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Aquablation Prostate Therapy

Robotic, image-guided high-velocity saline ablation of benign prostatic hyperplasia.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Aquablation Prostate Therapy?

Aquablation (AquaBeam) is a minimally invasive surgical therapy for benign prostatic hyperplasia (BPH) that combines real-time transrectal ultrasound mapping with a robotically controlled, high-velocity heat-free saline jet. The surgeon plans the resection contour on a console and the robot performs reproducible, automated ablation of obstructing tissue.

It is suitable for prostates of about 30-150 mL, including median-lobe enlargement. Because the cutting modality is non-thermal, periurethral structures critical to ejaculation and continence can be spared. Hemostasis is achieved with bladder neck cautery or focal laser as needed and short-term catheterization.

Randomized data (WATER and WATER II trials) show non-inferior IPSS and Qmax improvements compared to TURP, with markedly lower rates of retrograde ejaculation. Aquablation is particularly attractive in larger glands where open or laser enucleation might otherwise be required.

Symptoms

Severe lower urinary tract symptoms
Reduced peak urinary flow rate
Recurrent acute urinary retention
Failed medical therapy
Large prostate volume (>80 mL)
Concomitant median lobe
Desire to preserve ejaculatory function

Risk Factors

Prostate volume 30-150 mL
Median lobe involvement
Anatomic complexity unsuitable for TURP
Patient preference for sexual sparing
Anticoagulation requiring care
Comorbidities limiting open surgery
Prior failed minimally invasive therapy

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Severe symptoms despite medications
  • Acute urinary retention
  • Hematuria or bladder stones
  • Renal impairment from outflow obstruction
  • Considering large-gland surgical option

Treatment Methods

01
Preoperative TRUS prostate mapping
02
Robotic Aquablation under spinal/general anesthesia
03
Selective bladder neck cautery for hemostasis
04
Short-term urinary catheter
05
Postoperative IPSS, uroflow, PVR follow-up
06
PSA surveillance per BPH guidelines

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Üroloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.