El Podcast de Marco Antonio Regil - Especial 3.- Mitos y verdades de la histerectomía - Dr. Jacobo Labastida

Episode Date: August 29, 2025

¿Sabías que la histerectomía es la cirugía más común en mujeres no embarazadas y que 1 de cada 3 la necesitará antes de los 60 años? Más allá de lo médico, esta operación toca fibras profundas: identidad, vida sexual, autoestima y la forma en que una mujer se relaciona con su cuerpo.El Dr. Jacobo La Bastida Torres, ginecólogo y pionero en cirugía robótica en México, nos revela mitos, verdades y avances que están cambiando la manera de vivir esta experiencia. *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.

Who is candidate to an hysterectomy? The caretive, but more than to go to curative. It's when we say, this is when we're in the woman for this? We've got to refer to

this. I'm getting part of my identity. Exactly. At final of the this is what I make different. One of every

three women in the first 60 years of their life can need this operation? There can be from mimes, sangrados,

Dolour, endometriosis, even cancer. Termina the life sexual after this hysterectomy. It's a mytho, is reality.

It's something that's something that is something that individualize in each one of the patient to get to get to the

person. The Mark, Antonio Regil, is a production of Argyal Entertainment, and all his rights are

reserved. San Pablo Natural, no, Bages the Guardia, refuersed your defenses,

present them. Today, we're going to the sylogia that according the experts us say, is the

syrugy most common in women not unbarasas in those first 60 years of the first time.

We've invited to Dr. Jacobo Labastida Torres, who is gynecologist obstetra,

expert in the paroscopia and director of proceedings assisted by the system Hugo Ross. We'll

learn we're in the hospital, Angleseles tokspa. I'll you know, an

clososper. Thank you. The hysteroctomy. Because is the number one in women not

embarrassed. In women enverazas, I imagine that is the cesare. That's. For the number of pathologies that can get to present a

woman in the transcurs of their life. There are to have to have to be from momas, sangrados,

dolor, endometriosis, to cancer. So, so we're talking that we're having a cipher

after the 2023 reported by our system National of information

in health of one of every three women in Mexico in Mexico

and in the United and other countries those numbers I imagine are

very similar very similar very similar a let me let us understand because

if it's much one of one of three women in the first 60 years in the

can necessarily this operation? Estarate esterat esteratomis okay to what is

the hysterectomia and why it's It's called so. The hysterectomia is the remotion chirurgicly of the utero. And we have to individualize because could get to

get to be various scenarios. It's removing only the utero. It's recommend that when this is so, also, also be taken the trompas uterinas, because this is one of the factors principal, one of the factors principal to develop cancer of

ovario but also the hysterectomy in the which we're not only the tromps but also the

ovaries, the origin of the hysterectomia is very curious and it's totally

totally politically politically politically politically politically incorrectly politically

incorrect it I'm go back because because it's because

it's the time in the time the age medieval the era medieval, was cataloged if the women

were menstruating well, I mean, what some day I've said to say to my students,

over all the barons. You're just imagine that they have a a lot the

sufficiently strong of form mensual and that it's inabil during

four to five days. We're that you can't functionar as humans,

as the beings that are the human, that's well, that

they can get to pass to get a a lot of so it's terrible. Yeah,

not you know you know, you know, a lot of a bad a lot of more of two years,

and that then I respond to good humor. Yeah, but in this case, it's much

more more with a lot of a lot of mental, and the lack of science

in those times, in plain discrimination of the woman, they're hysterics.

Exactly. From that it comes. That's so it's so it's an offensive to say a woman hysterical.

That's totally of course. Dice here that's a fact that the country is Mexico or America Latina,

that even the 20 or 40% of the women are the end of the 60 years. That is exagerately

common. Why is that in common? Why is so if not so if it can be

they can do it can do you can't common this surgery? Well, I think

that fortunately the science has advanced, the information and the only fact that our quality of

that's that we are affected and that we have a alternative medical, a treatment

medical to make that to make sure the quality of life, to have the quality of this

