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Surgical Innovation

Original Surgical Techniques

Four procedures developed, validated and published by Prof. Calarco — including the Zancle technique and the RASP with San Carlo Flap technique, both published in international scientific journals. Adopted in international urological centres as standard references.

  • Active Guidewire

    Active guidewire technique for the endoscopy of complex renal stones: improves control and safety during navigation of the urinary tract. Validated in a prospective multicentre study.

    2021
  • Bipolar Enucleation of the Prostate

    Original technique by Prof. Calarco. Prostatic adenoma enucleation with low thermal density bipolar energy. Immediate continence in all cases, with ejaculation preservation.

    2020
  • Zancle

    Innovative technique for the treatment of bladder neck hypertrophy with preservation in 100% of operated cases via the innovative Z-cut (Z Anathomical Needle Cut Leads Ejaculation). Published in an international paper.

    2023
  • RASP with San Carlo Flap

    Original technique for ejaculation preservation in prostatic surgery. Published in international scientific journals.

    2025

Other procedures

Other procedures performed

Established urological techniques performed by Prof. Calarco, minimally invasive and endoscopic.

  • RIRS — Retrograde Intrarenal Surgery

    Flexible endoscopic technique reaching the kidney through the natural urinary tract with digital instruments. Discharged the next day.

    2000
  • mini-PCNL — Percutaneous Nephrolithotomy

    Small-calibre percutaneous access to the kidney for direct removal of large or staghorn stones. Stone-free rate > 90%, hospital stay 1–2 nights.

    1997
  • HoLEP — Holmium Laser Enucleation of the Prostate

    International gold standard for laser prostatic enucleation. Applicable to any prostatic volume, with minimal bleeding and long-term durability.

    1998
  • Da Vinci Xi Robotic Surgery

    Da Vinci Xi system: four robotic arms, 7 degrees of freedom, 10× 3D vision, tremor filter.

    2014
  • Microsurgical Varicocelectomy

    Microsurgical correction of varicocele for treatment of male infertility and chronic testicular pain. Subinguinal technique.

    1985

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