El Podcast de Marco Antonio Regil - 363 - Lo que nadie te explicó sobre el piso pélvico - Marco Antonio Regil y Dr. Juan Carlos Bárcenas

Episode Date: February 17, 2025

¿Tu piso pélvico está en riesgo? Esto es lo que nadie te dice sobre su importancia.¿Sabías que un piso pélvico debilitado puede causar incontinencia, dolores y hasta afectar tu vida íntima?En este episodio, el Dr. Juan Carlos Bárcenas, especialista en Urología, nos explica por qué es clave cuidar esta zona, cómo fortalecerla y prevenir problemas comunes.Si quieres mejorar tu calidad de vida y cuidar tu salud desde adentro, este episodio es para ti.Y si deseas dar un paso más para conectar con tu cuerpo, tu bienestar y tu paz interior, únete a mi curso de 21 días de gratitud, donde aprenderás a cuidar tu salud desde adentro, comenzando por tu mente y tu corazón.Ingresa aquí: https://marcoantonioregil.com/gratitud/Sigue al Dr. Juan Carlos Bárcenas: https://www.instagram.com/juan.carlos.barcena/?locale=zh_CN&hl=afEn mi canal de Telegram, accede a contenido e invitaciones solo para fans. Únete en: marcoantonioregil.com/telegramDescarga GRATIS nuestra revista digital y encuentra información inédita del episodio de la semana. Da click enhttps://marcoantonioregil.com/aprendamos*Importante: Nuestros invitados son expertos en sus temas y reflejan su conocimiento y su punto de vista, siendo conscientes de que cada una de las opiniones es totalmente personal. La información, datos, comentarios, estadísticas que se presenten en el Podcast de Marco Antonio Regil, son de exclusiva responsabilidad de quienes las emiten y no representan, necesariamente, el pensamiento de Marco Antonio Regil o de la producción del podcast.

Hospital Angeles Health System Presenta. San Pablo Natural. No, backes the guardia. Reforses your defenses. Presenta. The pispoelic is debilita

inevitably with the age or the person that is the person that's not the person. In the home, the

orgasm has to be with the prostate and with the pisopelico. Much of it's an thing of women,

that is a thing of women. There are many reasons for that a piece

pelvic is debilite. It's a thing that we have to put much attention. Sure. Hombers and women,

because if not, those consequences are terrible. Because it's the second the cause of murder for cancer in

men in the world. Is it really that the point G masculine is in the prostate?

As it we're the prostate conformed we going to our age, to the women,

it's going to be minuscending one percent of muscle of the pizof have been

having or not have been in what doves? What do in what in the

there? There's there there's a solution for that. The paial is the solution.

All right. All right. All right. So, that's what they're going to do. It's only

an adelante of what we're to learn normally when we're about the piece

pelvic, we think about in the gynecologist, in the gynecologist and in the

women, but today we we'll be the piece of the health of the

human, especially for example, with the cancer of prostate or your performance

sexually the men, we're famous for not to go to the doctor, the woman, or the kids, the one is the

people, the podcast, you're going to this podcast, you because maybe can affect to you in your life directly,

if you're a man, but if you can save him the life to your partner, because the women are

negligentes with the doctor. We've invited to one of the best urologes to Mexico, the doctor

Juan Carlos Barns, which is a surgeon of transplantes, expert in surgery robotica of the hospital Angeles Lomas and also

the chief of urology of the hospital Angeles Lomas to talk the role that plays the piece pelvico in the men of the

consequences that can have been a piece pelvic and obviously of how can ramific to even to a cancer of prostate

so that will be very interesting and the syrugy robotica that is a maravit also to explain the

role in the medicine modern. So, keep with us to learn and to grow up.

We're ready. We're going to episode 363. The podcast of Mark Antonio Regil is a production of RGEL Entertainment

and all his rights and all right. Welcome, Dr. Juan Carlos, Barcelona. How are you

very? Thank you. Thank you for the invitation. Thank you. Thank you. The contrary, because I think

we have much to learn. But the women are very disciplined to go to their gynecologist, they're

obviously, they're reasons very important to care The men are we're doing negligent, a lot of our health, especially when it has to be

for those rinkones of the that we're going to be a burglargo. I want to ask you, I want to be, the urologo is the equivalent to the gynecologist for the women? You are the gynecologist

of the men? No, the urologo has to be to people from children, women, young, women, and why? Because we're

we're using urinaria. Ombres and women? Our specialty is via urinari. Okay. Rignons, urethres, bejiga, uretera.

But apart, we've been the, the part sexual and the part of the organs sexual is masculinous. Ormone? So, so is. Okay. Salus sexual. Salute sexual, reproductive. Uh-huh.

Syndromees genetices that affect a, a, a, a function sexual. Uh-huh. Uh-huh. It's a speciality very ample. Prevening the cancer of prostate. That is the most important. That is the objective, right? So, so, so.

So, we're going to get there, but we're, but we're, I don't want to understand very well. So the urologo not is the equivalent to the gynecologist. So, because you're in

women and women. So, in the piece pelvic, when you know, it's over the person, it's a problem of

women, that's a thing of women, but the men also we have a problem, but it's very important to

have it's very important to have it as well as the women, because we have various

functions organics of it. We're we can't incontinence urinaria, incontinence fecal, and even for our sexual, is important to have a piece of pelvic.

Firmary's and women, what you have you said. In the woman, it's more common to have a problem in the woman, because the piece of pelvic of the woman has three orifices that normally are those

that debilitae the epistle, the orificio of the ano, the orificio vaginal, and the orificio of the urethra, that is for where we're in,

So, so as as we're the prostate conformed we're going to our age, to the women,

it's going to be diminuiting 1% of muscle muscular of the pisoelbic have you, have been

so they've been so it. So, so it's very important because apart the piece of the

piece of the area. The part anterior, we've the urologos in the

woman and the part the part media the bel gynecologist in the and the

part posterior the part posterior, in women and women, we're not we're not

we're not a part middle because precisely there's there's there's

a rostata and there is an abient and not is an thing that you have to put to

attention men, men's because if not those consequences are terrible so nobody

want to nobody want to have incontinence or that's unironia fecal

and that is something that is something that you not exercise your piece

pylylylis and not you put that I mean, literally, even you rips, a good chis, and it's a

there's a and the shisgette and the pipi, and nobody want that. I have patients, for example, women,

I have a patient Colombian that she's a incontinence urinaria, he was to do you

and the problem is that the solution that the most of the people, is the

paeal. I'm patients that are in the people in the restaurants,

the Wednesday, in the desayunos of a santa for example and you

you're a woman and you know, because it's the cell in the water.

