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  1. Home / Blog / Why to Choose Aquablation Therapy for Your BPH Treatment
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Why to Choose Aquablation Therapy for Your BPH Treatment

May 20th, 2025 by Fuad Elkhoury

Why to Choose Aquablation Therapy for Your BPH Treatment

Do you have benign prostatic hyperplasia (BPH)? And right now, you are looking for the right treatment? Of course, the drug treatment should be strictly followed. Alas, it does not always remove all the symptoms, which can be quite painful. Fortunately, there is something else you can try. Let’s discuss aquablation of prostate therapy; study all its features so that you can determine whether it is right for you.

Symptoms of BPH

This is a serious condition that causes a lot of discomfort to the patient.

  • Medications do not help with the unpleasant symptoms.
  • Your prostate is greatly enlarged, you can no longer urinate on your own, and you have to use a catheter.
  • You experience other complications of BPH, including infections, kidney failure, bleeding, and stones.
  • Your doctor will analyze your condition and help you choose the best treatment option.

Why Is Drug Therapy Sometimes Insufficient?

Have symptoms already reached the moderate or severe stage? Alas, in this case, drug therapy may also be too late, although, of course, it is necessary. But at this point, you should consider other treatment options for BPH. Prostate ablation has gained tremendous popularity. Let’s discuss how it can help you reduce unpleasant symptoms in more detail.

Prostate Water Ablation

It is one of several surgical methods for treating BPH. Aquablation therapy provides better results than standard treatment for symptomatic relief in men with prostates larger than 50 g. Patients who underwent ablation had a very low rate of irreversible complications—urinary incontinence, erectile dysfunction, and ejaculatory dysfunction. The method is highly effective.

This is a delicate procedure that uses a robotic arm with visual control. The doctor inserts an instrument through the urethra, which avoids incisions. The robotic arm holds the stream of water for the exact removal of excess prostate tissue. Maximum accuracy is guaranteed.

This procedure is precise and does not involve incisions, which helps to minimize postoperative pain and speeds up recovery. This distinguishes the procedure from traditional surgical approaches.

Aquablation therapy for BPH is highly effective and helps patients avoid severe pain. In general, slight discomfort is possible after surgery, with a maximum of 3 out of 10 on the pain scale. And soon, the pain goes away. The doctor removes the tissue using a saline solution at room temperature. Saline is biocompatible with the human body. Surgical methods of treating the prostate destroy excess tissue using heat or caustic substances. This carries the potential to damage the remaining tissue and may contribute to some of the sexual dysfunction seen after these procedures.

Aqua ablation avoids these problems. With this procedure, the doctor removes excess tissue without affecting the patient’s ability to urinate or have sex. The risk of not being able to ejaculate after aqua ablation is only about 10%, compared to 30-100% with other approved surgical approaches to treating BPH.

The procedure is performed while the patient is under general anesthesia in the operating room. It typically takes about 45 minutes, which is about half the time of a traditional prostatectomy.

Why is Aqua Ablation an Effective Treatment for BPH?

Let’s look at two categories of BPH treatments that complement medical treatment:

  1. Minimally invasive surgical treatments (MIST) have become increasingly popular. They include the prostatic urethral tightening procedure, water vapor therapy, and a temporarily implanted nitinol device. These procedures fall somewhere between medication and surgery. They do not require a hospital stay. If your prostate is only slightly enlarged and you are just looking for some symptom relief beyond what medication can provide, outpatient MIST may be the right option for you. But sometimes, more rigorous treatments may be necessary.
  2. Surgical options include Aqua Ablation, Laser Vaporization, and Laser Enucleation. Transurethral Resection of the Prostate (TURP) and open prostatectomy are also available. Aqua ablation is performed in the operating room and is considered a surgical procedure. But it is a very gentle method. As a rule, the patient only needs to stay in the hospital for one night.

Ablation Therapy Stages

Ultrasound, robotic, heatless water jet therapy for treating BPH has proven its effectiveness. Here are its key stages:

1. Surgical Planning

The doctor will create an individual treatment plan, examine your condition, and determine which tissue should be resected and preserved before the ablation therapy procedure.

