Benign Prostatic Hyperplasia

Aquablation® therapy is a real-time, ultrasound-guided, robotic-assisted, heat-free waterjet for the treatment of Benign Prostatic Hyperplasia.

A minimally-invasive, resective procedure, Aquablation® surgically removes the prostate tissue causing symptoms. No incision is made in the abdomen, as the prostate is reached through the urethra. You will be under anesthesia for the entire procedure, which typically takes an hour and may involve an overnight stay. 

With the help of ultrasound imaging, a detailed guide is created to plan the procedure, outlining the specific areas of the prostate that need removal. This real-time visualization allows our surgeons to map which parts of your prostate to remove and which parts to avoid, enabling them to avoid removing areas that could cause irreversible complications like erectile dysfunction, ejaculatory dysfunction and incontinence.

Once the surgical map is created, a robotic-assisted system follows the surgical plan and resects the targeted prostate tissue using a heat-free waterjet. 

Aquablation® has a very low rate of irreversible complications (continence, ejaculatory dysfunction and erectile dysfunction).

In clinical studies, patients who have had Aquablation® therapy reported no impact on erectile function, orgasmic function, sexual desire, intercourse satisfaction or overall sexual satisfaction.

Patients may resume normal activities once approved by their urologist. Your urologist will provide specific discharge instructions.

Rezum® is an FDA-approved treatment that injects small amounts of steam directly into the prostate, killing some of the benign tissue. The gland then shrinks as it repairs itself, relieving men of symptoms caused by the enlarged prostate, which include the need to urinate more frequently and with more urgency (especially at night), irregular flow and straining to urinate.

Inside a hand-held device, radiofrequency energy is applied to a few drops of water to create vapor (steam). The water vapor is injected into the prostate tissue that is blocking the flow of urine from the bladder, where it immediately turns back to water, releasing the energy stored in the vapor into the cell membranes. At this point, the cells are gently and immediately damaged, causing cell death. Over time, your body will absorb the treated tissue through its natural healing response.

Most reported side effects in the clinical study were mild to moderate in severity and typically resolved within a few weeks. The most frequent side effects included urinary symptoms, such as frequency, urgency, discomfort during urination, or blood in the urine. Erectile and ejaculatory functions were preserved. 

Most patients return to regular activities within a few days. Your urologist will discuss this during your consultation.