Aquablation is a modern treatment for prostate conditions. This procedure specifically targets and removes only the excess prostate tissue that causes urinary obstruction, rather than the entire prostate gland.
Understanding the Prostate and BPH
The prostate gland is a component of the male reproductive system, situated just below the bladder and surrounding the urethra. Its primary role involves producing seminal fluid, which transports sperm. As men age, the prostate gland can naturally enlarge, a common and non-cancerous condition known as Benign Prostatic Hyperplasia (BPH).
This enlargement can compress the urethra, leading to various bothersome urinary symptoms. Aquablation is a procedure designed to alleviate these symptoms by addressing the obstructive tissue associated with BPH and improving urine flow.
How Aquablation Works on the Prostate
Aquablation employs a robotically controlled, heat-free waterjet to precisely remove excess prostate tissue causing urinary obstruction. It uses real-time ultrasound imaging and a camera (cystoscope) to create a detailed map of the prostate. Surgeons use this map to identify and target specific areas for removal, avoiding surrounding structures.
The heat-free waterjet minimizes thermal damage to adjacent healthy tissues, including those involved in erectile function and urinary continence. This precision allows for the removal of obstructive tissue without a complete surgical removal of the prostate gland. The robotic system ensures consistent and predictable tissue removal according to the surgeon’s pre-planned strategy.
Patient Experience and Outcomes with Aquablation
Patients undergoing Aquablation typically receive general or spinal anesthesia during the procedure, which often takes less than an hour. Following treatment, most individuals experience significant improvement in urinary symptoms, such as stronger urine flow and reduced nighttime urination, usually within weeks. A catheter may be in place initially to assist with healing, often removed before discharge or after a few days.
The recovery period is generally short, with many patients able to return to their regular activities within one to two weeks. Due to the precise and targeted tissue removal, Aquablation is associated with a lower risk of certain side effects compared to more invasive prostate surgeries. This includes a reduced likelihood of new or sustained sexual dysfunction, such as ejaculatory issues or erectile dysfunction, and urinary incontinence.
Considering Aquablation: Candidate Profile and Alternatives
Aquablation is typically considered for men experiencing moderate to severe urinary symptoms caused by BPH. It can be a suitable option when oral medications have not provided adequate relief or when patients prefer alternatives to long-term medication use. The procedure is effective for a range of prostate sizes, often recommended for prostates between 30 and 80 milliliters.
Individuals who prioritize the preservation of sexual function and continence may find Aquablation appealing. While Aquablation offers a distinct treatment pathway, other options for BPH exist, including various medications and different surgical procedures. A discussion with a healthcare provider helps determine the most appropriate treatment based on individual symptoms, prostate characteristics, and personal preferences.