surgery, um, that is a part of the common of this of all the pathologies that

that are a woman to look a woman to look at a sterectomia a

total that woman that present for example miomas uterinos what is a mium

are tumors dependient of the musculol and you have to remember

that the utter is musculol lice okay then then we we start

not not we know is a science certain the origin

the experts say that can be a one solar cellular that's that's to generate

and makes that's a tumor that in the great majority of the cases, has to

count that you're talking a ball of ligas. Okay. Is that well,

there's a miomas amoeas. That is the reason most common that are those

tumorscitos? So, okay. And then So, we have to retire completely, not only the tumor, but all the organ. It's going to be the

tap that's living our patient. If the patient has the children that he's going to have, well, an alternative antimumas

of a determined time is that, the iserectomia. If the patient even wants to conserve the utter, for the motive that is,

because even not has taken the children that he wants, then there we're going for a myomectomia. That's just

just to make the pure tumour. Right. Right, we're going to the consequences, of the recuperation, of the hormones, of the life sexual,

if it's not, we can't, we can't, right, we're going to this surgery. The cause number one are the tumors. Tumores.

There are other causes? Sure, that's so. Sangraudetino abnormal. It's in a second

low lowly very close of the tumors. Dolor Pelvic chronic, endometriosis. We're, until get to the cancer.

So the DOLB elizabeth not is the consequence of the surgery, but the surgery is the

solution to the pain in some sometimes yes. Okay. What's the thing?

I mean, it's obvious the question, but I'm want to be the hysteroctomia. In the case of the

tumors, thence, the cancer is, obviously, no? These are these

many many times. Okay. But can get to grow to become to be in malignors?

In a particular in a percentage, so there's there is. So, there's risk.

Exactly. I think that the scenario more would be that these tumors

a lot of the life reproductiveive, to the liberation of hormones that have

the ovaries and then there are also there various scenarios, that these

tumors that these don't send those those most

men and in the that the woman is having a menstruation

of four to five days a month, they are

menstruating two months three seven no no no

no that no Exactly. And, and of a whole month, I don't have

done to be able to get to be able to do you know, how you're like, and there are so there and there's

that's the that's the solution. Or there's the first thing? Or there's the time? In the

first steps, we're going to say, of the momas, exist treatment medical. Okay. But I think

is here a little, what, what we can get to get to get to to get to

all right, no, I'm, I'm, I'm, we're a moment in that's

having postarged this, the care not preventive, but more being to go to the

caretive, is when we're in the way of the hands, and we need to offer the biacchargic.

And there your gynecologist is who can evaluate that with you? Sure. So,

that's. Any other consequence of not asterosctomia at time? Quads of panemias very,

very severus. Imagine start menstruating during 30 days. It will get a moment in

that's emmogloina is totally depleted and then the patient came in a passio and she

may it's exactly. Exactly. Five hours of exercise. Okay, okay. Any other consequence?

Or yeah we've all? Well, also, the cancer. On, it's over

can get to be sangrados anormality to consequence of cancer. Of course, one of

the forms most common of presentation of the cancer of endometrial that would the part

the part internal are the uterus are there are not always there we're saying we're saying

we're saying we're going we're going to our patient is sangrando of a form not conventional and there

we can there we can top us with the with the fea with the fea

with the fea with the there isterctomies totales and there and there parciales

is correct Right? So, right? Yes. The end up hysterectomia total or the partial would

supraservical. And this is because after approximately two decades and a school European

begins to do a study about what is what is what is what is the piece of

the psalbical. Okay. There is when we we're when we dotertero, when we

do we do we isterectomia, we're inciting, we're cutting in the originality of the pisopelic. And the

School of Europe starts to say, what is what is what we do when we do we're doing these? There are two

to know that the patients hysterectomisadas referiian certain effects secondary to those that not,

on the camp of the life sexual. Okay. So then they start a promulver. Okay,

we're going to do a hysterectomia in the case we're in the piece of pelvic.

We're about of the cooel. Okay. Arriva of the utero.

And, well, they were to be so much, obviously with a selection

specific of the cases, not all the patients were to be to be

candidates for this process and the according to those

results, these women were not not experimented this effect secondary than the totally isterectomisad

and there the word total to subtotal. Now, right we about the consequences,

of the recuperation, of the theme hormonal and all. But yeah that you're talking the

technique for the surgery, well, in the two years we've seen

many significant in the technology. Fabulous. Fabulous. Now there's the famous medicine

robotic, or the surgery robotic, that's used for the for the for all, and this

obviously he's a medical, but it's a robot, so it's, you know depends

that if the doctor has a pulse good, pulse of Maracher or

what? Now, what, what he does the the surgery robotica,

that you practice, the that you practice, the does it, it's, it makes

more more, the time the time of the time of recuperation are less,

what are the ventures? What are the years? What has been in the future in special and the technology?