How's abuelitas, no can't carry to his not even in the

poor effort to have they've a urinary. So, there's

a solution. The paial no is the solution. No, who who can

want to get to get to get those let's let's let's letters or

or and you see, the model with a they put, on

some or women of 50 years and say, I don't want to do that. No,

for nothing. Even when they're when they're people, the patients, they're in the

possibilities therapeutics, the reasons for those that they've got the problem, accept them the procession

or medications and it's resolved. I mean, even they're even, they're just to these programs,

for example informatives, is the form in that the people, we're much

many so. So, so, to start so, for the

principle, basically, the piece of pelvic, is debilite inevitably with the age, or the person to the person pergene?

For the two things. The obesity, habits, dietetic, habits of exercise, themes of herencia,

number of births, number of partos, there are many reasons for that a piece of a bit of

a bit more of details. You said for habits alimentious? Yes, for example. The piece

pelvic is a maca. Literal is a maca that's a garrs that's a okay. So are muscles? So,

are musculos? Okay. So, are various muscles that are to support the viscars that are

right. So, then you let me to a maca a person of 30 kilos and no

going to pass a person of 110 kilos and then, so it's going to be debiliting,

obviously. So, So, Mintras more Pes-Terminous, you know, more you need to

make a piece of the physical. Exactly. And also the more sedentary you're in

your work. Because in the actuality, the person are we're not not we're not we're

not we're not come in the things, we're not going on the market,

all is in the car or in officeina. So, so if we don't do you

regularly we, we're going to have a piece heavy. When when you

when you when you're when you're on Right. Normally the Piso Pellivocal is exercised

when you're about you're so there's like exercise like the exercise like the like the yoga, like the

Pilates of Machina that serve very well is the person of a patient, well, it's the spouse of a

person of my group or of my group or that's not me say the organ yeah,

yeah, in yoga they're they're they're they're put your put your

attention the mula and that and that preets the mule the muscle

pub or coxigio. So, then as to start it's with the respirations and you're doing that's

exercising, you're doing that's that's to do you, for example, it helps to help

to get a elucation. So, it helps that the relation sexual be a

long, that's a so that that's a muscle or that is the that you

do you when you go to do you, you you're to put to be

to be exactly, or that's exactly, or is the that's the that we're

that's out of the urine or the or the excrement. It's a it's a muscle where are the spinteres precisely.

Or when you're dormido, dormita and you know, and you're to get to do and you get to get to be pee

but at a level subconscious, that muscle is a mind that you are not going to get a

same. Exactly. So, so is that is that you have to have to

have to do you know, and it's the same muscle that's that's

and with the pisopelic. Ah, a bit of, so. So, look, let's hear of, see,

in the moment in the the moment in the moment in the woman will yacula, pardon, there's a

dischargene of a system that's a madrenergic, the spiro, that is the pisthepelike, so they

seere the coo of the begina, and they are they are a ur-estatria, so,

there is the emission. But for to have the force of the ejaculation and the orgasm,

the bulbo-cavernosos, that is a muscle of the pisopelicose, it's a contract 300 times per second. 300 times per second. It's the pressure in the oretra

necessary for that's the refinter external and it is the spencer. That's the orgasm. So, so those 300 per second

is what you see that when you get to get in. That's the pleasure of the orgasm. That's. And obviously when you have 13

10 years, well, well, so you're, you're just you're trying to the lunar. Totally.

And then you go, you're going to and then you're going to in the classes of karate, you're in the classes of football, you're going to and you're new.

Exactly. And at the 60, you get to the new to the classes and those and those vets and those viz and those viz

and the but then that that force no would have to disminuivir. If you're proactive to exercise your

piece peltvico your women and so that that potency can continue. Sure. It's

continue. And, of actually, also, there's also there's a lot of a lot of the term, it's called

rejuveneciment vaginal, in where they're coming with CO2 the vagina to press the hipus

and have a little more of the man to the woman in the relationship

but the exercise of Kegel, for example, the yoga and the other, exercised

those muscles and then the man has a more sensibility in the relation

sexual with your father. And when you're doing exercises, you're saying, endurest

your abdomen, endurest your active your center, you're doing, you know, a good internator.

You're doing it's biceps. And you do you get to your center, so you that's

helping to help you. Yeah, all. All right. All that's the core,

they're called. The core, the center exactly. You're you're just you're doing,

moving, moving, you're getting, bicylete, you're to activate the center.

And as and when How do you activate the abdomen? When you do. When you doork, there's a lot. No, the abdominals

not are so good to exercise the abdomen. The, the, the, the abdomen.

Really, what you do you look in the abdomen is the tension isometric is the time.

For example, the planches are the better for abdomen. They're super fervorous. So,

so 30 seconds, 40 seconds seconds, yeah, to get to the minute, yeah.

So, all the variation of types of planchas is the better. The

side of the front. The exercises functionales that are in the cross-F, for example,

I don't think, I know in the cross-fit, but in the three areas of the cross-fit,

the exercises, the exercises, occupant your abdomen in all the burpies, this,

the start doing a crador in your brink, sentadillas, all, but in the

yoga, for example, if there's many, so many many, the front,

the side, the there's a lot and aflojas the and you're going to and you're going to and then you're and all the

the salutes of the sun, the chatarangas constantly is abdomen abdomen, abdomen, abdomen, precisely for that's the best that's the

exercise for the abdomen and apart it's an exercise is a practice that's putting very of moda fortunately

and not only to help to help me to meditate to be able to to be able to and much and also

as the Pilates in machines marvellous. It's pure abdomen. It's a pure abdomen. It's, okay, he's up,

he's a, from a hand, and it's like a custom to do it from your center. As it. From the core,

so it's. So, all that does do you serve. All those are both men, and women, are the most

they're more have to have been to make or so, or so, they're going to the end the

piece of pelvic, pardon. Okay. We're going to to get to the temid cancer of

prostate. Okay. But this help to prevent no? No. That's simply to have

force, for that you can't have sexuality, go to get to the banion. Until there,

until there we're not more. So, look, the thing of the cancer of Prostata,

oh, there would be something to be able to prevent it. And if if there could be

that I'm that I'm probably, my papa would be doing, my maestros urologes

would be are taking. But, unfortunately, the cancer of prostate not can't

prevent. It's a time. Detectar. And right, we're going to about to be so there.

