Aquablation for enlarged prostate symptoms when a tissue-removing BPH procedure fits the anatomy.
Aquablation uses image-guided robotic waterjet technology to remove obstructing prostate tissue through the urethra. It is a hospital-based BPH procedure, not an office treatment. For selected men, it can offer meaningful urinary relief while aiming to reduce some sexual-function tradeoffs seen with older tissue-removing operations.
Who this may fit
- Men with bothersome BPH symptoms who need more than medication or an implant-based office procedure.
- Selected prostates where a tissue-removing procedure is appropriate and sexual-function tradeoffs are a major concern.
- Patients comparing Aquablation, TURP, HoLEP, Rezum, UroLift, and robotic simple prostatectomy.
Evaluation before treatment
Symptom score, medication history, urinalysis, PSA context, bladder-emptying measurement, and prostate sizing.
Cystoscopy or imaging may be used to understand median lobe, bladder-neck, urethral, and prostate anatomy before selecting a procedure.
Recovery and follow-up
Aquablation is generally performed under anesthesia with catheter and bleeding-monitoring plans explained before treatment.
Activity restrictions, catheter timing, urgency, burning, bleeding, and follow-up vary by prostate size, anticoagulants, and surgeon protocol.
Common questions
Is Aquablation the same as Rezum or UroLift?
No. Aquablation removes tissue with a robotic waterjet. Rezum uses water vapor to ablate tissue. UroLift uses implants to hold tissue aside.
Is Aquablation right for every prostate?
No. Candidacy depends on prostate size, anatomy, symptoms, bleeding risk, and available alternatives.
Related patient guides
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