Oh, well, it's very interesting, because definitely the technology in quite a form of the

way to do this surgery, us has helped me for put to put an example.

The way was the hysterectomia abjarta, that was the typical surgery in the

which we had been a bisturie, we'd we're all the water to get

to get a utero. Like if were a cesarea? Exactly. So, the portas, the

skin, muscle, all, they'd all right, and they were, but then we're

going to an incision depending of the uter, but it can get to be uteros

to 30, 35, 40 centimeters. What before said, that now is in desusus,

no, grand syruhanos, grandes, I'm, I'm right is all reverse.

Okay. And that is what has has done the technology. Passed of the surgery

abiered where the recovery was was a tortuos for the patient. A lot really,

is the base, the base of the surgery, no? Then, then it

does a help, with the technology, does a salt to with the surgery of

minimivation that would be the laparoscopia. The lab where they make, they're

in various ohytot in a camera, That inflan. Exactly. That's a yeah

is a know of a syrugy of a invasion. There's the salt that's

a comparison of the surgery is terribly formidable. All our patients have

to experiment after after a surgery that cruent like this

the part of a life to do a family to a

life a day in in the transcurs of four,

five days. And before the the paroscopia was that a week

Mark, we're talking that with the hand in the Cintura we could be three seven years.

To have to be patients that I'm to operate for the different reasons,

by the different with a surgery abirta and they're much more

Marko that when we we're we're that we're getting the

the power and they don't and you have passed more

more of two years three several in And in change, with the syrugy

laparoscopica, me has talked to really, to see women, that at the six hours,

oh, yeah, I'm going to go. A little, a bit, for my coronaries,

because I'm to be sure to be sure to be a night, let me have to you know,

that's a paroscopia, but now is the laparoscopia, but now there's a robotica, that is

to make the surgery the paroscopic, the surgery that we have of minimum invasion

for a for much many and multiple causes from the ergonomium of the

ciruropical we're talking about we're we're we're we're and the

instruments are in so not articulated to what I'm refer to this

because the robot what what he has done to the surgery

the paroscopica is that articulation that have the instruments. This system,

Hugo Rass is the that's the use in the system angels, Hospital Angeles.

And, oh, also, also, something that is a vision three-dimensional

of the camp chirurgical. When we're we're when we're doing the

paroscopia, it's a vision bidimensional. How we understand that vision bidimensional?

Like when we're doing the television. I don't our computer is a

computer of the size, of the memory that we have of the different

objects, know, uh, uh, uh, uh, uh, uh,

the things we're doing at the screen the part of the part of the big-dimensional. Okay.

It's like when, like when the medical see a, be a, yeah, yeah, it's plain.

The technologies, like this, the other, us, the vision three-dimensional. Like when they put

them, like, you put those Lentes rojo and blue you see

in a third dimension and it's out of, so you know, you're in, you're in, you're in

you're in the kind of, like if you know, that's being a much more precision as a

person in the power in the power structures critical at the moment

of the process. How is a woman for this? There's a preparation

psychological, there's a preparation physical, well, that is a question very important,

and very valid. Because definitive some of our patients, at their while they're

taking the utero, we're getting to refer to, I'm doing part of my identity as a

woman. At final of the this is what is what I make different of you as you,

the I can procrear children in the uter. Like if the the gombers us

like the exactly. And if you even if one no no it

experimented in the CARTNPropia, no, one of this concept. To what I

refer to? I'm not I'm a medical, Mark, when a me I said a patient

this, I said, I was the first I'm thinking in my mind was, caray, not more

put in the balance to what he is suffering what he these these and this

don't know, this many, times of this is done to say, to say, you know

you need you need to forget it I'm I'm when I'm when I did

that conclusion in my Cerebrose my father. And one of the treatment apart of the

prostatectomia that he offers the urologo in that is the remotion chirurgic

of the testicles because because the cancer of prostate is hormonod dependent

and we're in the testicles we're we can can't that

can't my father, that is, it was, it's, it's my son. And my father respond to

a person studied, a person lettered, respond, no. In that moment I was he was, and the

first thing, how, how, not, Papa? No. So, this is

logical, it has part of the combustible that's the thing that's

you're to keep, no. It's my body, it's my decision. Existe

some other alternative medical? he was the urologo, the castration medical,

for the medication, inivir that function testicular hormonal. Well, well, there me there was,

there was, there was, my father was, always was a man of a few words, but the

knower it, was to understand that and was to those women, totally and completely.