But for the prismelike, is that I'm to do you get a better of the life I'm going to have to

get a sexual active. I want to keep it to be able to go to when I want to

go to go to go. I'm, I'm like, I'm going to do you that's all

what can't do you know, that's a, they're going to be something like that's, they're going to get back,

that's, literally, cargan their bottles in, in the car, in the car, because if they they're in the periferico, they're in urgency

and they're in. And there, oh, yeah, a question, you're going to ask a question rare, but why, when when

they're, they're, they're, are like attacks. It's, it's like and you're and then you're

like, you know, but you're going to go to go to get, to go to get to what's

what's in the thing in the headiga there's three abysos. In the vaguely in the begiga

there is three abysus basically the bit of the vaguely the begica

so so it's so far he's the first deceomixional the first deceomixional

is oh, I have to go to go to nobody go, or very

people go in that the desire. It's the the way, the but why it's going.

Why is because it's a lot of because it's a biggila. Exactly. Exactly. It's not

saying, yeah, it's a thing, so, so you don't know, there's

there's a place, they're in this moment. Mucer, over all when we're going

in the carretta managing the nobios, and they're in the first dese

miso- No, the thing of the a lot of you, I don't want to be.

Sure. The second desksional, yeah is when always we're going. And the third is the urgency. Is,

you know, I'm, and it's a pain, it's a pain, it's a pain, it's a pain, you know, and it's a person, that

he's a and he can't do you know, and you don't know that's what that's what that's, that's

that's the cancer of prostate, yeah? No, that's is the cresimient. Crecimient of Prostata?

And the and the prostate and the a whole to us to grow the prostate?

A forceita? To all the men? To all so all to us not tap

the prostata? If no we don't we're atentos yeah. The idea to go to

the urolog is not to get to that's not to get to another a little like

like that like you as well as you we're just we're very so we're so men

is that is that you're like you go and they're going to get in the want to

get to do that that's that we're about in the thing in the

thing of detection, but... Yeah, yeah not the thing. But yeah not so. Exactly.

Well, it depends of the of the world. There's there's there's

that you're that's in the tacto also. I'm I'm in the change for Carlos

Spegel for the comedian. Because I live in California and my doctorer

me made the examin and me he said Carl we're we're saying and he's

my name not you know no and it's no, Like, I'm in the carcels,

you know, yeah, you know, you know, you know, even to put a, the guant, yeah, no,

what I'm, what I'm, exactly, what the doctor, is that's, so, so, they're,

so, it's, yeah, was, the time, the time, the year, the time, the,

yeah, exactly, exactly, exactly, yeah, there, you, you, you know,

you know, you know, is necessary, or so, yeah, no, is, yeah,

not, it, depending of the level of antigeno, prostatical, that is the studio of the same, but what we say of the men

decidiosos, the man not going to go to go to the urologo. The man is a man, he's a lot of three reasons

for those that the men are to the urologo. Because he'll obliga the number one. He's got, we're talking

to the three responses in the table the most popular is because the husband he says that

it's it obliga, clear. It's because he passed to someone

very very very he's a friend, the friend, the friend of

the club of motorcyclets to do and they do it and they put their barb to remohar

and they do they they're because the the woman did the because he

did fear and the number three and the number three that every we've

that we see it's for the checkops for example in the hospital in

in the I'm the Angeles we we we're we

the companies mandan to the men to make up they're in the antigeno elevated,

we're in the we're doing, we're doing, that's the important of the detection them from then the

time per that year? That is the most important. One a year? And you know?

And you know? Because it's so important? Because it's the second the cause of the cause of

the cancer in the on the world. Not only in Mexico, in the

world. So, it's a study of the blood. No you need more.

That you can do you do you can do do you can get to do your for 20,000 things and one of those is the

antigeno prostate. A me what me impressioned more there in the hospital is that the most that the most detects

cancer of prostate are the cardiologists because they with the cardiologists they're going

year and they they're they're they're they're all the battery

of the guant that you know you yeah we're some

we're some this is my neurolog because me going to be the man.

So when you're in the career to make a carrily because of everything what you

have been to have been to be able to why you get to this? The real. The

truth. We're we're we're we're and we we're we're

we're so in the sense of you you're a cancer of you operable,

you I'm per you know you you know you know you're no need

you you know you you're you're you a You have a insufficiency

Renal, we're a transplant renal, so you can't the insufficiency renal. So, it's one of

the specialities more churricular that is the most technologicalic that is, it's the most and we're very few.

Because nobody he doesn't. That's it. That's good that you get it's. Because if me imagine,

not, it's not not a greatable. Yeah, no, I don't have this arregos

florals in December, but, but well, one, for others, no? One a friend,

the doctor Paloma of the Fwente, that's not a urologer but always in the hospital where I'm

saying, a bit of you know, you know, you know, there's deados and we can't get us

and we're always, say, oh, Markito, you know, I'm gonna you the man.

Now imagine to grossos. No, no. No? Yeah, yeah, see.

Ah, doctor. Now, if it's necessary to do the tacto rectal, but yeah

we do we know when we know we're a suspect. The examin of the same thing, and for the

most the public, especially the most of the kind of the first is to doxia the patient. Yeah,

yeah, he's done it you know, you know, you're able to get it all the thing,

exactly. The doctor. Exactly. And it's the best way to do you. We're just a pauseita.

