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Aquablation Therapy for BPH: Advanced Care by Mr. Rai at SR Urology

December 23, 20245 min read

At SR Urology, led by the renowned urological surgeon Mr. Rai, we are pleased to offer Aquablation therapy—an innovative treatment for Benign Prostatic Hyperplasia (BPH). This minimally invasive procedure provides a state-of-the-art solution for men suffering from lower urinary tract symptoms (LUTS) caused by an enlarged prostate.

Aquablation therapy is available at SR Urology for private insurance and self-paying patients, offering significant, long-lasting relief with low complication rates.

Aquablation image


Understanding BPH and Its Symptoms

Benign Prostatic Hyperplasia (BPH) occurs when the prostate gland grows beyond its normal size, compressing the urethra and impeding urinary function. This can result in a variety of symptoms, including:

  • Difficulty starting or maintaining a urine stream.

  • Weak urine flow.

  • Frequent urination, especially at night.

  • A constant feeling of needing to urinate.

  • Straining to empty the bladder.

BPH can significantly impact your quality of life, but effective treatments like Aquablation therapy offer new hope.


What Is Aquablation Therapy?

Aquablation therapy is a revolutionary, robotic-assisted surgical procedure that uses a heat-free waterjet to remove excess prostate tissue. This approach protects critical structures, preserving sexual function and continence.

Unique Features of Aquablation

  1. Advanced Imaging: Combines real-time ultrasound and a camera (cystoscope) for a comprehensive view of the prostate.

  2. Robotic Precision: Ensures consistency and accuracy in tissue removal, regardless of prostate size.

  3. Heat-Free Technology: Avoids thermal damage, reducing the risk of side effects like erectile dysfunction and retrograde ejaculation.


How Does Aquablation Therapy Work?

Aquablation therapy involves two critical stages to ensure precision and safety:

1. Surgical Mapping

Before removing any tissue, Mr. Rai creates a detailed surgical map using advanced imaging. This step ensures that only the obstructive parts of the prostate are targeted, while areas critical for sexual function and continence remain untouched.

2. Tissue Removal

A robotic-controlled waterjet then removes the mapped tissue with exceptional precision. The heat-free technology minimizes damage to surrounding tissues, reducing recovery time and the risk of complications.


Why Choose Aquablation Therapy with Mr. Rai?

1. Comprehensive Imaging for Better Outcomes

Aquablation is the only procedure that combines ultrasound imaging with a cystoscope. This dual-view approach allows Mr. Rai to see the entire prostate, ensuring precise and tailored treatment.

2. Heat-Free Treatment for Fewer Side Effects

Traditional treatments like TURP use heat to remove tissue, which can harm the delicate structures responsible for sexual and urinary function. Aquablation eliminates this risk by using a waterjet.

3. Robotic Precision for Consistent Results

The robotic technology used in Aquablation minimizes human error, ensuring consistent and predictable results for patients.


How Effective Is Aquablation Therapy?

Clinical studies have demonstrated that Aquablation therapy provides significant relief from BPH symptoms with minimal complications. Key outcomes include:

  • +15-point improvement in the International Prostate Symptom Score (IPSS).

  • Doubling of urine flow rate, improving bladder emptying.

  • Preservation of continence in 10 out of 10 men.

  • Retention of erectile function in 10 out of 10 men.

  • Retention of ejaculation in 9 out of 10 men.

Patients frequently describe feeling a remarkable improvement in their quality of life after the procedure.

Source: Water Study


Aquablation vs. TURP

TURP (Transurethral Resection of the Prostate) has long been the standard treatment for BPH. While effective, it carries risks such as retrograde ejaculation, erectile dysfunction, and extended recovery times.

Aquablation advantages over TURP include:

  • Shorter procedure and recovery times.

  • Minimal thermal damage, reducing the risk of sexual dysfunction.

  • Ability to treat larger prostates (up to 150g or more).


What to Expect During Aquablation Therapy

Aquablation is performed under general or spinal anaesthesia in a hospital setting. The entire process typically takes 30-40 minutes, with the resection phase lasting just 10 minutes.

Recovery Timeline

  • Day of Procedure: Most patients are discharged the same day or the next morning with a catheter, which is removed within 24 hours.

  • First Week: Mild burning or blood in urine may occur as the body heals.

  • Two Weeks: Avoid heavy lifting, cycling, or other strenuous activities.

  • Four Weeks: Most patients resume full activities, including exercise and sexual activity.


Who Is a Candidate for Aquablation?

Aquablation is suitable for men experiencing symptoms of BPH, regardless of prostate size. It is especially beneficial for patients seeking a minimally invasive treatment with low risks of long-term complications.


Are There Any Risks or Side Effects?

Like any procedure, Aquablation carries some risks, but they are minimal compared to other treatments. Potential side effects include:

  • Temporary bleeding.

  • Burning sensation during urination for a few days.

  • Low risk of retrograde ejaculation (15% compared to 70% with TURP).

Mr. Rai will carefully discuss all risks and benefits with you during your consultation.

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Frequently Asked Questions About Aquablation Therapy

1. Is Aquablation available on the NHS?

Currently, Aquablation therapy is offered at SR Urology for private insurance and self-paying patients.

2. How does Aquablation compare to other treatments?

Aquablation is more precise and causes fewer complications than TURP, UroLift, or laser-based treatments.

3. Will Aquablation affect my sexual function?

Aquablation minimizes the risk of erectile and ejaculatory dysfunction, making it one of the safest options for men concerned about preserving sexual function.

4. How long does the procedure take?

The surgical part of Aquablation typically takes about 10 minutes, with total operating room time around 30-40 minutes.

5. How much does Aquablation cost?

Pricing depends on individual circumstances. Please contact SR Urology for detailed information about costs.


Why Trust Mr. Rai and SR Urology?

Mr. Rai is a leading urological surgeon in London and Milton Keynes, specializing in innovative treatments like Aquablation therapy. With extensive experience and a patient-centred approach, Mr. Rai ensures each individual receives personalized, high-quality care.


Take the Next Step

If you’re ready to explore Aquablation therapy for BPH, book a consultation with Mr. Rai at SR Urology today. Regain control over your urinary health and improve your quality of life with this revolutionary treatment.

Mr. Sonpreet Rai is a leading consultant urologist specializing in robotic surgery and advanced urological treatments. Based in London and Milton Keynes, Mr. Rai is dedicated to providing personalized care for conditions such as prostate cancer, BPH, and kidney disease.

Mr Sonpreet Rai

Mr. Sonpreet Rai is a leading consultant urologist specializing in robotic surgery and advanced urological treatments. Based in London and Milton Keynes, Mr. Rai is dedicated to providing personalized care for conditions such as prostate cancer, BPH, and kidney disease.

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