So, so there, being gynecologist, being expert in this, being

read in this, studied in this, I did I did that it was to I'm

I'm in a lot of I'm that I'm important it's just for a important

there's there's there's a work, to make the decision.

Totally and completely during the process of recuperation also. In the system

of the group Angeles exists that we we're we're, we're

we're, we're personal of psychology licensed in psychology that

the first what we're doing is, Dr. You're going to an hysterectomia? You're going to talk to your patient?

Sure. Sure. Yeah, but verify it's because at a more he has a badgwenza

to say it. I mean, I have to have a period and you know what I don't know. Oflegated

for the circumstances, for what the person in who confi a medical he has a person

to say, okay, well, I'm going to have to be good for my my

things. Sure. So it's very important accompaniment psychological. That's a good thing.

Now, what happens in the pelvis? The pelvis, because you're taking the uterus. Is it

a little? Affected in something? No, is, effectively, it's not, effectively,

the uter, but in that moment, the asas intestinales start a little more more livers,

they're a little more space. That's space is immediately occupied for as

intestinal. So, no, it's no, no, no, no. The other question is, the dolor pelvic, you said that some women get to this surgery for the dolor pelvic? But there's, but there's a dolor pelvic as a consequence of the surgery? No. No. One way that we

retires, one of ushurted, one we're notherst, these quadros of dolores pelvicous chronicles, disappear. Okay. Relation, here, I've, I've got a various questions that we've got, there's a relation between the hysterectomia and lumbalgia,

or a dolor pelvic, lumbar chronic? No, the dolor pulmonary chronic, a bit more, could get to be caused by miomas

of grand time that are that they're not being those raises, because they're going to get to all

directions, and the pelvis is a place a is a time to get a moment in that they're

to come to bring different structures. If it would be to give a

a tumor, well, at the moment of the hysterectomia, that sensation of the

pain, could be able to get a patient. Okay. Now, is normal the

sangrado vaginal after the operation? Inmediatantly after we are talking in the

process of recuperation of the tissues, when we do we're when we're doing this

place in where it's the coo of the uttero, now only about be there

is the cupula vaginal. We're talking that in the transcurs that the

that the that the Tejids, you're completely five, six, seven days,

it can get to be a un-sanked but after the end up and then you're not.

And you prepare a patient for that's, when they go to the syrugemia after the

process of going to do that they're they're going to be a surprise. So,

they're they're not to all this obviously. The actually the great majority of women,

and at the most we can use as a medical as a sales pitch for so

say it would be you not going to menstruate. Oblivate to have to buy toys,

tampons, have to use to use you're going to do you know, also there some people

not you don't me let me do you do you do you I'm doing with

my menstruation but but the great majority of the for this

in specific it they're in a like I'm

I'm not I'm but but when you you don't

you're you're you you're No, there are to, there are you, the ovaries in the women,

the gondas, those ovaries, are those ovaries, are those organs that are, that they, they're going to provide to the

woman, that in the moment in the case, the production hormonal of the ovaries, gets a

menopausia. Okay? The grand majority of the cases, what we do we're we're doing

is an hysterectomia without the ovaries. It will depend of the case because we have to individualize

to be a see if we have to do an isterectomia in a woman who has been the menopausia

well obviously we're you just you you have passed for the menopausia

this was of natural we can keep the ovaries to the risk

of cancer of a future the the ovaries in the mother

latina normally they they have to produce the hormones for there, between the 49 to 51 years. Okay. The hormones that are

that the woman menstruate, oh, to be 10 to 15, after 20 years then, they're going to produce androgyns, the ovaries,

and the ones are important in the life of a woman because we don't know the desire sexual.

