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Posted by on Oct 21, 2018 in Benign prostatic hyperplasia | 0 comments

In a nutshell

This study looked at using aquablation (water jet treatment) to improve the symptoms of benign prostatic hyperplasia (BPH). It concluded that the water jet treament could improve the quality of life and symptoms of patients with BPH.

Some background

Benign Prostatic Hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland. An enlarged prostate can affect bladder function and have a negative impact on quality of life. Treatments for BPH may include medication or surgery to remove excess prostate tissue. Medications for BPH often result in many side effects. BPH surgeries can lead to complications. 

Surgical treatments for BPH can often cause complications and have a longer recovery time. Standard BPH surgeries can also cause improper sexual function. Aquablation uses a hot water jet to destroy the prostate tissue. This water comes from a tube inserted near the prostate. Water jet treatment is still being established as an alternative to standard BPH surgeries. 

Methods & findings

118 patients were treated in a 4 month period with the water jet treatment. The patients did not have any previous surgical procedures for BPH. These patients were assessed for sexual function, urinary function and side effects after the procedure. Patient quality of life and prostate symptoms were also assessed. 

Average operation time for the procedure was under 30 minutes. This is shorter than the standard operation time for standard prostate tissue removal. 3 months after the procedure, quality of life, urinary function and prostate symptoms had significantly improved. 73% of patients still had normal sexual function after the procedure. Prostate volume, on average, decreased by 65%. Side effects included urinary tract infections and hematuria (blood in urine). 4 patients had to have a second surgical procedure. 

The bottom line

This study concluded that water jet treatment is safe and effective. It also concluded that this treatment could improve urinary function, prostate symptoms and quality of life in patients who have BPH. 

The fine print

The authors note that 4 patients did have to have another surgery. This may suggest water jet treatment did not work for them. 

What’s next?

If you are interested in learning more about aquablation for BPH treatment, contact your doctor. 

Published By :

World Journal of Urology

Date :

Oct 04, 2018

Original Title :

Aquablation of the prostate: single-center results of a non-selected, consecutive patient cohort.

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