Aquablation for Enlarged Prostate (BPH)
TREATMENT
Overview
Aquablation is a robot-assisted, minimally invasive treatment for benign prostate enlargement (BPH). Using real-time ultrasound imaging, a high-pressure water jet precisely removes obstructing prostate tissue that is affecting urinary flow.
Because the technique avoids heat, surrounding structures involved in continence and sexual function may be better preserved compared with some traditional surgical approaches.
Aquablation is typically considered for men with moderate to severe urinary symptoms, particularly when medication is no longer effective or when long-term drug therapy is not desired.
Who Is Suitable for Aquablation?
Aquablation may be appropriate for men who have:
- Persistent urinary symptoms such as weak flow, urgency, frequency, or incomplete emptying
- Larger prostate glands
- Poor response or intolerance to medication
- A wish to preserve ejaculation and sexual function where possible
- Recurrent urinary retention or complications related to BPH
Suitability is determined following consultation, examination, and prostate imaging.
The Procedure
Aquablation is performed in hospital under general or spinal anaesthetic.
During the procedure:
- Ultrasound imaging is used to map the prostate in real time
- A robotic system plans the treatment area with surgeon control
- A high-speed water jet removes the obstructing tissue
- No external incisions are required
- The procedure typically takes 45-60 minutes
- A urinary catheter is usually left in place for 1-2 days
Benefits of Aquablation
- Image-guided precision
- Suitable for a wide range of prostate sizes, including larger glands
- Minimally invasive with no surgical cuts
- Avoids heat, which may help preserve continence and sexual function
- Effective improvement in urinary flow, urgency, and bladder emptying
- Consistent and reproducible treatment planning
Clinical studies have shown durable symptom relief following Aquablation.
Recovery
Recovery is generally quick compared with traditional prostate surgery.
Patients can usually expect:
- Light activity within a few days
- Temporary urinary frequency, urgency, or mild discomfort
- Blood in the urine for 1-2 weeks
- Symptom improvement developing over several weeks
- Return to normal activity and work within 1-2 weeks depending on occupation. Your surgeon will provide individual guidance.
Results and Long-Term Outcomes
Most men experience:
- Stronger urinary flow
- Reduced urgency and night-time urination
- Improved bladder emptying
- Better quality of life
Symptom improvement is often noticeable within weeks and has been shown to be sustained in follow-up studies.
The risk of ejaculatory dysfunction may be lower than with some traditional procedures, although this cannot be guaranteed.
Risks and Side Effects
As with any procedure, Aquablation carries potential risks, including:
- Temporary burning or urinary frequency
- Blood in the urine
- Urinary infection
- Short-term urinary retention
- Need for catheter replacement
- Rare need for additional treatment in the future
Serious complications are uncommon. Your surgeon will discuss individual risks.
Alternative Treatments
Treatment for BPH is tailored to symptom severity, prostate size, and patient preference. Alternatives may include:
A consultation helps determine the most appropriate option.
Frequently Asked Questions
How long does Aquablation last?
Symptom improvement is typically long-lasting, with clinical studies demonstrating durable results over several years.
Is Aquablation suitable for large prostates?
Yes. One of the advantages of Aquablation is its ability to treat a wide range of prostate sizes, including larger glands.
Does Aquablation affect ejaculation?
The technique may reduce the risk of ejaculatory dysfunction compared with some traditional procedures, but this varies between individuals.
When can I return to work?
Many patients return to desk-based work within 1-2 weeks. More physical roles may require slightly longer.