Well, right, right we're going to just that as mentioned you know

there's a there's a there's a question there's there's a part sexual.

So in the surgery in the surgery, the woman decide if they're they're they're

they're they're they're not about the of our counsel. One example if I

have a woman that I'm saying, I have much much fear of

the cancer of but no has anteced family of cancer of vario

and we we're to say the woman is in his 40, 45 years. I'm going to say is, no.

Remover those, not is the indicated in your case. Because there is the menopausea? Not only I'm going to the menopausea. There is to record that the ovaries to offer them to the patient, to the woman,

cardioprotection. It's for that the women, for the women, infarter, less than the women, for the production of estrogen. Another of the

things that I would be to be able to. The men don't have. A few It would be It would be Because we'd

Yeah, And so if I'm No, he He said, I'm going to Exactly. No, they're going to Injarting an ovario Exactly.

This is This is putting here. It's putting Rudo. Okay. So, another of the

things that we have to have to be in mind is that the estrogenos is that the integration

of the calcium to the gosos. When we we're we've got the ovaries, And it's a

desmineralization temprana. Some various things in those we're to ask us to our patient to say,

you know, or not to do it. And in case of quit them, then it's a lot of

protocol because then you're going to the menopausia, and there's there has there has to have a

treatment specific for that woman that you get to the ovaries. If you yeah

is in menopausia, then then then then it not affect that's exactly.

If you're in menopause she's she's in menopause, she was going in some moment in some

in a moment of the life of the woman. But if yeah, it's the thing of the

problem, how you do you have to live as a protection? Well, that you

learn. There is what I always I've said, the, the, the, the, the

those good those good, are the good, a good, a good, a good,

a good, etc. So, simply they're that protection extra. Right. Right.

Right. Right. We're going to the part of the sexual. But the prolapse, what is the

prolapse? And what has the problem? The surgery. The prolapse. In

some cases, the only fact of been been born has been the piece

pelvic. We can we can't imagine the piece pelvic how,

imagine that this quarter, the the the the tach of this

is the fourth is the piso pelvico. We're we really. Exactly.

It's a lot of the majority, in the great majority of immuble there will be the tinnaco will be

a little bit a little put we're a biggica. Pongamous a quarter, the quarter of service,

that would be the utero. Oh, no is the court of service because the utero is very important

but well they're going to have structures above of this piece. When

when a woman when a Embarasa, that PISO PELBICO SEPTENDED. And existent, well,

of women to women in in quite to the capacity of recuperation of the force tensil of these

these tissues. Okay. The day of the day of this woman can get to have a

prolapse uterino, which means that the uter, that would be the structure that

is the upper of the piece pylylylid desient. And our

patient it's a referring, in first instances, sensation of a person's a person

of a person's a person about, a certain a certain, and in

cases more more more grave, the total evasion of the utter a over the

so so, so, that's a scenario dantees when it does,

a nobody he doesn't and then imagine if a woman in the 40, 50,

60 that has to is to recurrying to introduce the utero a through the

vile because with the minor of the effort this protrue so it's there when when it's

the prolapse uterino that the hysterectomia okay and other of all the work in the

fortleasing of the physical but you quitas what is what is what is

what is and over this prolapse this sensation of the disenso of luteor yeah

so so the exercises of the piece of pelvic, there's a whole, to any of

a quite old, to get a problem, because that is the, the, the,

the tachio that's effectively. It's a example, no? That no, that's

you can't the tinnacca to, do you, do you, do you, and the men,

obviously, obviously, totally, totally, no. In other, you know, that's,

that's that's, exactly, exactly, that's, that's, that's, that,

In both cases, in both sexes. Okay, okay, perfect. The risk of prolapse vaginal can increase in front of the hysterectomia, especially if not is the fortaleciment of the soil pelvic. So, as a consequence of the hysterectomia, can have this prolapse?

