Prostate aquablation is a robotic therapy procedure for patients with benign prostate enlargement.
Here, a computer-controlled water jet is used to remove the excess prostate tissue. This procedure is also performed endoscopically through the urethra under anesthesia. The surgical robot, which removes the area previously defined by the surgeon using ultrasound, guarantees the highest degree of precision. The precision, the relatively restrained ablation of the tissue and the renunciation of heat are the reasons why the ejaculation can be preserved in many cases.
Our experts on the topic Aquablation
Aquablation waterjet ablation of the prostate is the first so-called robotic procedure in the treatment of benign prostate enlargement.
For whom is the procedure suitable?
In principle, prostate aquablation is suitable for patients with medium to large prostate glands. Anticoagulants should not be taken. Especially due to the fact that in most cases the ejaculation can be spared, the procedure meets with a broad response.
What are the advantages of this procedure?
The procedure has been scientifically investigated in various studies and compared, among others, with the results of TUR prostate. In particular, there is a very high rate of patients with comparable improvement in urination with aquablation, in which ejaculation and sexual function are preserved. Due to the lack of heat application during tissue ablation, only a low rate of patients suffer from "irritation" of the bladder after surgery.
What are the known risks and disadvantages?
Aquablation is a newer surgical procedure. Therefore, long-term data of more than three years from comparative studies to TUR prostate are currently still missing. At this time, the data show an improvement in symptoms comparable to the standard TURP procedure. The rate of patients requiring reoperation was approximately 4% after 3 years. The occurrence of postoperative bleeding is also possible after aquablation, but is low due to the endoscopic control and hemostasis routinely performed during surgery at alta uro. The risk of involuntary urine leakage is also very low after aquablation.
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