Services

Urology

910 North 5th Street
Cordele, GA 31015
229-276-3511
Fax: 229-276-3513

Urological conditions affect millions of men, women, and children in the U.S. Many can be controlled or cured, but certain symptoms can affect the way.

Aquablation Therapy

Aquablation Therapy Surgical Treatment for BPH [enlarged prostate]

Aquablation therapy is the only real-time, ultrasound-guided, robotic-assisted, heat-free waterjet for the treatment of BPH. Crisp Regional Hospital offers this minimally invasive, one-of-a-kind procedure that can be performed on prostates of any shape and size to deliver durable, long-lasting relief with low rates of irreversible side effects.

83%
men with BPH are not willing to sacrifice sexual function for symptom relief with surgery⁴

3 in 4
men with BPH feel that surgery requires a tradeoff between symptom relief and side effects⁴

1 in 2
men with BPH did not realize how important maintaining sexual function was to them before surgery⁴

See how men regain quality of life by choosing Aquablation therapy for BPH relief

Watch Howard’s BPH journey:

How does Aquablation Therapy work?

Aquablation therapy is a resective procedure, which means that the prostate tissue causing symptoms is surgically removed. No incision is made in the abdomen, as the prostate is reached through the urethra.

Aquablation therapy is performed in a hospital. You will be under anesthesia for the entire procedure. The procedure typically takes an hour and may involve an overnight stay.

There are two key steps to the Aquablation therapy procedure:

Step 1. Surgical Planning

Every prostate is unique in size and shape. Aquablation therapy enables Dr. Lyons to customize your procedure to your specific anatomy.

How? Aquablation therapy is the only BPH surgical procedure that integrates ultrasound imaging with the standard camera. With the help of ultrasound imaging, doctors create a detailed guide to plan the procedure, outlining the specific areas of the prostate that need removal. The tissue within the marked area of the prostate may be removed, while the tissue outside of it may remain untouched. This real-time visualization allows Dr. Lyons to map which parts of your prostate to remove and which parts to avoid, specifically enabling him to avoid removing areas that could cause irreversible complications like erectile dysfunction, ejaculatory dysfunction, and incontinence.

Step 2. Prostate Tissue Removal

Once Dr. Lyons creates a surgical map, a robotic-assisted system follows the surgical plan and resects the targeted prostate tissue using a heat-free waterjet. This advanced technology helps ensure precise, consistent, and predictable removal of the tissue. When required, Dr. Lyons may use a minimal amount of cautery following an Aquablation procedure to control bleeding.

What are the side effects of Aquablation Therapy?

We know that the primary reason men are delaying surgery is because they are concerned about side effects.⁴ In fact, a recent survey shows that 85% of men are concerned that surgery will cause incontinence, and 4 out of 5 men are concerned that surgery will have a permanent impact on their sexual function.⁴ https://aquablation.com/safety-information/

In clinical studies, men who had Aquablation therapy had a very low rate of irreversible complications, such as incontinence, ejaculatory dysfunction, erectile dysfunction.³

100%
of patients had no impact on erectile function, orgasmic function, sexual desire, intercourse satisfaction, or overall sexual satisfaction^1-4

89%
men with BPH preserve ejaculatory function with Aquablation therapy^1-4

>99%
men with BPH did not have incontinence after Aquablation therapy^1-4

Is Aquablation Therapy right for you?

Aquablation therapy is a different kind of surgical procedure. There are many reasons it may be right for you, but make sure to discuss with Dr. Lyons to see if you’re a candidate.

1. Low Rates of Irreversible Complications

Aquablation therapy has a very low rates of irreversible complications (incontinence, ejaculatory dysfunction, erectile dysfunction) because:^1-2

It is the only procedure that gives surgeons the ability to view the entire prostate so they can create a map that avoids the parts of the prostate that cause irreversible complications.
It is the only procedure that uses a heat-free waterjet to remove prostate tissue. Technologies that use heat to remove prostate tissue may be damaging to the parts of the prostate that control erectile function and ejaculatory function. It should be noted that surgeons may use a minimal amount of cautery following an Aquablation therapy procedure to control bleeding.

2. Confidence in Procedure

Aquablation therapy is the only procedure that resects prostate tissue with a robotically controlled waterjet, designed to minimize human error.