It will depend on the characteristics that have our patient. The patient with prolapse uterino is a bit of beneficia of the hysterectomia. Oh, but not is only the uterus what is

what's prolapser. Also, also. Also, it also. It's a way of the

leggica. And it's there where there's a ram of the gynecology, the urogenecology. For that's

important individualizing and study to our patients to know, to know, what is the procedurement

that's the hysterectomia could provoke the prolapse or no? If you do that if there's

exercise. If there if there if I only opero, I only do the hysterectomia

quito the uterus, most probably that prolapse vesical the patient is more affected. And what the patient

referred to, I think a scape involuntary of urina with a tost, with stornudo, that now us say,

O'ye, Jacob, what did you? Now, now more, I'm up to the cello

and there's we're a kind of prolapser has our patient before the

And before. And the exercise of episopelicic can't help definitely. Before. Before the before the surgery

and after the surgery? Yes. So in some of the course there's to prepare to make

that muscle before the surgery? Right. And then also, as you know you say,

after to conserve those results. Yeah. Okay. Well, pass we let's the

life sexual. What is with the sexual of the women? The menopausee yeah, you know

you've indicated that but what what's what's the life sexual of

the women much a lot of people are people that they're that's that's

that's this is the sterectomia is the mytho is reality well it is

part myth and it's a question very interesting Marko because

another of the things that when we get there is that there is that

procrear. To embarrassarse so. So in some moment that's the woman says,

well, okay, I'm going to have relations sexuales without a method unconsteptive, no,

there's no problem. A good. So, is. And now, in quite, in

quite, we're talking, what we was talking what we're talking about a, the school

European, said, okay, what is what is what we What does what do we when we're the clue of

the utero? The utero has a time to get a order to get it. They're in two

studies abogam because the orgasm not is so intense no is so placentero when

we're when we're doing these cuts. Because because definitive we're we're

in the piece pelvic in where there's there's all the of these

structures. At they're they're they're they say, they're that

they're that's that they're that they're in a

other other other other of the point that the the

the cue so that's a question that's a lot of the

cancer by the virus of the papillom human there there's a planeement very interesting

at the moment of we're proposing a hysterectomia and I had a

patient that was a he's informed very well before the

and me it's very important to continue with my life sexual as to

I have been a middle in my life no I want

that me quit the coy of the at

the interrogatorial and start designating the treatment I'm I'm

that I'm 10 years before I'm had been a lesion caused by the virus of the

papillom human a a lesson important and had been been

that was and he was and at the time to

she she she she she she said a

let wait wait let wait wait of my orgasms. But,

but for other other side, I'm doing that that all to have

the quayal, I'm doing latent the risk that exists of a lesion

precursor of cancer, so is. So, it's a decision in the which definitely

is something that's something that not a thing, something that's something

to be to be to get to the trage to the measure. It's

a decision. with the medical. But for that you have to have this information. Right. Not just just to say to the

doctor, what you're doing, no, wait a minute. So, there's to have to say it's a

way to be the if it's the case or with the pariah. Yes. It's very important.

This type of surgery, surgery major, is the surgery gynecologically about more grand that's a

gynecology that's a definitely definitely should do you do do you

do you do you mentioning disminuue the pleasure sexual but

no disappear. This is the school European. The school American that

also did studies about this respect not took the same results. There

there there is different points of the different points of my experts

for example I was working much time in the

Institute Mexican the Social and it has seen that the cancer cervical

urbicuterine is more in persons of a strato cultural low.

Why? For the lack of information, for the fault of the use of the

preservative and for the infidelities of the paria. In that

in that strato of the population where still predominant the machism

is terrible to be as patients that at the years get to those 30 years that's

a canceros mark a diablo that you say, because when one interrogates

our patients how how the different sexual has had

you respond because contrary to what all that when the

patient is with the patient is my husband.

Oh, and you you're you're you're you're you're you're

a lot of a virus that you're a sexual, then it's one more

one are two. And it's there because we see that we have been

that much. That's very but, but, moving to the question,

disminue the the pleasure sexual but at the the 30% or

vary to according the school American no. The results

not are contunded and the school European, two studies they say. In Hospital Angeles, you can't

operate in the future. With the surgery robotic, that is more precise, secure and

less dolorous than an operation abirta. It's less probable that you need to

a transfusion sanguine also you'll have less complications post-operatorias and your

In the hospital will be a minute. Luchamus for your health with the better technology.

