Aquablation therapy

Aquablation therapy (AquaBeam) is a surgical procedure for men with lower urinary tract symptoms resulting from benign prostatic hyperplasia (BPH). It is in the early stages of study.[1] It is not categorized as minimally invasive as general anesthesia is required.[2] The procedure was developed by PROCEPT BioRobotics and combines real-time visualization through a cystoscope and a bi-plane ultrasound, while using a high-velocity sterile saline heat-free waterjet and autonomous robotics to remove prostate tissue.[3][4]

Aquablation therapy
Specialtyurology

Reviews from 2018 and 2019 found aquablation to be probably as effective as transurethral resection of the prostate (TURP) with shorter operation times.[5][6][7] Aquablation may be successful in large volume prostates (80-150 mL) and in those with middle lobes protruding into the bladder.[8]

References
  1. Pimentel, Marie Adrianne; Nair, Shiva Madhwan; Gilling, Peter J. (June 2016). "Aquablation - Early Clinical Results". Current Bladder Dysfunction Reports. 11 (2): 130–133. doi:10.1007/s11884-016-0364-5.
  2. "Benign Prostatic Hyperplasia (BPH) Guideline - American Urological Association". www.auanet.org. Retrieved 2020-06-07.
  3. Gilling, P; Reuther, R; Kahokehr, A; Fraundorfer, M (June 2016). "Aquablation - image-guided robot-assisted waterjet ablation of the prostate: initial clinical experience". BJU International. 117 (6): 923–9. doi:10.1111/bju.13358. PMID 26477826.
  4. Macrae, C; Gilling, P (December 2016). "How I Do it: Aquablation of the prostate using the AquaBeam system" (PDF). The Canadian Journal of Urology: 8590–8593.
  5. Pham H, Sharma P (2018). "Emerging, newly-approved treatments for lower urinary tract symptoms secondary to benign prostatic hypertrophy". Can J Urol. 25 (2): 9228–9237. PMID 29679999.
  6. Dhliwayo, Blessing; Mukhtar, Saheel (2019-01-31). "Novel Surgical Treatments for Benign Prostatic Hyperplasia". Journal of Endoluminal Endourology. Dougmar Publishing Group, Inc. 2 (1): e17–e23. doi:10.22374/jeleu.v2i1.29. ISSN 2561-9187., PDF.
  7. Hwang EC, Jung JH, Borofsky M, Kim MH, Dahm P (2019). "Aquablation of the prostate for the treatment of lower urinary tract symptoms in men with benign prostatic hyperplasia". Cochrane Database Syst Rev. 2: CD013143. doi:10.1002/14651858.CD013143.pub2. PMC 6373984. PMID 30759311.CS1 maint: multiple names: authors list (link)
  8. Saadat H, Elterman DS (2019). "The Role of Aquablation for the Surgical Treatment of LUTS/BPH". Curr Urol Rep. 20 (8): 46. doi:10.1007/s11934-019-0905-5. PMID 31227924.
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