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  • All about Aquablation for BPH treatment

All about Aquablation for BPH treatment

Mr Tom Leslie
Written in association with: Mr Tom Leslie Consultant urological surgeon in Milton Keynes
Published: 03/03/2026 Edited by: Conor Lynch on 03/03/2026

Prostate enlargement, medically known as benign prostatic hyperplasia (BPH), is a common condition affecting aging men. As the prostate gland enlarges, it can press against the urethra and interfere with normal urination, causing symptoms such as weak urine flow, frequent urination, urgency, nighttime urination, and incomplete bladder emptying.


While medications are often the first line of treatment, some men require procedural intervention when symptoms become moderate to severe. One of the most advanced and minimally invasive options available today is Aquablation therapy.


Aquablation is a robotic, image-guided procedure that uses a high-velocity stream of sterile water to precisely remove excess prostate tissue. The treatment combines real-time ultrasound imaging with robotic assistance, allowing the surgeon to map the prostate and target only the tissue causing obstruction.


Unlike traditional surgical methods that use heat, such as cautery or laser, Aquablation is heat-free. This reduces the risk of damage to surrounding structures that are important for urinary control and sexual function.


The procedure is performed under anaesthesia and typically takes less than an hour, depending on prostate size. Because the system is robotically controlled, it offers a high degree of precision and consistency. Most patients require a short hospital stay, and a temporary catheter is usually placed for a brief period after surgery.


Recovery is generally quicker compared to more invasive surgeries. Many men experience significant improvement in urinary flow and symptom relief within weeks. Importantly, Aquablation has been shown to preserve sexual function in many patients, making it an appealing option for men concerned about side effects. As with any procedure, potential risks exist, including bleeding or temporary urinary discomfort, but overall it is considered safe and effective for appropriately selected patients.

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