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Benign prostatic hyperplasia (BPH) Surgery Options

Men's Health | Last Active: Nov 4 11:00am | Replies (245)

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@bill5letsfixthis

@rfherald When your PC says non surgical I assume he is talking meds? I’ve been looking at minimally invasive procedures. I think I will be deciding on Aquablation. I went to their site, aquablation.com and found the information helpful. They will also give you the name of a Uro near you. I saw “my new Uro” on Tuesday and found that he’s done more aquablation procedures than anyone in MA. I listen to men’s health segment on Doctor Radio Dr Aaron Katz, on first Wednesday of the month and he and his guest last week like aquablation and said you should find a doc who has done a lot of them.

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Replies to "@rfherald When your PC says non surgical I assume he is talking meds? I’ve been looking..."

Bill, I just read some initial information on their website and elsewhere. Clearly they are selling aquablation, but it sounds like they have had good results. I am going to see a urologist soon and will ask him about it. Rezum was new to me and now this! There is a lot of recent interest in prostate removal. One important thing I found: Medicare covers it. https://www.surgicalroboticstechnology.com/news/growing-coverage-for-procept-biorobotics-aquablation-therapy/
One problem I found, specific to me is, that the closest recommended doctor is about 500 miles away. I don't know how many procedures he has performed.

Bill and @rfherald, I noticed that you both are looking into aquablation. I hadn't heard of it before and wanted to find articles that are not written by the company itself for an objective viewpoint. Looks promising. See these articles:
- Aquablation for Benign Prostatic Hyperplasia in Large Prostates (80-150 cc): 1-Year Results https://www.sciencedirect.com/science/article/pii/S0090429519304194
- Aquablation of the prostate: a review and update https://pubmed.ncbi.nlm.nih.gov/31481145/

At the time of 2019, researchers concluded:
"Aquablation is a safe and effective option for treating LUTS secondary to BPH. Aquablation is a new surgical option that shows very promising short term results, in particular, due to its short resection time regardless of gland size and low rate of sexual side effects. This technology still requires further investigation to confirm durability and efficacy over time."

Here's some additional information in plain language from Mayo Clinic
- Mayo Clinic Q and A: New steam treatment for benign prostatic hyperplasia https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-new-steam-treatment-for-benign-prostatic-hyperplasia/