Aquablation Therapy – Surgical Treatment for BPH (enlarged prostate)

AUUA is proud to announce its introduction of a new surgical treatment for benign prostate hyperplasia (BPH), Aquablation. Among one of the earliest adopters in the United States, AUUA is excited to offer Aquablation as a new, minimally invasive treatment option that can help those with BPH to recover quickly and get back to living their lives to the fullest again.

Choosing the right treatment for BPH can be challenging as men are often forced to face uncomfortable compromises, from not responding well to medication, getting only limited relief, having a lengthy recovery time, or possibly even dealing with negatively impacted sexual functioning. Aquablation therapy is an original, innovative procedure that aims to minimize these compromises.


men with BPH are not willing to sacrifice sexual function for symptom relief with surgery1

3 in 4

men with BPH feel that surgery requires a tradeoff between symptom relief and side effects1

1 in 2

men with BPH did not realize how important maintaining sexual function was to them before surgery1

What Is Aquablation Therapy?

Using water delivered with robotic precision, Aquablation therapy provides long-lasting BPH relief without compromise. Precise, predictable, and consistent, Aquablation therapy delivers long-term relief no matter how enlarged the prostate is.2, 3

Ed’s Story:

How Does Aquablation Therapy Work

Aquablation is considered a resective procedure because the tissue responsible for the BPH symptoms is removed. Because the prostate is accessed through the urethra, Aquablation requires zero abdominal incisions. It is performed in the hospital under anesthesia, and generally takes less than an hour, plus an overnight stay for monitoring.

There are two key steps to the Aquablation procedure.

Step 1. Creating a Surgical Map

All prostates are unique in size and shape. Because of this, Aquablation therapy procedures are customized by AUUA to the specific anatomy of each patient. Using ultrasound imaging with a standard camera (called a cystoscope), AUUA’s clinicians are able to view the entire prostate in real time. Surgeons then map the parts of the prostate to be removed, and which parts to be avoided. This mapping allows AUUA to preserve the parts of the prostate that when damaged cause irreversible complications like erectile dysfunction, ejaculatory dysfunction, and incontinence.

Creating a Surgical Map

Step 2. Removing the Prostate Tissue

Once the surgical map is created, a robotically controlled, heat-free waterjet expunges the problematic prostate tissue as indicated by the surgical map. The use of robotic technology in the Aquablation procedure minimizes human error in prostate tissue removal and helps ensure that the removal of prostate tissue is predictable, consistent, and precise. Sometimes, AUUA clinicians may provide a minimal amount of cauterization to control bleeding.

Removing the Prostate Tissue:

What Are the Side Effects of Aquablation Therapy?

Fear of side effects is the primary reason men delay surgery to treat BPH.1 A recent survey shows that 85% of men report worries that surgical intervention will cause incontinence, and 80% report that they are concerned that they may experience a permanent negative impact on their sexual functioning.1 Aquablation allows men with BPH to lay their worries aside. In clinical studies, patients who received Aquablation therapy had a very low rate of irreversible complications such as erectile dysfunction, ejaculatory dysfunction, or incontinence.


impact on erectile function, orgasmic function, sexual desire, intercourse satisfaction or overall sexual satisfaction  2, 3, 4


men with BPH preserve ejaculatory function with Aquablation therapy 2, 3, 4


men with BPH did not have incontinence after Aquablation therapy 2, 3, 4

Is Aquablation Therapy Right for You?

Aquablation is a genuine breakthrough in surgical interventions for the treatment of BPH. There are three primary reasons that make it the best choice for many men with benign prostate hyperplasia, but make sure to discuss with your doctor at AUUA first.

1. Low Rates of Irreversible Complications

Aquablation offers very low rates of irreversible complications such as incontinence, ejaculatory dysfunction, incontinence, and erectile dysfunction. 2, 3, 4 This is because:

  • Aquablation is the only surgical intervention that uses prostate mapping based on real time viewing of the prostate to avoid operating on parts of the prostate that would cause irreversible complications.
  • Aquablation is the only therapy for BPH that uses a heat-free waterjet to remove problematic prostate tissue. Technologies that heat to remove prostate tissue can damage parts of the prostate responsible for erectile and ejaculatory function. While some surgeons do use cauterization following an Aquablation procedure if required to control bleeding, this is minimal.

2. Confidence in Procedure

Through the use of a robotically controlled waterjet, Aquablation therapy minimizes human error, ensuring that prostate tissue is removed precisely, with consistent and predictable results.

3. Long-Term Relief

Aquablation therapy has been shown to provide long-lasting symptom relief in clinical studies.2

Take the International Prostate Symptom Score (IPSS) Quiz to measure how severe your symptoms are.

Take the Sexual Function Quiz to help you determine if maintaining sexual function after BPH surgery is important to you.


men with BPH wished their doctors would have discussed Aquablation therapy with them1


men with BPH would have considered Aquablation therapy if their doctor had told them about it1

Aquablation Recovery

Like other BPH procedures, patients wake up with a catheter after an Aquablation procedure, and typically stay overnight in the hospital. AUUA may send you home with a catheter for a few days, or may keep you for an additional night if you are unable to urinate on your own, or empty your bladder at the time of discharge.

AUUA understands that most people would prefer to avoid overnight hospital stays. Thankfully, Aquablation therapy minimizes the need for patients to leave the hospital with a catheter. 2, 3, 4 Once home, patients may experience a mild burning during urination, which typically resolves within a couple of weeks and can be managed with mild pain medication.

For more information, visit

Have Questions or Want More Information?

For more information, call AUUA at 623.547.2600, and visit for Frequently Asked Questions.

To stay up to date on all things related to Aquablation therapy, follow Aquablation therapy on Facebook and X.


  1. Data from a global survey of 300 patients with BPH. Data on file at PROCEPT BioRobotics.
  2. 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.
  3. Bhojani, N, et al. Aquablation for Benign Prostatic Hyperplasia in Large Prostates (80-150 cc): 1-Year Results. Urology. 2019 Jul;129:1-7.
  4. Data on file at PROCEPT BioRobotics.

Fine Print

United States and Hong Kong

The AquaBeam® Robotic System is intended for the resection and removal of prostate tissue in males suffering from lower urinary tract symptoms due to benign prostatic hyperplasia.

Rest of World

The AquaBeam Robotic System is intended for the resection and removal of prostate tissue in males suffering from lower urinary tract symptoms.

Important Safety Information

All surgical treatments have inherent and associated side effects. Individual’s outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics and/or surgeon experience. 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. Further, there may be other risks as in other urological surgery, such as anesthesia risk or the risk of infection, including the potential transmission of blood borne pathogens. For more information about potential side effects and risks associated with Aquablation therapy for Benign Prostatic Hyperplasia (BPH) treatment, 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.

As with any surgical urologic procedure, potential perioperative risks of the Aquablation procedure include but are not limited to the following, some of which may lead to serious outcomes and may require intervention: anesthesia risk, bladder or prostate capsule perforation, bladder neck contracture, bleeding or blood in the urine, bruising, penile or pelvic pain, irritative symptoms, which may include dysuria, urgency or frequency, infection, transurethral resection (TUR) syndrome, electric shock/burn, urethral damage causing false passage or stricture, rectal incontinence/perforation, sexual dysfunction, including ejaculatory and erectile dysfunction, incontinence or overactive bladder, embolism, and urinary retention.

Rx Only

© 2022 PROCEPT BioRobotics Corporation. All Rights Reserved. AQUABLATION, and PROCEPT BioRobotics are registered trademarks of PROCEPT BioRobotics. ML0321.B


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