Alfredo Sanchez Urólogo

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

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

HoLEP can remove the obstruction. But can it reverse years of bladder damage?

Severe bladder trabeculation: the anatomical footprint of chronic bladder outlet obstruction.

We can restore the outlet. Can we restore the bladder?

#HoLEP #Urology #BPH

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