3. Long-Term Relief

In clinical studies, Aquablation therapy has been shown to provide long-term relief at 5 years.^1,2

4. Exceptional results vs TURP

When compared with transurethral resection of the prostate (TURP), Aquablation therapy demonstrated:⁵

Showed similar symptom relief
Lower complication rate
Fewer retreatments

5. Exceptional efficacy

Aquablation therapy patients on average experienced:^1-3

16-point improvement in International Prostate Symptom Score
3 -point improvement in quality of life
2x improvement in urinary flow rate

https://aquablation.com/safety-information/

96%
men with BPH wished their doctors would have discussed Aquablation therapy with them⁴

94%
men with BPH would have considered Aquablation therapy if their doctor had told them about it^1-4

Aquablation Therapy Recovery

As with most benign prostatic hyperplasia procedures, you will wake up with a catheter following Aquablation therapy, which allows you to urinate while your urethra heals. The procedure may involve an overnight stay in the hospital. The benefit with Aquablation therapy is that most patients end up leaving the hospital without a catheter.^1,2,4

Once you’re home, you may notice for several weeks a mild burning sensation and urinary urgency, a sudden and intense need to urinate that is difficult to hold off. This can be managed with mild pain medication. Patients can resume their normal activities once approved by their doctor.

Please refer to the discharge instructions provided by your surgeon.

For more information, visit https://aquablation.com/safety-information/

REFERENCES

Gilling PJ et al. Five-year outcomes for Aquablation therapy compared to TURP: results from a double-blind, randomized trial in men with LUTS due to BPH. Can J Urol. 2022 Feb;29(1):10960-10968. ref. 1
Bhojani N, et al. Aquablation Therapy in Large Prostates (80-150 mL) for Lower Urinary Tract Symptoms Due to Benign Prostatic Hyperplasia: Final WATER II 5-Year Clinical Trial Results. J Urol. 2023;210(1):143-153. ref. 2
Elterman D, et al. BMJ Surg Interv Health Technol.2021 ref. 3
Data on file at PROCEPT BioRobotics. ref. 4
Oumedjbeur K, et al. Can J Urol.2023. ref. 5

FINE PRINT

Risk and Safety Information https://aquablation.com/safety-information/

DISCLAIMER OF LIABILITY: AquaStart Program materials are provided at no cost as part of PROCEPT BioRobotics Corporation’s (“PROCEPT”) product support efforts and commitment to enhance surgeon proficiency with, and patient awareness of, Aquablation Therapy. The provision of these materials does not constitute an offer or payment of any remuneration to induce or reward the use, order, arrangement, recommendation or referral of any PROCEPT product or service. These materials do not constitute legal or medical advice. PROCEPT assumes no liability for your use of the materials, for maintaining the accuracy of the content or references, and the manner in which you use the materials.

Conditions and Services

Crisp Regional specialists provide expertise and surgical treatment for urinary disorders in men and women, as well as conditions of the male genital tract or reproductive system. Individualized treatment plans include both medical and surgical solutions to a wide range of issues, including:

General urology
Bladder dysfunction
Botox injections
Complicated urinary tract issues
Cystoscopy
Erectile dysfunction issues
Extracorporeal shock wave lithotripsy (ESWL) for kidney stones
Green light laser treatment for BPH (enlarged prostate)
Holmium laser of stones in the ureter
Male infertility
Reproductive testing
Male sexual dysfunction
Multiple sclerosis issues
Laparoscopic and minimally invasive urologic surgery
Percutaneous tibial nerve stimulation (PTNS) for overactive bladder
Spinal cord stimulation
Stones (kidney and bladder)
Stroke deficits
Urodynamics and reconstructive urology
Urologic cancers (prostate, bladder, testicular, penile)
Urinary incontinence

WHAT IS BPH?

Benign Prostatic Hyperplasia, or BPH, is a condition in which the prostate enlarges as men get older. Over 70% of men in their 60s have BPH symptoms, so it is very common¹. While BPH is a benign condition and unrelated to prostate cancer, it can greatly affect a man’s quality of life.

The prostate is a male reproductive gland, about the size of a walnut, that produces fluid for semen. The prostate surrounds the urethra, which is the tube that carries urine from the bladder out of the body. As the prostate enlarges, it presses on and blocks the urethra, causing bothersome urinary symptoms such as: