Technique must evolve
Mastery is not loyalty to a tool. It is the willingness to change when a safer, more reproducible approach becomes clear.
FERNANDO GÓMEZ-SANCHA · UROLOGIST
From GreenLight to en-bloc HoLEP. From learning beside great surgeons to teaching colleagues around the world. Two candid conversations about technique, judgement and the responsibility to keep learning.

“When I had to operate on my brother, I chose HoLEP over GreenLEP.”
A personal decision that changed the procedure I offered every patient.
Mastery is not loyalty to a tool. It is the willingness to change when a safer, more reproducible approach becomes clear.
Explaining surgery to others exposes every weak assumption. Training colleagues became one of the most powerful ways to refine the operation.
Thousands of procedures do not end learning. They make the small details—and their consequences—more visible.
FULL INTERVIEWS

HUA NEWSLETTER 41 · 2026
A conversation on mentors, GreenLight, en-bloc HoLEP, continence preservation, laser technology and international surgical education.

CONTROVERSIAS & UROLOGÍA · ENGLISH EDITION
An extensive conversation about vocation, private practice, innovation, HoLEP, teamwork and almost two decades of international surgical education.
A PRINCIPLE THAT REMAINS
“After more than 10,000 laser enucleations, I am still learning every day.”
Experience matters most when it is shared.