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ROBOTIC SURGERY

Category Archives: Andrology

Illustration of ovary surrounded by spermatozoa.
Categories: News, Andrology

Male infertility: common causes and treatment options

By Dr. Alejandro Silva - Specialist in Andrology. GUA Urology and Andrology, Gran Canaria

Table of Contents

  1. Male infertility exists (and it's more common than you think)
  2. Main causes of male infertility
  3. How do we evaluate male fertility at GUA?
  4. Treatment options available
  5. Why is it so important to study man as well?
  6. Why choose GUA for your fertility study?
  7. Make an appointment today

Male infertility exists (and it's more common than you think)

Did you know that 1 in 6 couples have difficulty conceiving? And the most surprising thing: in at least half of the cases, the male factor is involved.

Even so, infertility is perceived as a "women's problem", which has made the role of men invisible. Many men do not consult because of embarrassment, misinformation or because they have never considered that they could be part of the problem.

Male infertility has nothing to do with virility or sexual desire. It is simply the ability to produce functional sperm capable of fertilizing an egg and achieving a viable pregnancy.

This is not only a fertility issue, but also a general male health issue. A sperm alteration can alert about hormonal imbalances, clinical varicoceles, or even genetic alterations that could go unnoticed if not studied rigorously.

Many cases have a solution, but require an accurate and specialized diagnosis.

Main causes of male infertility

Varicocele

Varicocele is the most frequent cause. It is an abnormal dilation of the veins of the scrotum, which raises the testicular temperature and alters the production of sperm and testosterone.

  • Even 1 degree too much can affect fertility.
  • Varicocele microsurgery has been shown to triple spontaneous pregnancy rates.

Furthermore, in our clinical experience, not all varicoceles require intervention. It is essential to make a personalized evaluation, since there are mild cases that do not affect fertility and other moderate cases that do require surgery. The important thing is not to assume or generalize.

2. Duct obstructions

In some men, the testicle produces sperm, but there is an obstruction that prevents it from reaching the ejaculate (obstructive azoospermia).

  • Causes: infections (chlamydia, gonorrhea), vasectomy, congenital malformations.
  • At GUA we can repair blockages or extract sperm directly.

Even in cases of vasectomy, reconstructive microsurgery allows fertility to be restored without the immediate need for assisted reproduction. This option is also more natural and is preferred by many patients.

3. Problems in sperm production

It is the non-obstructive azoospermia, when the testicle does not produce spermatozoa or does so in minimal quantities.

Thanks to the surgical microscope, today we can detect functional areas and recover viable spermatozoa in almost 50% of cases.

4. Genetic alterations

Between 10 and 15% of men with low sperm count have microdeletions of the Y chromosome, which affect spermatogenesis.

In these cases it is essential to perform a complete genetic study before attempting assisted reproduction.

How do we evaluate male fertility at GUA?

The study begins with a semen analysis, but it does not stop there. At GUA we perform a comprehensive evaluation, which includes:

  • Complete semenogram (volume, concentration, morphology and motility)
  • Testicular ultrasound and Doppler
  • Hormonal assessment: FSH, LH, testosterone, prolactin
  • Andrological physical examination
  • Testicular biopsy (when indicated)
  • Genetic studies: karyotype, FISH, microdeletions, etc.

We also assess environmental and lifestyle factors: smoking, cannabis use, excessive heat in the genital area (such as saunas or laptops on the lap) or use of anabolic steroids can all affect sperm count and should be considered in the approach.

A bad diagnosis can cost you years, money and opportunities. At GUA, we look at the whole picture from day one.

Treatment options available

Surgical techniques

Sperm recovery techniques

  • TESE / MicroTESE: direct testicular sperm extraction

3. Assisted reproduction

We work in coordination with fertility clinics to apply techniques such as ICSI (intracytoplasmic sperm injection).

4. Medical treatments and supplements

  • Hormone regulation and correction of deficits
  • Antioxidant supplementation when indicated

At GUA, we combine science and experience: we do not apply standardized protocols, but design specific plans for each patient. This not only improves success rates, but also reduces frustration and emotional toll on couples.

Why is it so important to study man as well?

Because in many cases, the problem is in him. And if it is not studied correctly, the couple may undergo costly and unnecessary treatments.

  • Male study is less invasive, faster and cheaper than female study
  • It can completely change the therapeutic approach

Studying the man is not optional. It is an essential part of the diagnosis.

