What we need to know about Aquablation

Aquablation is an innovative medical procedure designed to treat benign prostatic hyperplasia (BPH), a condition characterized by an enlarged prostate. This condition affects many men as they age, leading to symptoms such as urinary frequency, urgency, and a weak urine stream. 

Traditional treatments for BPH include medications and invasive surgeries, but Aquablation offers a less invasive alternative with promising outcomes. Here to explain more is esteemed consultant urologist, Mr Ahmed Ali. 

What is Aquablation?

Aquablation is a minimally invasive surgical procedure that uses the power of water to remove excess prostate tissue. During the procedure, a high-velocity saline stream is delivered through a specialised robotic device called the AquaBeam system.

This robotic technology allows for precise targeting and removal of the overgrown tissue without damaging the surrounding structures. The procedure is typically performed under general anaesthesia and guided by real-time imaging, ensuring accuracy and safety.

How does Aquablation work?

The process begins with the insertion of the AquaBeam device into the urethra. Once in place, the surgeon uses ultrasound and cystoscopic guidance to map the prostate and identify the tissue to be removed. The high-pressure water jet then ablates the targeted tissue, which is simultaneously flushed out of the body. The entire procedure usually takes less than an hour, and patients can often return home the same day or the next.

What are the benefits of Aquablation?

Aquablation offers several advantages over traditional BPH treatments. One of the key benefits is its precision. The robotic system minimises the risk of human error, leading to more consistent and reliable outcomes.

Additionally, because the water jet only removes the targeted tissue, there is a lower risk of damaging the surrounding structures, such as the bladder and the urethral sphincter. This precision results in fewer complications, such as incontinence and sexual dysfunction, which are common concerns with other surgical options.

Who is a candidate for Aquablation?

Ideal candidates for Aquablation are men with moderate to severe BPH symptoms who have not responded well to medication. It is particularly beneficial for patients with larger prostates, as traditional minimally invasive procedures may not be as effective in these cases. Furthermore, this technique provides durable improvement with very low re-operation rate.