And right that we're let's see that we're So, you do the examiner if it's necessary,

you know, if you're necessary, you know, and then the, the thing is that obviously

have to prevent the cancer of prostate. But if if you get to you or

a person, or some the importance of surgery to be a time, that's we're doing to be a

good treatment, so it's a chemo, et cetera. We're about that. then, we're going to

the doctor that I don't bring wands, thanks to God. We'll come to the podcast. In Hospital, Angeles, you can't

operate in the future. With ciruia robotic, that is more precise, secure and less dolorosa

than a operation abjörn. It's less probable that you need a transfusion

sanguine. Also you'll have less complications post operatorias and your stance

in the hospital will Menor. Luchamos for your health with the best technology.

We'll continue with the podcast. It's with with Dr. Juan Carlos Varsena, urologo ciruano

of transplantes specialist in surgery robotica of the hospital Angeles Lomas, obviously part of the

Angeles Health System. Acero, I was a one of the sequences of yoga. In English,

it's chataranga, in Spanish, it's he said, Chaturanga. I'm

my master me said Chaturanga. Chaturanga. Chaturanga. Chaturanga. The theme is that you're the center. And the is the epistle pelvic.

The piece of pelvic. Exactly. Well, then we're talking the cancer of prostate that's the cause number one of It's the number two. It's the cause number two of death for cancer in Homs. In Homs. The first is a Poulmone. First pulmon. But the

pulmone no can't detecter at time. The cancer of prostate, yes. Because it's the inflammation. No. Because it's a detection for antigeno prostatical, for example. The same. Exactly. One of year. forcibly in cancer of pulmon,

for example, you'd, you'd be to start doing tomographies seriades, which is an study a

more more more than for the radiation. But here's a study of a biometri ematica or like a

chemical, that's actually they're in the urolog to do it does it, if it's that's,

for example, viewing the possibility of a treatment of remplasoromonal, no? For example.

They have to be, because the testosterone, that is the hormone masculine, affect directly

over the prostate. So, even Asi, the Hes, me, you know,

about abouts the system Angeles. Yes. The group Angels have in

different places, zones of Chekops. No? Incluso there is an area in

the center of the city, that is exclusive of Chekops. And there checkups

masculine. So, they can acudy to these places to make a make up

masculine that includes the transomid renal, prostatico, and the one

a one No, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, because there's a lot of, you know, it's a factorytale, all of this. Only, if the examin sale, you know, to do the indications. Exactly, so there's, so there, well, it's that you're going to, well, that's where, whether they're gonna, or mazana, I'm direct, I'll see, because check, to me if it's inflamed, why, d'olour?

more. More than they check them to see it a bit more. The prostate is adenomatosa like the

region tenar of the man. But if you go as you're going and you feel like

the muscle of that's a problem and that's a indication of biopsy. Hey,

you as you as is really that the point g masculine is in the

prostate? Because is the because it's the orgasm precisely for that now.

Now I know I'm I'm recommending that they're looking the point G obviously.

No. Dehen to be doing doing experiments with the men are doing the women are in explorators

if you if you touch the prostate and you do that you do that you're because in urology

is that for us odian to the urologes or not they're new massage. So, they're doing

massages prostatical to obligar to be a placata that that we were cemememem

and we could send us to mandate and more you

do you know Well, yeah, there are new techniques. So, yeah have changed many things. Yes, so,

so, now, and if not want to visit to the urologo, aghance the check-op. And the same person of Chekope,

the same medical of Chekop, let's be to not go to go to the depending on the result of the same.

Exactly. Okay. So, now, if it appears elevated the indigent, the antigeno

prostatic, antigeno-stic. So, you just, you know, procedes to an evaluation physical,

and if you find that the process is endurized, then there is cancer? No. There are

three things that are in the antigeno prostatic. The manipulation like a massage prostatico,

for example, like to put them, like to operate those, the infections, the prostatitis,

and the cancer of prostate. So, we're also, we'reologists, of those

three, a sometimes the three are combined in the same

patient. Our But the work is to determine if there is no cancer of prostate. That's what we're interested more. So, because if we determine or suspecting, that's called a pesquisa, if we're going to a pesquisa of cancer of prostate, the most important is determine if there is no.

And the form of determine it, to tell you, I'll repeat, you know, is with the tactor rectal. We can't make a resonance a magnetic nuclear multi-parametric, that as like in the mama, there lesions virats in the prostate

there are lesions pirats that we're done a percentage of risk of cancer if there's there five pirats if sale four you have 70% of probabilities if it's five

you have 90% of probability of cancer of prostate and then we're to the biopsy always weopsyar a prostata to determine if there's cancer or no

also also there also there technology in group angels in the hospital we have a Mar-Temis, that has a fusion

of image. First, imagine the prostate like this mess, and the O is the cancer. So, you saw you

saw you saw the mess, but only you saw you guys the mess at the middle and three zones.

And the map you're two biopsies here, two, saca, two, saca, two, saca, and two,

and two, back, but if the cancer is here, the abuha passed here, and here,

you're going to get negative. Sin however, we have the technology in the actuality in

Mexico at level that's can't fusionar the image. It's a

image three-dimensional of the prostata and it has a image three-dimensional

of the resonantia. The ultrasound and the sound and the thing is

exactly where is the lesson that we have that weopsia. What

a it's a maravita is a it's a maravilla, because the patient antes said, ah, no, I don't have cancer. And so he was content.

And the urologo, he was citable to six months or at a year, and then the cancer would be a up, pardon, the cancer was up, the antigeno was up and the cancer grew up. Because, unfortunately, the cancer with the antigeno prostatico,

when the elevation is for cancer, is directly proportional. When there are little cancer, there's a little antigeno. When there much cancer, there much antigeno. There are people, the normal is

of three nanograms in the actuality. There are people that get to the consultorio unfortunately with 40,000 of antigen.

