Open Access

HOW I DO IT

How I do it: Aquablation of the prostate using the A_QUAB_EAM system

Catriona MacRae, Peter Gilling

Department of Urology, Tauranga Hospital, Tauranga, New Zealand
Address correspondence to Prof. Peter J. Gilling, PO Box 56 Dept of Urology, Tauranga Hospital, Tauranga 3114 New Zealand

Canadian Journal of Urology 2016, 23(6), 8590-8593.

Abstract

Benign prostatic hyperplasia (BPH) represents one of the most common conditions encountered in urological practice. For many years, transurethral resection of the prostate (TURP) has been considered the gold standard for surgical management of symptoms in prostates of 30 cc-80 cc. Although TURP provides excellent functional outcomes, there is significant morbidity associated with the procedure, particularly with regards to bleeding, electrolyte imbalance and sexual dysfunction. Emerging technologies aim to maintain the excellent functional results of TURP whilst decreasing the adverse events experienced by the patient.
Aquablation is a novel therapy using a high-velocity waterjet and real-time ultrasound imaging with robotic assistance for targeted removal of prostate tissue. We present our experiences with this new technique, the equipment required and steps involved.

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