Author Archives: Communication

Dr. Pablo Juarez del Dago, director of the Robotic Surgery Unit of our center together with his team and accompanied by Dr. Alberto Breda, a world leader in robotic surgery and President of the European Association of Urological Robotics have carried out, in a pioneering way, the first three radical prostatectomies in the Canary Islands with the RAS Hugo™ system of Medtronic, an intervention in which the prostate gland and adjacent tissues are removed.

This type of surgery is minimally invasive, which allows a faster recovery and reduces side effects. Patients who have undergone surgery have received their discharge report only 24 hours after surgery.

For patients, robot-assisted radical prostatectomy has the advantages of minimizing sequelae such as erectile dysfunction or urinary incontinence, reduced blood loss, a lower risk of complications, fewer patient days with a catheter, and less pain. In addition, it offers patients greater comfort and well-being, since the surgical intervention, with very small scars, interferes less with their daily life and allows them to return to their usual activities sooner.

First radical prostatectomies in the Canary Islands with the RAS Hugo™ system.

"All three surgeries have been performed satisfactorily without complications and with a postoperative admission of less than twenty-four hours. The evolution of the three patients is optimal and the prognosis with respect to sexual potency and urinary continence of the three patients is very good. We are very satisfied with the result.

We have started with prostate cancer, but we are already working on the design of the program to operate on kidney, bladder and other organ cancers with the aim of offering Canary Islanders the best treatments and the most advanced technology. Working with this type of innovative technique improves the surgical process by 40-50% compared to other types of surgery. This robot-assisted surgery system places us at the highest level of excellence in medical technology. Thanks to these improvements in surgery, side effects such as alterations in sexual function or continence will be minimal," says Dr. Pablo Juárez del Dago.

Each operation lasted approximately two and a half hours and in addition to the doctors, three nurses, an anesthesiologist and a urologist assistant were present in the operating room.

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Our center GUA Gabinete de Urología y Andrología of the hand of Hospitales Universitarios San Roque is the first to offer the most advanced robotic surgery in the Canary Islands.

We have presented at a press conference the arrival of the first Hugo™ Robotic Assisted Surgery System from Medtronic. It is the first Hugo™ robot in its highest range to arrive in the Canary Islands. 

Hospitales Universitarios San Roque and GUA Urology and Andrology, led by Dr. Pablo Juarez del Dago, with extensive experience in the field of urological robotic surgery at national and international level, have been pioneers in the Canary Islands in incorporating the Hugo™ Assisted Robotic Surgery System to their facilities, the latest technology in minimally invasive surgery that improves the results, accuracy and safety of surgical activity. 

- The acquisition of this most sophisticated surgical technology represents a further step forward in the evolution of surgery in the Canary Islands and makes available to all citizens the benefits of cutting-edge robotic surgery that offers greater versatility and versatility when designing personalized treatments for patients. We have the necessary equipment and infrastructure to carry out the most complex surgical procedures. This advanced system, which is operated by highly qualified surgeons, offers the patient greater safety and safer results than traditional surgical procedures. - explains Dr. Juarez del Dago.

Medtronic's Hugo™ RAS system revolutionizes the meaning of performing robot-assisted surgery and is the first to arrive in the Canary Islands. Its modular and portable design, together with powerful analysis capabilities, an innovative system in the controls of the wrist instruments, an open console that facilitates communication between the surgeon and his team or a 4k 3D screen that provides greater definition and precision of vision with a great capacity for differentiation of tissues and structures in the surgical field, provides greater safety for the patient with the advantages granted by robotic surgery such as reduced postoperative pain, less need for blood transfusion, reduced hospital stay and early return to daily activities.

Directed by Dr. Pablo Juarez del Dago, the Robotic Surgery Unit of the Robotic Surgery Unit of Hospitales Universitarios San Roque and GUA Urology and Andrology, whose main objective is to position itself as a reference center for robotic surgery in the Canary Islands, has a multidisciplinary character and will involve surgeons from different specialties such as urology, general surgery, gynecology, among others.

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Prostate cancer is a highly frequent tumor in men with a very versatile clinical course, being able to behave in a very benign or very aggressive way.

One of the challenges facing prostate cancer urologists is to achieve an accurate and rapid way of detecting prostate tumors. Some of the most important advances in recent years have been MRI and image fusion biopsies. 