And that means that is regated for all the what we're us. Is encounter the patient with

an antigeno a 10 in the moment exact to that can be able to have done

85% of probabilities of curation those patients. Now, the antigeno prostatical can't move not only when you

cancer, it can be, it can appear in a studio alto for other reasons. My papa, for example, mannigeneos

of three, four, three, four, and of a year 12. He is orthopedist because obviously he was a and he started

the testament and the mass and so it did antibiotic, and it's a antigeno and it's a comportment of the antigeno and the density of the antigeno,

that is another, it's other cipher that manage us the urologos, to us, to us know the risk, or the percentage of risk of cancer of prostate, and, after that, we'll, we'll, if it's up the antigeno

for manipulation or, this, or for infection, and no has other symptom, the patient, then we'll do the treatment and we'll do it, so if it's Salio, not it's

for you to get a shusks and put you to get to your doctor and eliminate other other possibilities. Exactly.

If it's a lot, is going to go to the urologist. Okay. That's the form of

detecting the cancer of prostate. That's you. One way a year? One

a year. And with that's sufficient. And yeah, for prevening now. If you it's the

first phase of defratamient is, you're going directly to the surgery?

No. Dependent of the stidification of the tumor. Obviously in the, in,

at the, in, all encounter a cancer of prostate, there's to right, now see, with the tactorrectal,

pardon, with the cancer of prostate, so, so is the tactorrectal. Because it's part of

the statification. Sure. The number of biopsias that's used, the density of the antigeno, the quantity

of antigeno, and so divided in five points, from very low risk, which is a low risk

of recurrence under a treatment under, the intermediate, the intermediate is a divide in two, then the

after the high, the very old, the most those that can cure, is of the

intermediate favorable for the very bad. Even there canceres of prostate that are

in phases initials and that they're not require treatment. You're going

and you going how it is going and you're getting the

you're the the time the watch and waiting and wait

and and wait and wait and be and exactly exactly so

when when When the, when the diagnostic and the statification you do, the treatment, there are two options in the actuality in Mexico very well-proved as a level that can't cure the cancer of prostate,

which is the prostatectomia radical, that is the ciruia of the extirpation of the organo or the radiotherapy. So, all the prostate? All the prostate. Always has to retire, all the prostate?

All the prostate? In cancer. In cancer. In the cresciment, in when you can't when they're in the nights, when they tap and that's another

type of surgery. It's like like to open it's like plumberia. Uh-huh. You know, tapas the tube and it's a cabo.

They're to do you. Don't let's nothing. Etcate. Orinan even more than when they're

20 years. But the cancer of prostate if you have to get to get all the

prostate. Okay. Vienen things new and technologies newas. But right the better

technology in Mexico for the surgery is the system chirurgic Davinci, that's the is the

that they have in Hospital Angeles. is the we're the hospital. It's with the

work we're with the time we're the first of a patient of a stranger of this is there to work as

we're doing it and we're the next. So, and it's like some things. They're done with the

best technology and knowing using the technology, the patient is incredible the recovery and the

benefit that the robot in this syruly. And much people come in the United

to different cities of Mexico to operate to Yeah, the attention in Mexico of the medicine is very good. What he likes more

to the extra-as-a-fasch that we have the apapacho that we have the communication. It's very close. In other countries a lot of people, they're even

even know them to do you know a distant. Exactly. Connoce the other hander or they're a but never

know more than the factura of the syruhan. No? Well, and also the prices are very different.

Sure. Very different. So much people is. It's the tourism medical, famous.

That's. Something that something because they have to the idea is that the robot to operate. Tell us.

But right that the robot operas. For the prostata, you're going to do the prostate or right

you know, it's not, but when they're to get a other is cancer, we have to

get to get to get to the prostate. But what I'm in what my life?

Okay. That is a very good question. When we quit us the prostata,

we've got a bit we're a bit of So, then we need to put the tube with the legion,

to make a mastomosis, it's called, and we do and we do with sutura. Okay. So, what,

we, we're getting, the orgasm, because you know there's a prostate, and we know the

ejaculation. Okay. Now, the men, that have been a good function

sexual, before the surgery, for so there are questionaries for this, with a

good ciruano and with the utilization of the robot can maintain that function sexual after the

person that not had a function sexual before the surgery, it's quite after the little bit

how is the thing, how is that thing? There's a mytho in the in the thing of the prostate,

in the prostata has to be with the function sexual. The function sexual has

been to be with the pen. Erection, duresa, latency, all what has to

do it can be with the pen. Yeah. But the prostate no has

nothing to do with the pen. Nothing. The dysfunction erectile is another ventanilla.

So, so the problem of the ciruia prostatica for cancer is that the cables that have the energy

electric to the pen pass are the back on the body? The blood? No, the

nerves. The nerves. Cables. Because the erection is the is a brain.

It's in the pen. But for that the the Sanger,

needs the indication of that they're so you're so you know, and then when

when it's a surgery abirta or when it's a ciruble a paroscopica, the pulse of the

ciruano, the materials, they're to do you don't know the cables, even those get to

and then if you're those cables, like in a tele that you let's the car

you can't not, it doesn't, and that's where is where the surgery

robotic. There is where the surgery robotic. The surgery abierta the paroscopic

and robotica in questions oncological or curation of the cancer of prostate have the same

the same the bestache the robot, the continency urinaria and the erection. No,

well, yeah, vendido. Well, yeah. Of course because the surgery

robotic, as the other do you have been explained to the exagerately precisely.

It's precious. Well, precious and precise. When you do you do it, when you do it, when you do it, when you're going to be, when you're getting a cancer. And apart, yeah, no, I don't pierce, a connection. Sure.

Because, the surgery abyrta, had much a failure at a level sexual. So, one, the two things that most bend the surgery robotica, at level of prostatectomia radical, or at level of cancer of prostate, is that you're going to be the same or with a little less of a little bit of a function sexual that maybe

with the use of the use of the medication and that you're that's a

very much that's because when we're we're we're we're the

we're in the thing, so that's, in the of the thing, we're, in the field, I'm, and There are patients that, unfortunately, as well, the best of

the world and with the robot, a lot of the type of cancer that we have to have to be a

little more aggressive, they're going to incontinence urinary and important. But to detect it a time.