A bit we knowhosa that's with us to know Faske, 52 years. How do you do the

exercises of the pelvic or in what consists and then after the surgery is also

you can't continue having a life deportiva the people who play tennis or the

basketballists the those of the football Feminil the yoga Pilates they're,

you know, they're doing of all, and you know, and you can't those, the exercises of the piece of pelvic

that one, a lot of people know they're, but we know, that's a lot of, thank you, the, a question, the exercise of the

piece ofelico, when I, I'm, I'm going, I'm going to, let me ask, the first that I'm

the first I'm imagineate that you want to want to, the gas to get to the ban. Apprieta.

Appretem us all, we're all. Appretem us all, Count. Exactly. Like if you

want to go to do you. Apriety. Quintas three. One. And liberas. That is one.

If you can do you can't be doing in the traffic. In the traffic in the traffic.

In the car. It's aftar. In the car. The car. The car. And relax.

Mintas the doctor to tend the you get to time. No, totally.

That's very. Yeah. So, neurotic. Neurotico with the time.

Neurotic. Well, yeah. Well, it's, I'm going to do you. I'm going to get a margaret, but I get with the PISO Pellbic.

To all the pretty much. And that's so that's so that's always the exercise of the physical So,

for so, the exercises of the pesis of the pelvic or in the traditions of the India, for example, in the

yoga and all of that, is the famous Musculoppo-Ocog oxygio that's the that's that's that

me certificed very very very That's the thing, that's the muscle,

the muscle, the mucus, the pus, because that you're in the, even in the books

antivos of, the Hinduism, it's, like, for there, like, for women, for the

things of erections and ejaculation and women, but also for their pleasure sexual, for,

for, for, contensers at the hour to go to do the time, orgasms more

intensos, and for the and for the men, erctions more fereereere

and more , that are important. Even at the Miserable You can be doing

exercises to be able to prepare for a good for a good for a good I don't know a doctor

me wrote a question, no he's that's what what is what is doctor is doctor? It's the

mom of the doctor no with the question I'll repeat a a biom

myoma intrauterino is equal to a so much that your mom

is doctora? No no no no Well, I would have to be with you. Good question. What's the problem. What's the most

is that the miomas we're going to intracavitarious, those that are protruding to the area of the cavity of the

utero, for norma, we're going to do sandgrados more profus it's more probable that we're

we're in our patient, uh, of a myoma, for example, of a centimeter out of the cavity that's a mima of five

centimeters afura because the uter, as a certain, the uter, as a lot of a lot of

so they can protrue to the cavity, start to the muscle or protrue

afuer of the uter. And there are different classifications. And both are the surgery?

Yes. Amos are candidates. There are to record something. This is important. You can get to

be women that have mimes and that's the rest of their life. That the momas not crecied and the mimes

not they caused sangado. And of a repent in some moment when the patient when the patient

die 80, 90 years and for some reason if it has autopsia then it identifies.

There's there. Well, the moma for to understand it, is the

equivalent to what in the homest in the scrotto so that you see a

a little a little a boyita extra and you do you don't

not you don't it not it's a miracle no it's more more virility but that

that's a and you're you're going to it's a ballita of gas or no that's a

thing completely different are are different are what you you're

what you are what you're probably probably encage in the

a quadro of something we we call us aure a lot of auret, a ernie a through the

crotto that makes a an mass extra and that's a God, God,

God, God, God, God, I'm or me to get to water in

water and radioactive, no, but the my mom is another thing. Exactly,

is a tumor that is a tumor that is a muscle. Del Muscul it's a not a ballita

of a lot of not, no, no, no, no, no, it's in the And the muscle.

Oh, and so, cerrando a more, the people that's a lot of the surgery,

and we're not the, the, the surgery robotica and this method, this technology, system,

Hugo Rass, in particular. The ventages are, more time, in the recuperation. Much more.

Mener. MNor. MNorororor in the recovery. Muchissimo. Mere, so, reintegrate a

more easily to the more rapidly to the activity. As, So, from the point of patient

is, is, it's, it's, it's, there's no risk of sangrower

during the the procession. The energy that's to be a cover all the whole,

the corde and all the celled of the celliating, is a endroperatoria, and from

the point of the point of the ciruano, is a major ergonomia, major

commodity, this, you, you're, you're, you, you, so,

so, so, For the less less than you because it's much more more precise.

If you have to record that in the chirofano because involucro an risk. Obio.

