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
Prepare for the consultation
Bring the information that helps compare the right BPH procedure.
You do not need to choose TURP, HoLEP, Aquablation, or robotic surgery before the visit. The goal is to give the urologist enough context to explain which options fit and why.
Do not send medical history through a public website form. Clinical details belong in the practice’s approved patient workflow.
Information to locate
- Recent imaging or a report that includes prostate size, if one exists.
- A list of prior BPH medicines or procedures and what changed afterward.
- Any history of catheter use, urinary retention, bladder stones, bleeding, or prior prostate surgery.
- Your current insurance information and preferred hospital or facility questions.
Questions worth asking
- Which options fit the prostate size, anatomy, bladder function, and treatment goals?
- Why would a transurethral approach or robotic approach be favored in this case?
- What are the expected catheter, hospital, activity, and follow-up plans?
- Which surgeon, facility, anesthesia, and insurance charges should be confirmed?
Simple prostatectomy vs TURP
Compare the surgical route, prostate-size context, recovery questions, and why these operations are not interchangeable.
Review the comparison
HoLEP vs robotic simple prostatectomy
Review the questions that separate a transurethral enucleation approach from robotic large-gland surgery.
Review the comparison
BPH treatment options in New Jersey
Place medication, office procedures, TURP, HoLEP, Aquablation, and robotic surgery in one decision path.
Review the comparison
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