But at the more chiquet the cancer, more less invasive. Totally. For that the examin

every year, for so not to have to have to have a urolog, there, you have to

have no fear to nothing to not, but, but, but precaution

and fear, fear, because I'm I have a patient very very carey

I'm a patient that, I appreciate much during six years, Sueco, that's

called Bob Welsen that had to falleces after three, four months for cancer of

prostate. And we we're to get to the to the statutes

of the statutes of the and we prolongs a good a good

good but to get a person for cancer of

being that was being that very feo for us as as a

not so he's he's not he's he's he's not not a time more than

it's just a little even though it was a to try to try to another country he went

he went he went he he's and a part of there we're we're

so you're so you're so you have been so you have to be pre-cavit so you're

to be preventiv we're that we can't we can get to we

And what I do the patients, when it's when it's when you know the one of the

way you're going to know the part of the postatectomia radical and the name of the cancer, the appellied

and all the other than then so, so much than to know, to know, for all the suffering

that will have the patient and the family of the patient. Okay. Let's do a pauseita

in the podcast. We're to learn more about this Sylogia Robotic because I have

that's what I can what I can't do you know the surgery robotica me permit or you permit or to permit

not to learn to understand it's very, very, very very well, the benefits that you say it's

car, if it's barata, time, time, time, a pause. A pauseita

and continue we in the podcast. You know, you know, you're

that the problem and also abectar your system immunological? This is

one of the reasons for the the good news is that san pablo natural

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pharmacies more circana or call them to 800 077722 or backatel app to discover all what they offer no is a

low but for this home can't your maximum potential lunes robotic has been radically modernized in the

theme specific of the prostate, because it was a syrugy very invasive and very, very, very, very, very fea, for an experience very unisagradable. For the patient, how has changed and what paper plays the

cirrhizia robotic, in what has changed specifically? Look, a me took, or I, took the suorpe, to learn in in surgery abirta, migra, migra to the paroscopic, and terminate in surgery robotica. Abirted is?

is to open from the omligo to the head of the pelvis and manipulate us us with the

grand problem is that is a great problem is you're in a little bit in a vessel you know and the

that I want to say that's that I'm so that superable so so I'm

no and without no and they're getting to sangar two two litros

two litros and two litros and transfusions estancia hospitalaria of five six

days incontin urinaceas total, so, that you're that you're going to get a

body, they'd to recover the contingency urinacy. So, so, the sexuality

yeah, yeah, no, the sexuality, was, yeah, when you do you

do you, and then you know, and then, it was, the laparoscopia mejored much that,

much, so, especially, all the time desangrado, because they were through, edificies, exactly.

The cameraita, the panas, exactly. And, and you, you, in a camera, but,

you're And the camera was another person that was he was doing,

and then he was he was he was he was going to and then you were doing it was

you're doing you're you're doing a lot of a communication good communication good exactly

exactly a a good syruh a a paroscopio had to have a paroscopia had to have

a good a good a good a photographer exactly the advantage of the robot

the group angels brought the robot to They were, of the first of the

pioneers in this and they're to come up one of the Republic of Mexican. Yeah, are like 14. Yes,

and there are robots in Guadalajara, in Torreone, in Tijuana, in Tijuana, in the city of Mexico, there's,

there's, for the most right, there's a right, there's a Ruegeral and Angel

Lomas. And in Mexico too, in Mexico, too. They're going to continue and continue to continue.

It's the tendency. It's it's it's a Congresses, still syrujano

to say, but is that I do do you do do this still do you still doger in surgery

in the day of the day of the discussion is if you do you do you know, the discussion

is to be the techniques with the robot. And now in the United comes

something that's called therapy focal that is the introduction of the

perine to the prostate, obviously with the patient anestestia and

dormidid for far and and chem to chemo and it's

a a great. The actual, the hospital military, my socio, is the Dr. Jose Gautcampus,

is the central military. And that's not. No. It's guided for ultrasonids. And that's

we're doing in the Angeles Lomas. We're in the hospitales at the level national, we're the

only hospital that we're that's a hospital. Wow. So, so it's probably that the

therapy focal a little to support in certain patients, not in all, in certain

patients. Depend of the necessity of the patient. But the

surgery robotic is a videojeworth literal. For those generations that are that are

doing the more more than than more than the generations that were in me. The robot

grew when they're using videojeworth. And, of actually, they're they're

playing videojeworth because the robots in the console of Benchi tryen this

a a mochila that has been a software of the

only center center of training at level national in Mexico of Intuitive and Davin Chi

is in the Angeles Lomas of the actual they're to get to certificate to other countries

to the hospital so it's a precision enters you know the pulse exactly

it's magnific the image is precise precise precise it has it has it has

many many points of security have many the most

the most bonito is that operas sentado as syrujano, no, because the laparoscopia me generated a me a lesion in the armory,

in a muscle in a tendon that called mangito of the rotator. No, and there are hours and hours. Hours of being in a position very incommod. So, so, operas, so, the dukewarm, or the owner of the robot, or the, that's the general,

it's intuitive. Why? Because it's intuitive. If you, Mark, Marco, you sit a hour to play in the console, in one hour per day, in a week, in a month, you're going to be, Because if you move the hand the robot

moves the piece of a same form to make your movement Exactly But eliminate the mal pulse

Kita the pulse It's better the vision If you have Astigmatism If you have Mopia The doctor

Exactly Exactly So can Can't Cane Cane Calibar the vision

The manitas of the Pinsas Tienes Tiener Monopolar Then not

Tanger in a Gota We've done surgeries of prostatectomia radical that you

sangran 20 to 2 militros to 20 to 2 litters So, so, so, so,

so, so, de really, ohla, and it would be able to a patient and how

is the day the next they're not even 24 hours of hospitalization and

they're and almost and you, I, they're they're they're

they're so they they're and they for you, and for you, it's a

maravire that they're less than what they can't get them. Also, I'm in

dormidito, before, before, so you know, but we're to get them we're doing, I'm,

we're doing, we're doing, we're not, we're not, we're doing, we're doing, no, no, no,

no, no, no, no, no, that's not, no, that's not, oh,

and I, I'm, to me, they're, I'm, I'm, no, I'm,

I'm, no, cancelated, cancelated. And the and the and the you're,

four-brassos. The group Angles has the robots more modern in Mexico. It's the XI, for

example, the Da Vinci XI. Yeah came out of the fifth generation but just present

in the Congress American in San Antonio this year. And you move the camera?

