thulio #Dornier #Piranha #Wolf #ValleSinSonda #Latam #SCU – at Chicago, IL
Alfredo Sanchez Urólogo retweeted
Congratulations to the AEEP Chicago 2026 graduates! Thank you @aghazimd for your models and dedication to eduction. I look forward to many more collaborations. @NM_Urology @EndourologyNm -
Alfredo Sanchez Urólogo retweeted
What’s going on in some centers? 🤔
A patient with a history of Rezūm and TURP is still voiding terribly, despite alfuzosin + finasteride. And now, as a third step, he’s being offered prostatic artery embolization (PAE). 😲
What about #HoLEP? Why not?
We should offer patients what they need—not just what we have or what we know how to do. 😀
Alfredo Sanchez Urólogo retweeted
Thanks Matthew @MSLee_MD very nice to meet you at @BEM_TOP_ and see your great surgery at Hands On course. Also our wives spend time togheter seen wonderful Curitiba while we were busy. @lfredosanchez
Alfredo Sanchez Urólogo retweeted
Curso Hands-on con @ThiagoHotaUro, @ThiagoSato7, @Moser_DanielC, @wroclawski_uro, @endohugologo, @lfredosanchez y @quanta_system: excelente formación en Curitiba, Brasil. Realicé dos intervenciones demostrativas con holmio y supertúlio.
Alfredo Sanchez Urólogo retweeted
Grande prazer e honra participar do maior congresso de enucleação prostática do mundo , @BEM_TOP_ , em Curitiba-PR Brasil . Parabéns @wroclawski_uro @Moser_DanielC @ThiagoHotaUro . Encontrar amigos @MSGONZALEZURO @PabloNContreras @endohugologo @HugoLopezRamos @lfredosanchez – at Curitiba, Brazil