Why choose GUA for your fertility study?

  • Andrology unit specializing in male fertility
  • We are located in Gran Canaria, with state-of-the-art diagnostic technology.
  • Urology, microsurgery and direct coordination with fertility clinics
  • Comprehensive evaluation in one place

Make an appointment today

Have you been looking for pregnancy for more than a year without success? Have you still not had a complete andrological study?

It's time to act. At GUA we are here to help you.

"Male infertility: not your fault, but your responsibility."

medical examination
Categories: News, Andrology

Erectile dysfunction: real solutions to get your sex life back on track

By Dr. María Fernanda Peraza Godoy - Specialist in Andrology and Sexual Medicine. GUA Urology and Andrology, Gran Canaria.

Table of Contents

  1. What is erectile dysfunction?
  2. Common causes of erectile dysfunction
  3. How do we assess erectile dysfunction in GUA?
  4. What can an erection reveal about your cardiovascular health?
  5. The importance of a specialized physical examination
  6. Effective treatments for erectile dysfunction
  7. Why choose GUA for your treatment?
  8. Conclusion: take the step towards your sexual well-being.

What is erectile dysfunction?

  • The erectile dysfunction is the persistent inability to achieve or maintain an erection that allows satisfactory sexual intercourse. It can come on gradually or suddenly, and always carries with it a significant emotional impact. In our experience, many men arrive convinced that the cause is "psychological", but in reality, a significant proportion has an organic cause, i.e. a physical problem that can be identified and treated with a rigorous clinical approach.

Common causes of erectile dysfunction

The most common factors include:

  • Psychological factors: performance anxiety, chronic stress, relationship problems.
  • Vascular disorders: diseases that hinder adequate blood flow, such as hypertension or atherosclerosis.
  • Hormonal imbalances: such as hypogonadism (testosterone deficiency), hyperprolactinemia, or thyroid disorders.
  • Neurological disorders.
  • Altered metabolism: such as type 2 diabetes, which damages nerves and vessels, or high cholesterol, which alters vascular elasticity.

💡 At GUA we use this consultation as an opportunity to diagnose underlying issues that affect your overall health.

How do we assess erectile dysfunction in GUA?

Our studies include:

  • Complete hormonal analyses, including total and free testosterone, prolactin, FSH, LH and thyroid profile.
  • Vascular evaluations (Echo Doppler): which allows us to visualize blood flow and detect possible obstructions or venous insufficiency.
  • Thorough physical examination of the penis, which is often overlooked, but may reveal structural pathologies such as fibrous plaques, non-physiological curvatures or asymmetries.
  • Assessment of the condition of the pelvic floor, whose dysfunction can affect rigidity and maintenance of erection.

We don't just prescribe drugs. We explore what others often overlook by performing erectile function studies and hormone analysis, but above all, we assess the physical condition of the penis, which is key to understanding the real cause.

What can an erection reveal about your cardiovascular health?

Erection is closely linked to vascular health. So when it fails, it can be an early sign that something is wrong with the circulatory system. In fact, recent studies and the European Urology Guidelines warn that even young men with no history of erectile dysfunction may have an elevated cardiovascular risk. At GUA, we assess all these aspects from the first consultation, not only to treat the symptom, but to understand its origin.

❤️ Early consultation not only allows you to recover your sex life, but also to detect in time possible cardiac problems that are still silent.

The importance of a specialized physical examination

Many clinics omit this step, but in GUA it is essential. Physical examination of the penis and pelvic area may reveal:

  • Fibrosis of corpora cavernosa, which prevents adequate filling during erection.

  • Signs of Peyronie's disease, such as plaques or curvatures that may cause pain or make penetration difficult.

  • Changes in sensitivity or muscle tone, which are associated with pelvic floor dysfunction.

🩺 These findings make it possible to choose more effective treatments and avoid inappropriate therapies that do not attack the real cause of the problem.

Effective treatments for erectile dysfunction

At GUA we combine advanced technology and regenerative medicine with a solid scientific basis:

Low intensity shock waves

  • They stimulate the regeneration of blood vessels.
  • Improve flow and oxygenation.
  • Storz Duolith® technology: customized, ambulatory and painless.
  • Non-invasive, painless and performed in an outpatient clinic.

Platelet Rich Plasma (PRP)

  • Repairs damaged tissues.
  • It is extracted from the patient himself.
  • Concentrated in growth factors that promote the regeneration of the corpora cavernosa.
  • It can be combined with shock waves.