The camera no can't move it. You have to move it so that's a vision is a cameraita so

you can't that you don't talk or not you know you have to learn to

talk a time with your with your with your but you're not the resistance but not

it's a thing but it's a little bit every time the group of angels and train and train

to more personal and I'm I'm the caroscopy in the rasa for example

in urologia in transplantis and every every I'm more more than more gyrologos

gynecologists and ciruhanos general of thorax doing robot. Because the benefits are

incredible. So, obviously, nobody we want to be. We can prevent it with a style of life,

checking us, being proactivus, but... There's to detectar a time. But if we do and we detects a

time, it's much less traumatic than before. So is. But there to act to act.

So, and as you're you, I'm I'm so you, I'm

I can present to 10, 20, 30, to 50 patients that we've operated for cancer

of prostate and not you know you're going to there's a good onda. There's the possibility that you pass

for that you with the surgery robotica and all this modernity and the science and the technology that they're

in the hospital Angeles there's a having a no, no, no, not having a sexual

of what I'm doing to me what I'm thinking being being sexually sexuallyly

being the not the real the fact the if it's a important. If you're important.

If you had a good quality of function sexual before the surgery. If you don't you know, we're not, we're doing. No.

No. And the robot also is the miracle. So, but, but, but,

but, but, they're not, you're doing. You're not, exactly. Exactly. Also,

we're doing surgery of prosthesis penianas, that's another world, that's a myth,

too, the mithes penianas, not are like the prosthesis mammaries, but if

they're in a certain technology, and you can't have an erection maintained

the time that you're like the like that's no no that's the second line of dysfunction

sexual the bombes the third is the prosthesis of three elements so so they know they're

and when you know you know that's the same and it's like the no,

well no better no I'm better I'm better me but to do you do you

do that you're so with that with that that is that is surgery abired

But what is for a man that is for a man that has to be the pen with the with the because in instead of

you know you puts you know you know gloves globos longs are globes

like that the pen with a endro with a with a for a but not all

the day you know you know so so you're no no no but

don't don't even to don't even I'm well you imagine how you

there's there there There's, there's a bit. There's a little, you know, you're a point, and you know,

you know, you're going to you know, we're going, we're going to, I'm a couple, and the patient the approved, and

yeah, I know, I know how desinflarla. And what I'm, because you're, because you're to have to

get to get us to get us, so, so, well, not so, well, the problem, but, but,

so, so, so, you, it's, you can, it can't, you can't,

it, you can't, it, not see prosthetic, or so, no see false the pen. Because it's for because it's for

the same pleasure sexual than the same pleasure orgasms? And you have, if you know, if you know if you're not,

you know, the orgasm can be in the patient prostatectomized if you have a certain but not is like an orgasm.

So, so if it's real, but no more. So, the, the, the contraction

of the muscle. But no, no. No. No. No. So, that even

a patient that's a cancer prostatical and he they're they're and he

said, oh yeah yeah, yeah, I know, can pass to this other surgery

where they make them and they're and they're more function than a child of 20 years.

Oh yeah. Because organically when the orgasm comes the desksence not, no you

can't you can't you know, after so then then they're so,

and how what doesimpl because Andres Garcia contaba in the interviews

that had a bombita that the first. He'd, quit him a little a new

of a retension and he's a back to get a and he's here. Here, no,

here, you inflated the globe, the same mechanism has a button that's influx and the

and the scrot. In the scrot. Between the testicles. There's bionicolus.

The man bionic literally. No, but it's interesting it's interesting to us

does do it it's interesting to be that it's interesting to be that's I mean, oh,

I mean, we have to we need to do, to go to the doctor, to do the examines. But in the worst of the

cases that you get to give to give to do you get to do you know, and it's excellent that they're doing this

type of podcast, so like the kind of, that's making, that people, because, the,

the thing of the urologo is, I'm, I'm, and all the so, and so, and so,

that makes that they have that that they have a speciality. So, so,

so, so, for that we platicor this that's all this that's all the

thing of the pasties that there's a lot of the world the only only function

sexual has a speciality there in the there in the Angeles Lomas we'reams

we're we're called because an urologo not a wordo not, so those

vacas back that existian before that they were never knew they never

knew The the maraville of this center of urologia is that

if he gets a patient for a life sexual, or to make

to make the unrologer andrologue if a patient with problems neurologic

the neurourlogic, we have an urologa we're a urologist, a patient

for a patient for pediatria, a patient for oncology and we have a another

sub-speciality. So, so it's a project new that we have in the group Angeles in that hospital as a project

pilot and has been very well received for the patients because they resolve or normally the patient is and if the medical

not knows he does until that the patient and he's a second opinion. Here no, here we have the

interest and the professionalism the professionalism to say you know I'm not I'm not so but

my company is so then then you're to attend the the person the can't you can't

resolve So, today that's that's a day that's a life of the and there's

not a lot of it's so that's until the day you're going to you're even even even even

you can't get to get that he's so, no, well, it's that

in the urologia all borg there's a lot of a right, no, no siara, no siara

no sioux no sioux no no and the mordito exactly exactly exactly

No, what happened? Exactly. That no, that's not. Look, look. And the thing of the cancer

of prostata can't be solusional. If you yeah is very advanced, it's a point in that

no there's a solution. Look, the cancer of prostata. The cancer of prostate is a cancer that depends

of the testosterone. So, when it's advanced, when you get metastasis, when it's in the

wososos, because it's the first to where the cancer of prostate, So, it's a testosterone to the

with blockaders hormonals, and with that they're in overivies of 7, 10, 15 years. Wow.

So the cancer of Prostata is very treatable. It's of the most studied in the world. But what should be

to know the people is that if if it's a study of the same, no,

no, no, not, no, so the chemotherapy, the chemotherapy is the

ultimate recourse, yeah when, yeah, when, yeah, when, is,

when, it, the patient. So, and there are more studies, it's a immunotherapy, it's a therapy, there's a lot of

things, but the day of today, a piquette, a, a mouestra to save the life. And there are other assessors,

no, if it's a cancer, will be a psychologa or will be a doctorloga, will be a lot of

a tension integrated. It's part of the center of urologia, what you comment about, we're

we're a panatologist. So, the patient, the, the patient when you do you know you do a

notice of cancer of prostate you see in your eyes how it's it's a not you know you know,

you know, you see how it's a newbler the vision and then the poor story.

