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AUA Hands-on Urologic Ultrasound Live Course

Hans Wüest: 3,200 gifted days


I want to share with you, the joy of this letter entitled 3,200 gifted days, which comforts the soul and reconciles with life.

It is from Hans Wüest, a patient whom I had the fortune to meet, in February 2009, when I treated him in Inselspital, Bern, Switzerland, as a guest professor, of a kidney carcinoma.

Year after year, at Christmas, he writes to thank me for each day full of joy and health that he has lived since 2009. Each of his letters is a perfect arithmetic of days of happiness with his family. His sum, since then, totals 3,200 days.

As I always say, one of the greatest satisfaction that I have is to nourish myself with the smiles of my patients, their stories, and the generosity, gratitude, courage, and humility that I learn from each of them, and from the possibility of sharing the little things in life, the ones that give greatness.

Thank you Hans 3,200 times for your humility and generosity.

Your joy for life and your health is my greatest gift. Thank you for always sharing it.

Merry Christmas for you and your loved ones.

This is Mr. Wüest’s letter:

Dear Dr. Sotelo,

This year’s end is a special event for me. On New Year’s Eve, there are more than 3200 days since my kidney operation in february 2009 at the Inselspital Berne. I do not have to impose any restrictions. I owe these given healthy days to you.

This March, I will be 89 years old. Apart from two hearing aids I do not suffer from any age-related impairments.
I have been married to the best wife for 58 years, I have 2 great children and 2 grandchildren who give me great pleasure. I am a truly happy person.A cat has seven lives. If this applies to humans, I have already used three of them.

60 years ago, I inadvertently touched a high voltage of 800 volts and survived.
40 years ago, a change of domicile prevented me from taking part in a blasting course in which all nine participants lost their lives.

9 years ago, a nocturnal fall led to a visit to the doctor. My right hip was bruised. The urine was the color of raspberry syrup. The doctors found that the left kidney had a carcinoma which had to be removed. Without the fall I would not have gone to the doctor, the kidney carcinoma would have gone undetected.

I still have four lives left. I am a lucky person! I hope that fate will continue to be good with me and I will be able to write you many more times for the holidays.

It is my big wish to thank you once again for the excellent operation. Your extraordinary ability has already extended my life by 3200 days.

I wish you happy holidays and continued success with the laparoscopic method.

Best regards, 

-Hans Wüest

How to stay healthy, and maybe find a career, in the age of biotech

USC partnered with Univision for community health fair at East LA Community College. Some of 3500 people attended.

It was a honor to be part of this event. With everybody´s effort, we made a positive impact on our community.

Doctor’s orders: How to stay healthy, and maybe find a career, in the age of biotech

Get regular checkups, keep in touch with your doctor and be aware of opportunities in biotech. Those are doctor’s orders from Rene Sotelo, professor of clinical urology at Keck School of Medicine of USC, who spoke with community members and families during a health fair Saturday at East Los Angeles College.

“Take care of yourself,” said Sotelo, a pioneer in urinary robotic surgery, as he answered questions in Spanish about cancer screening and treatment from residents of Boyle Heights and other nearby communities. Sotelo also emphasized the educational and career prospects in medicine and biotech.

“There are many career opportunities for students, involving technology that will assist them to improve the quality of health care. This includes apps, medical devices, pharmaceuticals,” Sotelo said. “There’s technology that can help us follow the patient home after the surgery to see exactly how they’re doing. All this is part of it, and there are no barriers.”

Ghecemy Lopez, a cancer information resource and navigation specialist with the Keck School, took the stage along with Sotelo. She focused on engaging and educating youths about in the importance of creativity and critical thinking in STEM, cancer research and patient advocacy.

Lopez said that STEM education — focusing on science, technology, engineering and math — is an equalizer of economic and labor opportunities that can address health issues and break barriers, particularly those affecting the immigrant and low income community in Los Angeles. Lopez, who survived cancer at a young age, said she is grateful that STEM technology and research advances helped her beat cancer and gave her a second chance in life.

More at:



Next Men’s Health Seminar

? Save the date!
We are reday for the next: Men’s Health Seminar
?¿Where? USC Verdugo Hospital, Los Angeles, California.
? July 11th
Free event – Free parking

Men Health Seminar

Men Health Seminar

¡Save the date! USC LA LIVE Practical Urology 2018

?SAVE THE DATE for the next USC LA Live Practical

? February 1-3, 2018


I hope you can join us!

Countdown to #AUA17! Course: Complication of robotic urological surgery

Dear friends, the Annual Meeting of the American Urological Association (AUA) will take place in Boston on May 12-16

As part of this academic event, I have the honor of sharing with outstanding specialists the postgraduate course: Complications of Robotic Urological Surgery: prevention, recognition and management.

When? On May 13th!!!

I hope you will join us! For any additional information I invite you to go to the event website


Urology Apprentice program from USC

Join us in an intense week with the University of Southern of California urology team.

Please contact to Alan Arredondo via for further information.

Urine Myths

1. What exactly is in urine? What’s it composed of?

The function of our kidneys is to filter the blood and eliminate waste from our body. Urine is a body fluid produced by the kidneys, which contains the excreted wastes. Urine is composed of water, electrolytes, and nitrogen compounds, such as urea. It travels from the kidneys, down the ureters, and into the bladder, where it is stored. When we are ready to urinate, the urine leaves the bladder and body through the urethra.

