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Aquablation – Leading the Way in Advanced Prostate Surgery

Aquablation for Enlarged Prostate

Welcome to Amazing Trendz! In this blog post, we will discuss ablation, an advanced surgical technique for the treatment of benign prostate enlargement. Aquablation offers a minimally invasive approach that uses high-pressure saline and hydro dissection to remove extra prostate tissue without the use of heat. Let’s explore the qualifications for aquablation, the differences between aquablation therapy and other BPH treatments, the step-by-step operation of aquablation, the recovery time for aquablation therapy, and the advantages and adverse effects of this treatment.

Who Qualifies for Aquablation?

Candidates for ablation are individuals experiencing symptoms of benign prostate enlargement (BPH) such as frequent and urgent urination, a slower stream, frequent nighttime urination, and the feeling of incomplete bladder emptying. Aquablation can benefit individuals with prostates of any size. However, careful patient selection is crucial for successful surgery. Patients with moderate to severe lower urinary tract symptoms (LUTS), unresponsive to medical treatment for bladder outlet obstruction caused by BPH, often qualify as suitable candidates. Healthcare providers should conduct formal assessments and counseling for these patients in an outpatient setting.

Difference Between Aquablation Therapy and Other BPH Treatment Options

In addition to medication, there are two types of BPH treatments available: minimally invasive surgical treatments (MISTs) and traditional surgery. MISTs include procedures such as transiently implanted nitinol devices, water vapor therapy, and prostatic urethral lift procedures. Traditional surgery options include open prostatectomy, transurethral resection of the prostate (TURP), laser vaporization, and laser enucleation therapy. Consider Aquablation a surgical procedure since it occurs in an operating room and necessitates an overnight hospital stay.

How is Aquablation Operated?

The aquablation procedure begins with urologic doctors generating a surgical map of the prostate. This map is then used to guide a robotic waterjet that eliminates prostate tissue without the use of heat. With aquablation, surgeons can view the entire prostate in real time by combining ultrasound imaging with a tiny camera known as a cystoscope. This allows for precise identification of the prostate tissue that needs to be removed. Aquablation therapy is performed under anesthesia in a hospital setting and typically takes less than an hour.

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Aquablation Procedure

Let’s learn about aquablation procedure Step by Step:

Step 1: Making a Surgical Map

Since each prostate is unique in size and shape, the surgeon must tailor the procedure to the patient’s specific anatomy. Aquablation therapy is the only method that allows the surgeon to view the entire prostate in real time using ultrasound imaging and a cystoscope. This technology enables the surgeon to map out specific regions of the prostate for removal or preservation. The surgeon will identify sections of the prostate that may result in permanent issues such as incontinence, ejaculatory dysfunction, or erectile dysfunction.

Step 2: Prostate Tissue Removal

Once the surgical strategy is established, the mapped-out prostate tissue is removed using a robotically controlled, heat-free water jet. Robotic technology helps eliminate human error and ensures accurate, reliable, and consistent prostate tissue removal. Some surgeons may use minimal cautery to control bleeding after an aquablation procedure.

Advantages of Aquablation

Aquablation offers precise prostate tissue removal through the use of surgical mapping, high-definition imaging, and robotic technology. This approach allows urologic surgeons to avoid removing sections of the prostate that could lead to issues like retrograde ejaculation. Additionally, since the urethra provides access to the prostate, no incision is necessary.

Adverse Effects and Recovery Time

The most commonly mild and transient adverse effects of aquablation include bladder infection, pelvic pain, difficulty emptying the bladder, frequent and/or urgent urination, and mild pain or blood during urination. Most men only require one night of hospital observation and catheter use following aquablation therapy. Discomfort is minimal, and within a few days, most men experience little to no pain. The primary limitation during recovery is avoiding heavy lifting for two weeks.

However, individuals can usually return to work right away unless their job involves heavy labor. According to Dr. Gonzalez, aquablation is a highly effective procedure, with 95% of men examined five years after surgery not requiring further therapy. It is a durable treatment option for men with BPH and has the lowest risk of sexual adverse effects compared to typical prostate procedures.

Conclusion

In conclusion, aquablation is an advanced and effective treatment option for individuals with benign prostate enlargement. It offers precise tissue removal, minimal invasiveness, and a shorter resection time. If you are experiencing symptoms of BPH, consult with a urologic doctor to determine if aquablation is the right treatment for you. Check our full Playlist.

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