AquaBeam Robotic Surgery

Aquablation Therapy

AquaBeam Robotic Surgery using Aquablation Therapy

A Minimally Invasive Treatment Option for Benign Prostatic Hyperplasia (BPH)

Aquablation Therapy Surgical Treatment for BPH (enlarged prostate)

Aquablation therapy is a new type of surgical treatment for benign prostatic hyperplasia (BPH). At Texas Health Center for Diagnostics and Surgery we are proud to offer this advanced, minimally invasive treatment with the AquaBeam Robotic System.

We are excited to offer aquablation therapy at Texas Health Center for Diagnostics and Surgery, because we believe in helping men suffering from BPH.  We want them to get their life back and feel like themselves again. 

We know choosing a treatment option can be overwhelming, as it often forces men to compromise in some way. This could mean not responding well to medication, or choosing a treatment that only provides limited relief, that may have a long recovery time, or that may even cause issues with sexual function. 

What is Aquablation Therapy

Aquablation therapy is a safe and effective treatment option for men suffering from lower urinary tract symptoms (LUTS) due to Benign Prostatic Hyperplasia (BPH). Performed using the AquaBeam Robotic System, aquablation is an innovative, minimally invasive treatment that uses water delivered with robotic precision to provide long-lasting relief from symptoms and low rates of irreversible complications regardless of prostate size.1  During aquablation therapy the surgeon will remove the prostate tissue causing the symptoms by accessing the prostate through the urethra, without the need for any incisions.

This technology utilizes real-time, multi-dimensional imaging, automated robotic technology, and heat-free waterjet ablation technology.  This combination allows for targeted, controlled, and immediate removal of problematic prostate tissue, independent of prostate size. Aquablation therapy offers predictable and reproducible outcomes. Individual results may vary.

About Benign Prostatic Hyperplasia (BPH)

BPH, also called an enlarged prostate, is a noncancerous condition that occurs when the prostate has grown larger than normal.  A normal sized prostate is similar in size to a walnut and is located underneath the bladder and wraps around the urethra.  The prostate gland plays a key role in sexual function.  

When a prostate grows larger than normal, it can:

  • Put pressure on the bladder, resulting in weakness or difficulty in fully emptying the bladder
  • Narrow the urethra which can make urinating difficult
  • If untreated, BPH has the potential to cause irreversible bladder or kidney damage, bladder stones and incontinence

Traditional treatment options for BPH include prescription medication or surgical treatment.  Surgical intervention for BPH falls into two categories, resective and non-resective and typically require men to choose between symptom relief and side effects.  Side effects of traditional BPH surgery may include:

  • Incontinence
  • Erectile dysfunction
  • Ejaculatory dysfunction

Aquablation is different from traditional BPH surgical options by providing the benefits of both resective and non-resective treatment.  By using a multi-dimensional view of the prostate along with a heat-free waterjet controlled by automated robotic technology the surgeon can remove the prostate tissue while maintaining low rates of irreversible complications. 

How Does Aquablation Therapy Work

Aquablation therapy is delivered by the AquaBeam Robotic System, the first FDA-cleared, surgical robot utilizing automated tissue resection for the treatment of lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH).

With Aquablation therapy, there are two simple steps: the surgical map and removing the prostate tissue.

Step 1: Surgical map: Aquablation therapy is the first and only (as of October 2020) BPH procedure to simultaneously combine the standard camera called a cystoscope with ultrasound guidance imaging giving the surgeon the ability to see the entire prostate in real time. Because every prostate is unique in size and shape, Aquablation therapy has advanced technology tailored to the patient’s specific anatomy. All other surgical procedures only use the cystoscope, limiting the surgeon’s visibility. By combining both imaging technologies, Aquablation therapy provides the surgeon a complete and multi-dimensional view of the prostate, enabling the surgeon to create a map of parts of the prostate to remove, while avoiding areas of the prostate that can cause irreversible complications like erectile dysfunction, ejaculatory dysfunction, and incontinence. 

Step 2: Removing the prostate tissue: With the on-screen surgical map in place, a robotically controlled, heat-free waterjet removes the prostate tissue to offer predictable and reproducible outcomes, independent of prostate anatomy, prostate size, or surgeon experience. Individual results may vary.

The treatment is performed in the hospital and is done under spinal or general anesthesia. The procedure typically takes less than an hour and involves an overnight stay.

Frequently Asked Questions

Who performs Aquablation therapy surgery?

A urologist on the medical staff of Texas Health Center for Diagnostics and Surgery performs Aquablation therapy using the AquaBeam Robotic System. The procedure takes place in the hospital.

Is Aquablation therapy FDA approved?

Yes, Aquablation therapy is performed using the AquaBeam Robotic System, which was cleared by the FDA in

December 2017.

 Who is an appropriate candidate for Aquablation therapy?

Aquablation therapy has been proven as a safe and effective treatment for BPH patients suffering from lower urinary tract symptoms which affect the bladder, prostate, and urethra and impact the ability to hold urine and empty the bladder. Aquablation therapy can treat prostates of any size and shape. Patients should consult with their urologist directly to determine if they are an appropriate candidate.

What happens immediately after the Aquablation therapy?

As with most BPH procedures, patients will wake up with a catheter following Aquablation therapy, which allows them to urinate while their urethra heals. Patients typically stay overnight in a hospital, which allows most patients to go home without a catheter, regardless of the size or shape of their prostate.1,2,3

What are Aquablation therapy’s clinical results?

Aquablation therapy has been validated by a robust clinical program in seven different clinical trials. It has been shown to provide best-in-class and long-term symptom relief with low rates of irreversible complications, regardless of prostate size or shape.1,2

What are the risks associated with Aquablation therapy?

The most common side effects are mild and transient and may include mild pain or difficulty when urinating, discomfort in the pelvis, blood in the urine, inability to empty the bladder or a frequent and/or urgent need to urinate, and bladder or urinary tract infection. Other risks include ejaculatory dysfunction and a low risk of injury to the urethra or rectum where the devices gain access to the body for treatment. In clinical studies, men who had Aquablation therapy had a very low rate of irreversible complications—incontinence, ejaculatory dysfunction, erectile dysfunction. 1,3 Individual results may vary.

Ready to make an appointment?

If you are ready to make an appointment, or if you have questions about aquablation therapy, click the link below to connect with our team. 

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Important Safety Information

All surgical treatments have inherent and associated side effects. The most common side effects are mild and transient, and may include mild pain or difficulty when urinating, discomfort in the pelvis, blood in the urine, inability to empty the bladder or a frequent and/or urgent need to urinate, and bladder or urinary tract infection. Other risks include ejaculatory dysfunction and a low risk of injury to the urethra or rectum where the devices gain access to the body for treatment. For more information about potential side effects and risks associated with Aquablation therapy, speak with your urologist or surgeon. No claim is made that the AquaBeam Robotic System will cure any medical condition, or entirely eliminate the diseased entity. Repeated treatment or alternative therapies may sometimes be required.


1. Gilling, P, et al. Three-Year Outcomes after Aquablation Therapy Compared to TURP: Results from a Blinded Randomized Trial. Can J Urol. 2020 Feb;27(1):10072-10079.

2. Desai, M, et al. Aquablation for benign prostatic hyperplasia in large prostates (80-150 cc): 2-year results. Can J Urol. 2020 Apr;27(2):10147-10153.

3.Data on file at PROCEPT BioRobotics