2. Is there any truth to rumors that you can cure athlete’s foot with urine?

Some people say urine might cure athlete’s foot because of the urea that it contains. It would have to be a very large amount of urea (more than how much is normally found in urine) for it to be considered useful to treat tinea pedis (“athlete’s foot”). So in reality, no, it probably does not work.

3. Some people insist that drinking urine can cure all sorts of diseases and ailments. This can’t be true, can it?

The idea of urine therapy started around the 20th century. People claim that it works to cure some medical conditions, such as hair loss, it has been used in cancer treatment, for cleansing of the cardiovascular system, and to prevent viral and bacterial infections. Even famous people, such as Madonna or the former prime minister of India, have been quoted to partake in urine therapy for medical treatment. It is noteworthy to mention, however, that there is no scientific evidence showing that these treatments are effective.

4. Does urinating on a jellyfish sting actually accomplish anything?

Not really. In fact, if the urine is too dilute, it could actually increase pain because the urine activates the cells that are left in the skin by the jellyfish called, cnidocytes. Although some analgesics could be helpful in managing the pain, the best treatment is letting the effect of the venom from the jellyfish diminish over time.

5. If you ever laugh so hard, you release a little urine into your pants, is this cause for alarm?

This can happen sometimes. It could be because the bladder is too full, and any increase in the intraabdominal pressure can cause urine to leak out. Sometimes, this is a result of weakness of the pelvic floor muscles and urinary sphincter, which sometimes happens after pelvic surgery or having children. When a person performs any maneuver that increases the intraabdominal pressure (such as coughing, sneezing, laughing, bending down) high enough to overcome the resistance of the sphincter, leakage of urine can occur. This is not a life threatening situation, and more is related to a person’s quality of life.

6. We know that darker shades of urine can be a sign of dehydration, but what about if it takes on an alarming color, like green or blue?

Blue urine is not common at all. There is a medication¬¬ called methylene blue that can give the urine this color. Methylene blue is usually used as a contrast during surgery to help identify structures, but it is also used in the treatment of a condition called methemoglobinemia and, in which case it is given as a systemic form, which can turn your urine blue.

Green urine can occur after the ingestion of any medication that contains phenol groups. Also, a greenish/brownish color of the urine can be caused by urinary tract infections or fistulas (abnormal connections) between the bowel and the urinary systems.

The urine can also have an orange color after the ingestion of certain medications, such as rifampin and phenazopyridine.

Finally, one of the most important urine colors to take into consideration should be red, which may be the result of blood in the urine (hematuria). Hematuria suggests that red blood cells are in the urine. These individuals need a careful evaluation by a physician to identify the cause of the blood in the urine (such as infection, stones, irritation, and even cancer).

7. Why do some people smell asparagus in their urine and other’s don’t?

There is a study that found that the ability to smell the asparagus odor in urine is related to a gene on our DNA (chromosome 1) which is directly linked with the presence of certain smell (olfactory) receptors. It is expressed less in women, and as a result, females are less likely to be able to sense that particular odor in urine.

8. Maple syrup urine disease sounds like a fake disorder. Is it real, and if so, what causes it?

It is a real disease, caused by a genetic absence of an enzyme which is needed to breakdown (metabolize) some essential aminoacids in the body, for later use. An absent or defective enzyme leads to a broad spectrum of signs and symptoms such as seizures, diarrhea, and a sweet smell of urine.

9. Is the strength of your stream important? What does it mean if somebody is able to urinate from a great distance? Is there some advantage to being able to pee from further away?

The strength of your urinary stream, as well as the diameter, is important to use as a reference when considering a possible blockage of the urinary tract. This is most commonly associated with benign prostatic hyperplasia, which an increase in size of the prostate, something that happens with age in men. Men may experience symptoms such as a decreased force of their urinary stream, difficulty emptying their bladder, or being unable to start urination.

The distance from where you can urinate does not represent any advantage. With age, however, men tend to have a decrease in the strength of their stream, and so the distance from where they can urinate may be shorter.


Rene Sotelo

Mr. and Mrs. Cote

Pathology:Rectourinary fistulas

Lugar: Los Angeles, California. EEUU.


Mark H. Rademacher

Dear Dr. Sotelo:

I am writing to you out of gratitude for your care and attention, as well as the care and attention of your office staff and the staff of Verdugo Hills Hospital.  I was thoroughly impressed by your office staff and their care of me when I first came to you with my problem.  I was very pleasantly surprised by your prompt response to any of my telephone calls when I was concerned or had questions about my upcoming surgical procedure.  Everyone in your office was kind and understanding towards me, and I appreciated your prompt and clear responses to any questions I had.


The staff at VHH was very attentive and kind to me.  I constantly had people coming into my room to make sure I was alright, asking me if there was anything that they could do for me.  It made what was obviously a difficult experience very tolerable.


I realize that I am being repetitive, but I must tell you that I was very surprised by the attentiveness shown towards me, as well as the kindness.  This applies to you as well as to Jason and all of your staff, and the nurses at VHH.  My thanks to all of you.  I am enjoying a recovery that is quicker than I thought, and I believe that is at least partially attributable to the care that you and your staff provided to me.  Thank you.




Mark H. Rademacher, Esq.

Law Offices of Mark H. Rademacher

301 E. Colorado Boulevard, Suite 616

Pasadena, California  91101

Office  (626) 792-8425

Fax      (626) 792-8205