🔬 Both therapies are backed by scientific evidence and more than 35 years of clinical experience in GUA.

Why choose GUA for your treatment?

Choosing GUA means choosing equipment that:

  • It is formed by specialists in andrology, regenerative urology and sexual medicine.
  • Uses advanced diagnostic equipment to explore all possible causes.
  • He has over 35 years of clinical experience, having successfully treated hundreds of cases.
  • It adopts a human, close and non-judgmental approach.

🔶 Book your appointment online at
📞 Phone: 928 264 695
📩 Email: info@urologiayandrologia.com

Conclusion: take the step towards your sexual well-being.

If you notice something has changed in your erectile function, don't ignore it or normalize it. At GUA we help you understand what's going on and find real and lasting solutions.

"It's not just about functioning. It's about living your sexuality with freedom, health and confidence."

Categories: News, Andrology

Bladder Cancer: Diagnosis, Treatment and Advances in Robotic Surgery

Bladder cancer is one of the most common types of urinary tract cancer and ranks fourth in frequency among tumors diagnosed in our country. This type of cancer affects the bladder, a hollow muscular organ located in the lower abdomen, whose main function is to store urine. The good news is that, in most cases, bladder cancer is detected in early stages, which allows for highly effective treatment and the possibility of maintaining a good quality of life for patients.

Early Diagnosis: Key in the Treatment of Bladder Cancer

Detecting bladder cancer in its early stages is crucial to offer curative treatment and ensure a good quality of life. At GUA Urology and Andrology, we have the most advanced technology for early detection, such as high-definition cystoscopy, which allows us to accurately visualize the inside of the bladder and detect any abnormality in its early stages. This approach allows us to design a personalized and effective treatment for each patient.

Treatment options

Treatment of bladder cancer varies depending on the stage of the disease. In the early stages, minimally invasive treatments such as transurethral resection of the bladder (TUR) may be chosen. This procedure is performed through the urethra and allows removal of small tumors without the need for external incisions.

In cases where the cancer has invaded the bladder muscle, an intervention such as cystectomy (removal of the bladder) is required. Traditionally, this procedure involved the creation of an external urinary diversion, forcing the patient to use an external urine bag. However, advances in robotic surgery have revolutionized this area, allowing for less invasive solutions with better results.

Robotic surgery: A revolutionary advance

At GUA Urology and Andrology, we have integrated state-of-the-art robotic surgery, such as Medtronic's Hugo RAS system, to provide more precise procedures with fewer complications. Robotic surgery allows for smaller incisions and more precise control of every movement, resulting in faster recovery and less post-operative pain.

Advantages of robotic surgery in the treatment of bladder cancer

  1. Less invasive and more precise: Smaller incisions mean less pain and faster recovery.
  2. Preservation of the quality of life: The creation of neobladders allows patients to maintain a more natural urinary function, avoiding the use of an external urostomy bag.
  3. Reduced complications: The precision of robotic surgery minimizes the risk of infections and bleeding.
  4. Preservation of sexual function: Robotic surgery helps preserve sexual function, which is crucial to patients' quality of life.

NeovejigasNeovejigas: Innovation in bladder cancer surgery

One of the most significant advances in the treatment of bladder cancer is the creation of neobladders, a procedure that involves the reconstruction of a new bladder using a portion of the patient's bowel. This method allows urination to be more natural, significantly improving quality of life. Thanks to robotic surgery, this procedure is performed with greater precision, reducing side effects and improving long-term results.

At GUA Urology and Andrology, we are specialists in the diagnosis and treatment of bladder cancer and in performing robotic surgeries. If you have been diagnosed with bladder cancer or suspect you might have it, do not hesitate to contact us. We have the best diagnostic tests and a team of expert surgeons to provide you with the care you need.

We are here to offer you the best possible treatment and help you maintain a full and healthy life.

☎️ 928 264 695

📲 629 334 583. WhatsApp

📩 info@urologiayandrologia.com

➡️www.urologiayandrologia.com

José Mesa y López, 54. Las Palmas de Gran Canaria.

Categories: News, Andrology

Prostate Cancer: Robotic Surgery vs. Traditional Surgery

Prostate cancer affects one in six men and is the second leading cause of cancer death in this group. Although its progression is usually slow, its impact on quality of life can be significant. Unfortunately, prostate cancer does not always present clear symptoms in its early stages. Difficulty urinating, blood in the urine, back or joint pain and erectile dysfunction may be some warning signs, but they do not always manifest themselves. This characteristic makes early detection difficult.