For that so, for that's always they're to go because the

family is the that's the that's the people are the that's the other

the ones are the most are the more the more I'm

I don't that I'm I'm to be to tell something, I mean, I think the person

more difficult to give to something more than to give him. No? Why? Because is the, the senior that's the person who has the thing.

Give me a check-up. I'll give to my papas. So, why? Because so, they're going to be able to be more time.

So, if not they're to give them to give a day to, regal them a check-up, it's a

life, at final. Sure. And then, when I want, when I want to do a or the

sir, I'm going to the wife or I'm going to the wife's, because if I'm no, no I don't know,

I'm going to ask you, I'm asking the time. In the wife's is to you know, they said, and they're

and they're exactly. Exactly. Oye, it's excellent. For this, this program, that's the

public, the majority of the majority of people of who people, for us we're talking this thing.

Of course. That's not to do they're to be with the people, because they're not

to them people. they're To who are who are who are the question of the testosterone

when I'm getting to the retires the testosterone of the body, how compensas the perid of mass

muscular, the depression that can come to be the consequences that we know, the

great problem of this treatment is that you have to put a balance of the risk benefit.

That's the that are those are those are the complications of the castration

chemical. That is that you get mass muscular, that you get a mass oce, that

they're that's depriman, that they can be in the character, that they're in their character,

there's there's, there's, but it depends much of the , of the, of the, the stifification

of the cancer in that moment. And this not just for cases, it's just for when when they're not

are able to do you dogenital is the surgery robotica, avoid the that's, and that's

the most invasive, the And to get to be able to be able to be detects to time. Exactly. Valyan to make checkups. Yeah, for sure, you know, yeah, I see that I have to make the check-eo the same year, but there's a single thing that's present,

that day I'm, still, no past a year of the exam, but I'm going to go ahead. It's a generalize. The cancer no does symptoms. The cancer of prostate in particular, no does symptoms. For that is that it's that you have to do the studies. And one of the year is sufficient? When a patient has symptoms,

you know, you know, it's, you know, it's not, the orthopedists, because the patient is going to

come in the hospital, they're going to operate, and detects that there's a un-whose pathological,

and it's cancer. So, no cancer you do a symptom. For that's so it's

so important the Checo's. Okay. Something more that you have asked, doctor, what you

want to do you, first, to appreciate to to you and a group angels,

the invitation, uh, those we're going, to, you know, that are in, a,

that's a year, and so, to all the kids, to the children, to the, a,

a, a, people who have, uh, uh, uh, a, a, a,

a, a so- a son, a father, to a boy, to the boy, to the to do,

exactly, to get to get, to get, that, to, that, that,

to, that, a, Prostata, because now we have to Any person that has a Exactly.

I'm a exactly. That's good. A good. A good. A good. So, I'm sorry. It's very

Sanna. That's very excellent. Well, yeah, me to talk at the time. But yeah you don't you

do you. No? No, no. No, no. No, no. No, but you go ahead. No, no. No, no.

Nell, England, yeah, was the doctor was the, the doctor was the California. No, no. And I'd

could say, a few chiseless, but no. Nilos, to be itcha, etcha, let's, we're going to

start with the humor of the medical, let's no, they're very fertes. Echalow, here. No.

One, one, doctor. I've, always I've always, I've been, I'm going to get to the

chirofano. Oh, yeah, when they're doing it, so they're all so they're doing all. Depends of the

person. I'm, I always I've said that a person that has control

all, you can do the good the, the doctor in the kirofano. Also,

there's no, there's people that put in music classic, there's a if you know operas

of a poste, a bad bonny in the chirofano. After the the drugs yeah

we can be a little to the music. No, but well the fact is that for

no less and those I can invite to a syrugy without the

the environment is very tranquil. There are there are there are syruhanos that's

that is the personality of one. Sure. Very well. Dr. Juan Carlos, Varsena, urologo.

In where we can we can find you we'reology of the hospital Angeles Lomas is the fourth

piece of the tower of specialities. And the people who want in the extrager that

want to come and come and there there is there Instagram there

there's some there phone, some my coroel is

D.R. L. R. Barsena R. Barsena Arro Jemem

Mail.com. Exactly. The mail of the center is urologia Lomas arroba gmail.com. Okay.

And the telephone of the consultory is the 55-19-707 320000. And if we in the extrager, it's more

52. More 52. That's the of Mexico. If we're we're in many, very good.

Cool. Right. Hospitalangles is a hospital Angeles. And also go to

Hospitalangels com. There are all the information of Angeles Health System.

Thank you, Dr. No, thanks to you. That's our past us. Then we'll talk about the prosthesis. Then we'll talk about the... Then we're here an exhibition.

Exactly. As a matter. No, no. As far, not, not. That's not... That's... It's more...

Astoner's... Exactly. ...divide. ...would be... We're doing... ...asemus a prostaton. Exactly. A...

A prostatone. ...as. ...as for... ...forthusus penianas, ...to... ...to... ...to... for that Mexico

sonrita all prostatone So, very well, me and I'm going to find out like Markontor here in all the

socials. The podcast is all the socials, also the platforms of podcasts and YouTube. If they're

here in YouTube, like the video, activate the the campan for you know and you

know of that you to get to to get to the new videos. If you are you talk to you

can't you're on a podcast, you can you can't copy and you can't

you can't the league in the Facebook, in your stories of Instagram, etiquette to us, to Hospital Angeles, to the doctor, to me, for that we'll see us, and d'nors, what did you know, what you've got to do this, what I've learnedisto,

dinoes, look, here I'm with my papa, yeah I'm going to get, and the papa, I'm going to go, my jita. Thanks, until the next. Alcansa your maximum potential. Hospital Angels, Health System, present

San Pablo Natural, no backes the guardia, refuces your defenses, presento.