03/27/2026
I am happy to now be able to offer the Aquablation procedure of the prostate at Riverside Hospital. Below are many of the reasons I think this is a great option for men with BPH.
š Aquablation Therapy for BPH
A Modern, Minimally Invasive Treatment for Enlarged Prostate
ā What Is Aquablation?
Aquablation is an advanced, minimally invasive procedure used to treat benign prostatic hyperplasia (BPH)āa common condition where the prostate becomes enlarged and blocks urine flow.
It uses a robotāguided, highāpressure water jet (not heat) to precisely remove excess prostate tissue.
Aquablation combines:
Realātime ultrasound imaging
Computerācontrolled robotic technology
A heatāfree water jet for tissue removal
This allows for highly accurate, personalized treatment.
š” Why Aquablation Is Performed
Aquablation is designed to relieve urinary symptoms caused by BPH, including:
Weak or slow urine stream
Frequent urination, especially at night
Urgency or difficulty starting urination
Stopping and starting during urination
Feeling unable to fully empty the bladder
It is effective for small, medium, and very large prostates, making it a versatile option for many men.
š„ What to Expect During the Procedure
Performed in a hospital under general or spinal anesthesia
No incisionsātreatment is done through the urethra
The surgeon maps the prostate using ultrasound
A robotic system directs a water jet to remove obstructing tissue
A brief cautery step may be used to control bleeding
A urinary catheter is placed at the end of the procedure
Typical procedure time: 30ā60 minutes
ā±ļø Recovery and Aftercare
Most patients:
Stay one night in the hospital
Have the catheter removed within 24ā48 hours
Return to normal activities in 3ā5 days
Notice continued improvement over several weeks
Temporary symptoms may include:
Mild burning with urination
Increased frequency or urgency
Small amounts of blood in the urine
These usually improve as healing progresses.
šÆ Benefits of Aquablation
Effective symptom relief for a wide range of prostate sizes
Low risk of sexual side effects, including:
Very low risk of erectile dysfunction
Lower risk of ejaculatory dysfunction compared to many other BPH surgeries
No heat, reducing risk of thermal injury
Robotic precision for consistent, predictable results
ā ļø Risks and Possible Side Effects
As with any procedure, risks may include:
Bleeding
Temporary difficulty urinating
Infection
Rare need for future retreatment
Your provider will review your individual risks based on your prostate size and medical history.
š§ Who Is a Good Candidate?
Aquablation may be recommended if you:
Have moderate to severe urinary symptoms
Want to preserve sexual function
Have a large prostate
Have not improved with medications
Prefer a minimally invasive, roboticāassisted option