Although prostate cancer can affect men of any age, the risk increases considerably after the age of 65. Early detection, through tests such as microultrasound and fusion biopsy (Madrid Protocol) are essential for timely diagnosis and effective treatment.

In the field of urology, both robotic surgery and traditional surgery have proven to be effective options for treating a wide range of pathologies such as prostate, kidney or bladder cancer. However, each approach has its own advantages and disadvantages that patients should consider before making a decision.

What is robotic surgery?

Robotic surgery uses an advanced robotic system to perform complex surgical procedures with greater precision and control. The surgeon sits at a remote console and controls robotic arms that manipulate tiny instruments inside the patient's body.

What is traditional surgery?

Traditional surgery, also known as open surgery, involves making a larger incision in the skin to access the surgical area. The surgeon then performs the procedure using hand instruments.

What are the advantages of robotic surgery?

  • Greater precision and control: Robotic arms offer more precise and delicate movements than human hands, allowing the surgeon to perform more complex procedures with greater accuracy.
  • Less trauma and smaller scars: Robotic incisions are smaller than traditional incisions, resulting in less pain, bleeding and smaller scars.
  • Faster recovery: Patients who undergo robotic surgery generally experience faster recovery and less downtime than those who undergo traditional surgery.
  • Improved visualization: The robotic system provides the surgeon with a magnified three-dimensional image of the surgical field, which improves visualization and accuracy.

What are the disadvantages of robotic surgery?

  • Higher cost: Robotic surgery is generally more expensive than traditional surgery due to the cost of the equipment and robotic technology.
  • Limited availability: Robotic surgery is not available in all hospitals or surgery centers.

What are the disadvantages of traditional surgery?

  • Increased trauma and larger scars: Traditional incisions are larger than robotic incisions, resulting in more pain, bleeding and larger scars.
  • Slower recovery: Patients undergoing traditional surgery generally experience slower recovery and more downtime than those undergoing robotic surgery.
  • Less visualization: Traditional surgery offers less accurate visualization of the surgical field compared to robotic surgery.

The decision to opt for robotic surgery or traditional surgery in urology should be made in conjunction with the surgeon, considering factors such as the patient's specific condition, medical history, personal preferences and cost. Both approaches offer advantages and disadvantages, and the best choice will depend on each patient's individual circumstances. 

At GUA Urology and Andrology, we position ourselves at the forefront of urology with cutting-edge technology. Our Hugo™ RAS robotic surgical system from Medtronic makes us a leading center for robotic and minimally invasive surgery. We offer our patients exceptional results in the treatment of a wide range of urological conditions, including prostate, kidney and bladder cancer.

Are you looking for an expert in robotic surgery for prostate cancer? Dr. Pablo Juárez del Dago, director of our Robotic Surgery Unit, offers you excellent results.. Contact us for more information for more information.

☎️ 928 264 695

📲 629 334 583. WhatsApp

📩 info@urologiayandrologia.com

➡️www.urologiayandrologia.com

José Mesa y López, 54. Las Palmas de Gran Canaria.

Categories: News, Andrology

A trip to the heart of Cameroon: urological mission with Surgforall

We are very happy to tell you that part of our team, under the leadership of Dr. Pablo Juarez del Dago, with the anesthesiologist Javier Mora and Oliver Estupiñan from our Nursing Unit, have carried out a humanitarian mission of urological care in Cameroon.

In collaboration with the organization @surgforall, our team went to the Notre-Dame de la Santé Hospital, located in the Cameroonian town of Dschang. There, during their stay, they performed surgery on 35 patients and provided medical care to a total of 100 people.

Beyond medical assistance, this mission represented a unique opportunity to establish a deep bond with the local community and understand their most urgent needs.

Our team was deeply touched by the warmth and resilience of the people of Dschang, who despite the difficulties, welcomed us with open arms and gave us their unconditional support.

"This mission has been an infinitely rewarding experience," say all members of the cooperating team. "It has been an honor to be able to collaborate with @surgforall and Notre-Dame de la Santé Hospital, and above all, to be able to connect with the Dschang community and offer them our help."

They now return home with hearts full of gratitude and with the hope of being able to return to Cameroon soon and continue to contribute to improving the lives of the people who need it most.

You can also follow the mission on instagram below.

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