2: Removal of Prostate Tissue

As a result of ablation therapy, the doctor excises the prostate tissue, leaving the surrounding areas intact. The procedure is as gentle as possible.

3. Recovery

Listen to the doctor’s recommendations to return to your previous lifestyle quickly. During this period, the main thing was not to lift heavy objects.

 

How Long Does it Take to Recover from Aqua Ablation?

Most men only need one night of observation in the hospital and a catheter after the procedure. The catheter is usually removed the next morning. There is minimal discomfort after the procedure, and residual discomfort usually disappears within a couple of days.

What Should You Not Do after the Procedure?

The main limitation is not lifting more than 10 pounds on each arm for two weeks.

Excessive strain can cause bleeding at the surgical site. So it is best to be on the safe side.

Conclusions

Aqua ablation therapy offers a minimally invasive, effective solution for the relief of lower urinary tract symptoms caused by BPH. The doctor performs the procedure with robotic precision, and the discomfort after the treatment is minimal. And in just a couple of days, you will forget that the symptoms of this disease tormented you. Aqua ablation therapy provides long-term results with a minimal risk of complications. Transform your life and take a step towards recovery. Make an appointment for a consultation, and we will answer all your questions, conduct diagnostics, and create an individual treatment plan.

The experts at Orange County Urology Associates, your premier urology care center, are waiting to see you. Take care of yourself!

Fuad Elkhoury - Urologist

Fuad Elkhoury

Los Angeles native Dr. Fuad Elkhoury, a skilled urologist, specializes in advanced endoscopic and robotic surgery. With expertise in kidney stone treatment and Holmium Laser Enucleation of the Prostate (HoLEP) for BPH, he prioritizes patient care, providing education and collaborative decision-making. A member of the American Urological Association, Dr. Elkhoury ensures a supportive experience, aiming to alleviate patient anxiety. Outside of his practice, he enjoys sports, outdoor activities, and family time.

Areas of Expertise: Advanced Endoscopic Surgery, Robotic Surgery, Holmium Laser Enucleation of the Prostate (HoLEP), Patient-Centric Care


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Dr. Moses Kim, MD, Ph.D., Chief Executive Officer of OCUA, explains how he now performs prostate removal with one incision instead of 5 or 6.
Moses Kim, MD, Ph.D.

Watch this video to see how Orange County Urology Associates offers patients superior surgical expertise. In this video, Moses Kim, MD, Ph.D., President, and Chief Executive Officer of Orange County Urology Associates, explains how he now performs a prostatectomy (prostate removal) using an Intuitive Surgical single-port technique. Before the new single-incision technique, the procedure required 5 or 6 incisions.

Click here for Dr. Moses Kim Performs First Single-Port Robotic Prostatectomy in SoCal

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IN THE OPERATING ROOM -- In this video, watch Dr. Moses Kim, MD, Ph.D. (OCUA Urologist-Urologic Oncologist) as he performs a robotic single-port radical prostatectomy (prostate removal through one small incision) using a da Vinci® robot made by Intuitive Surgical.
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Call or Text Us: 949-855-1101 | Fax: 949-855-8710

Orange County Urology Associates (OCUA) delivers comprehensive urology care throughout Orange County with locations in Laguna Hills, Irvine, Mission Viejo, Santa Ana, Anaheim, Costa Mesa, Lake Forest, Huntington Beach, Laguna Beach, Laguna Niguel and Dana Point. We also have patients from Los Angeles, San Diego, and from outside the U.S. We focus on comprehensive urological care for both men and women involving Urinary incontinence/leakage (men, women, teens, children), urinary tract infections (UTIs), enlarged prostate / benign prostatic hyperplasia (BPH), erectile dysfunction (ED) / impotence, prostate cancer, bladder cancer, kidney cancer, kidney disorders, kidney stones, sacral nerve stimulation, male infertility, sperm mapping, male restoration, curved penis, vasectomy (no-needle and no-scalpel) and vasectomy reversal.

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