Between less time we're in the chirofano, these risks do you know, how much time you've been

these surgeries? Because I go your curriculum is impressive. Ginecologist obstetra, expert in the paroscopia

robotic. So, so that's the two, director of procediments asseseded for the

system borrass in the hospital in the hospital you have done

after 15 years. 15 years. Like, how you've done? U.

U. I, I. I, I. I. I. I, I. I, I'm, I'm,

and I went to, and I was going. I mean, an estimated, because they were a certain

statistic. Like, how you got to count? In mil. In million,

yeah, did, I, did, I, so it's a problem, but it's

in serious. What's the difference to go to a place in where they've

the option of the surgery robotic and someone with experience to go to

a place where not they're this experience. Well, definitely the

experience in robot us we know the panorama for a better

treatment for our patients. Because definitely the minor postoperatorio a

recovery, an integration more rapid to the life laboral is very

important in this era. Yeah. The accudier to a center

with this infrastructure, how is the group angels, because, oh, I'm the

honor of to be the first gynecologist in all Mexico of having operated with this platform.

And this was a couple of years. So, it's a platform new,

is the platform that is the system Hugo Ross? Ugorass. But that is the

surgery? What is Hugo Rass? Because I'm confused with surgery

robotica and the It's the robot. It's the platform of the robot. So, there are different robots? There are different robots.

And this is the ultimate technology? We're going to say, it's the chico more new in the quadra. And as

the technologies, the more new is better, it's more more easy, more amicable, even more accessible.

And, oh, here there's a question, in quite at costo to be to get to

to say, oh, with the other platform is more more. It has to be more.

No. At the contrary. This platform Hugo Ross, what is is to be to be a

carousable to the surgery robotic to to all. The prices were going to this

new system. And no there's nothing for the userio final, that in

this case would be our other than the people, the

people who say, I want that I want to the doctor me operate.

Thank you. We're going to we're in the hospital Angeles at Coxpa and is the only place in Mexico where

he's where he's with this platform with Hugo Ross. For the moment. I'm going to

get to get to the site of internet is hospital angeles.com and also and in

reds social atroba hospital Angeles in in reds and there

and the people can't you do you do you have you have

your social personal So, so. So, I'm like Jacobo Labastida, both in Instagram

as well in Facebook, in TikTok. Well, I don't to be to but we're going to but we're just.

No, just for your interview. We're just. Well, well, much thanks. Something that

not you have I asked, that you want to give you want to I think I think the only

that I would be the the time in this era they've been to be preventiv

for all. No important if it's a woman if is preventive. It's more

the preventive. What we say in those medicalists, not get to get to get the doctor and eat the

food food and get certain, eliminate ultra-processed asucas excess of sodium you know as much natural better,

normally, do you know, to drink a therapy with the psychologist to do you, to do that's exercise,

exercise, exercise of the physical that, that, that, aprieta, aprieta,

three seconds. Three, liberate. Three, and swelto. Three and swelto. And for the least 100.

If you can, 300 100 all day? 10 all day? So, 100 all day? 100 all day. I what I recommend is 33, 33, 33, d'clock.

Like in the morning, in the afternoon, in the night? Of course? I would have and they're going to see how in a media hour of traffic,

you're just you can't do 150 to 300 exercise. You get as potent to travel to,

no? At just. That's that's retrasue the world. Look, here

I'm to, to, I'm going to be. So, I'm going to, we're going to we're trying to another

time. But, but if those exercises, those practices, like the other than the other than

the time, of the mrs. And also, or no. Totally, certainly, or no.

Because, you know, because, you know, yeah, one, know, and I'm talking about

like cantimblas, but you understand. Have you to ask to me a question to ask them,

well, no, but, but to you too, but to, she is the

that's definitely is something is something that one that one can't see,

yes, yes, Steve, yes, yes, thank you. We're saying, we're just

an applause to Dr. Jacobo La Bastida. Thank you. Thank you. If you liked this episode,

there's many, there's many, there are many, the women we have to learn of this.

A part of a man, a woman, is to understand and to understand, and then

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Spotify of Amazon music and publish it in the mandela for your telegram for your WhatsApp

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I'll get it to consultate. But copy in the league and copy it and they pegan in their copy and they're on the doctor Jacobo

Bastida and me me and I me encounter with Mark Antonio and Regil and you can leave there

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your maximum potential. Until the next. Thank you. Thank you.