However, this new ExactVu™ micro-ultrasound technique allows real-time visualization of the prostate and guided biopsies, both systematic and targeted. In this way, tumors that MRI misses can be detected and facilitates visualization of the peripheral area of the prostate. This is important because seventy percent of tumors are detected in this area.

This technology, far superior to the standard, allows us to obtain an image quality 300% higher than that of other ultrasound scanners. This image quality allows us to diagnose a higher number of cases of prostate cancer at earlier stages of the disease. With earlier diagnosis, patients are more likely to be cured and have access to more effective treatments with fewer side effects.

The new system is the first of its kind to be installed in the province of Las Palmas. Thus, the ExactVu™ biopsy is the fastest, most advanced, effective and sensitive alternative to accurately diagnose prostate cancer. "It also manages to significantly reduce the time needed to perform it; it can be done in approximately 20 minutes, much less than the time needed for a fusion biopsy," Dr. Pablo Juárez explains. details Dr. Pablo Juarez del Dago, Medical Director of our center and specialist in Prostate Cancer.

Do not hesitate to contact our Urology Unit for more information:

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Our Medical Director, Dr. Pablo Juarez del Dago, is participating in the first urological mission in Cameroon with Surg For All at the Hospital Centre Catholique Notre Dame de La Santé Servantes de Marie in Dschang where 47 people were operated on in June 2023. 

- This mission has been a very nice way to collaborate directly in the place where help is needed. I am very happy to have done my bit in this cooperation. It has been an infinitely enriching experience and I have been fortunate to be surrounded by a wonderful team, and I look forward to returning.- said Dr. Juarez del Dago on his return.

Surg For All is a non-profit organization whose main objective is to help hospitals in Africa by training health personnel to treat pathologies that currently cannot be treated and negatively affect the health and daily life of the population. In addition, Surg for All cooperates with the donation of medical material.

The means available to many of the hospitals that serve the majority of the population are so meager that any help allows many people to obtain a great improvement in their quality of life.

At our center, we are very happy to have been able to collaborate with this initiative.

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Our Dr. Francisco Juárez del Dago, expert in Sexual Medicine and Andrology, clarifies some recurring concepts in consultation on reproduction.

Human reproduction is a complex process that involves the union of male and female sex cells to give rise to a new being. However, more than 12 out of every 100 couples have difficulty conceiving and it is common to confuse the concepts of fertility and sterility, which can lead to misunderstandings and conflicts within the couple. It is important to clarify that sterility is not a disease, but a situation in which a couple does not achieve pregnancy after a year of normal sexual relations. Infertility, on the other hand, refers to the inability to carry a pregnancy to term after conceiving.

It is crucial that both partners be evaluated together to determine the causes of sterility or infertility. The most common female causes include hormonal disorders and inflammatory diseases, while male causes are often related to low sperm production.

In the Reproduction Reproduction Unit at our GUA Urology and Andrology center, specialists perform a physical examination, ultrasound studies, blood and urine tests with hormonal study, and a semen study in the male to obtain results and provide a first assessment consultation to the couple.

Treatments for sterility or infertility will depend on the cause and may include medications, changes in sexual behaviors, or assisted reproductive techniques such as artificial insemination or in vitro fertilization.

Treatments:

• Ovulation-stimulating drugs are used to help women produce eggs and increase the chances of pregnancy.
• Artificial insemination: is a technique that involves placing selected sperm into the woman's uterus at the appropriate time for fertilization.
• In vitro fertilization (IVF): involves fertilizing the eggs outside the woman's body and then transferring the resulting embryos into the uterus.

Assisted reproduction techniques:

• ICSI: is an IVF technique in which a single sperm is injected directly into the egg.
• Egg donation: involves using donor eggs to fertilize with a woman's partner's sperm.

Microsurgery allows operations to be performed on very small structures, such as the tubes connecting the ovaries and uterus (the fallopian tubes) or the vas deferens in men. It is used to repair or reconstruct damaged reproductive tissues or to perform sterilization reversal, for example, vasectomy in men or tubal ligation in women.

The Human Reproduction Unit of our GUA Urology and Andrology center offers solutions to these situations in a simple, orderly and joint way. The goal is to help couples understand what is happening, why it happens and how it can be solved, in order to provide an effective solution and avoid prolonging the process, which can negatively affect the sexual relationship, spontaneity, desire and affection in the couple.

Contact us for more information.

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