Aquablation

Aquablation therapy is the only real-time, ultrasound-guided, robotic-assisted, heat-free waterjet for the treatment of BPH. At Urology Associates, we are proud to offer this advanced, minimally invasive treatment. Using a heat-free waterjet controlled by robotic-assisted technology, this one-of-a-kind procedure can be performed on prostates of any shape and size to deliver durable, long-lasting relief with low rates of irreversible side effects.

See how men regain quality of life by choosing Aquablation therapy for BPH relief.
Watch Howard’s BPH journey:

Step 1: Surgical Planning:

Every prostate is unique in size and shape. Aquablation therapy enables our surgeons to customize your procedure to your specific anatomy.
How? Aquablation therapy is the only BPH surgical procedure that integrates ultrasound imaging with the standard camera (called a cystoscope). With the help of ultrasound imaging, doctors can create a detailed guide to plan the procedure, outlining the specific areas of the prostate that need removal. The tissue within the marked area of the prostate may be removed, while the tissue outside of it may remain untouched. This real-time visualization allows our surgeons to map which parts of your prostate to remove and which parts to avoid, specifically enabling them to avoid removing areas that could cause irreversible complications like erectile dysfunction, ejaculatory dysfunction, and incontinence.

Step 2: Prostate Tissue Removal:

Once our surgeons have created a surgical map, a robotic-assisted system follows the surgical plan and resects the targeted prostate tissue using a heat-free waterjet. This advanced technology helps ensure precise, consistent, and predictable removal of the tissue. When required, our surgeons may use a minimal amount of cautery following an Aquablation procedure to control bleeding.

Aquablation therapy is a different kind of surgical procedure. There are many reasons it may be right for you, but make sure to discuss with our surgeons to see if you’re a candidate.

1. Low Rates of Irreversible Complications: Aquablation therapy has a very low rates of irreversible complications (incontinence, ejaculatory dysfunction, erectile dysfunction).^1-2
2. Confidence in Procedure: Aquablation therapy is the only procedure that resects prostate tissue with a robotically controlled waterjet, designed to minimize human error.
3. Long-Term Relief: In clinical studies, Aquablation therapy has been shown to provide long-term relief at 5 years.^1,2
4. Exceptional results vs TURP: When compared with transurethral resection of the prostate (TURP), Aquablation therapy demonstrated:5
   • Showed similar symptom relief
   • Lower complication rate
   • Fewer retreatments
5. Exceptional efficacy: Aquablation therapy patients on average experienced:1-3
   • 16-point improvement in International Prostate Symptom Score
   • 3.3 -point improvement in quality of life
   • 2x improvement in urinary flow rate

As with most benign prostatic hyperplasia procedures, you will wake up with a catheter following Aquablation therapy, which allows you to urinate while your urethra heals. The procedure may involve an overnight stay in the hospital. The benefit with Aquablation therapy is that most patients end up leaving the hospital without a catheter.^1,2,4  Once you’re home, you may notice for several weeks a mild burning sensation and urinary urgency, a sudden and intense need to urinate that is difficult to hold off. This can be managed with mild pain medication. Patients can resume their normal activities once approved by their doctor.

Please refer to the discharge instructions provided by your surgeon.

REFERENCES

1. Gilling PJ et al. Five-year outcomes for Aquablation therapy compared to TURP: results from a double-blind, randomized trial in men with LUTS due to BPH. Can J Urol. 2022 Feb;29(1):10960-10968.
2. Bhojani N, et al. Aquablation Therapy in Large Prostates (80-150 mL) for Lower Urinary Tract Symptoms Due to Benign Prostatic Hyperplasia: Final WATER II 5-Year Clinical Trial Results. J Urol. 2023;210(1):143-153.
3. Elterman D, et al. BMJ Surg Interv Health Technol. 2021
4. Data on file at PROCEPT BioRobotics,
5. Oumedjbeur K, et al. Can J Urol. 2023.

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• Improves ability to urinate

• Eases symptoms related to BPH