Comparison · BPH
Aquablation vs HoLEP: procedure choice depends on anatomy, goals, and expertise.
Aquablation and HoLEP are both tissue-removing BPH procedures. The right choice depends on gland size, median lobe, bleeding risk, surgeon experience, durability goals, and sexual-function priorities.
Main difference
HoLEP enucleates prostate tissue with a holmium laser. Aquablation removes tissue with image-guided robotic waterjet technology.
Questions to ask
Ask which option fits your prostate size, what recovery usually looks like, whether ejaculation is likely to change, and how often the surgeon performs the recommended procedure.