Dr. CARLO BRAVI Urologist and Andrologist
Aquablation for enlarged prostate
Aquablation is a minimally invasive surgical treatment for an enlarged prostate, also called benign prostatic hyperplasia (BPH). It uses a high-pressure jet of sterile water to precisely remove excess prostate tissue that is blocking urine flow.
Unlike traditional prostate surgery, Aquablation combines:
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Real-time ultrasound imaging to map the prostate.
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Robotic guidance to plan and execute the tissue removal.
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A heat-free water jet to remove the targeted tissue, reducing the risk of damage to nearby structures.
Fast access to expert urology care for prostate issues, urinary symptoms & men’s health.
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Same-week appointments
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Aquablation for prostate conditions. Specialist in minimally invasive and robotic surgery
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International fellowship training
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Royal Marsden experience
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Published academic researcher
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Consultant practice across leading UK hospitals
Dr. Bravi - Private Urologist in Northampton
Is an enlarged prostate affecting your everyday life?
An enlarged prostate can gradually make urination more difficult — often starting with small changes that become increasingly frustrating. You may find yourself:
🌙 Getting up several times at night
Interrupted sleep and repeated trips to the bathroom can leave you feeling tired during the day.
🚽 Going to the toilet more often
You may need to plan your day around finding a bathroom, even when you haven't had much to drink.
💧 Experiencing a weak or slow stream
Urination may take longer, feel interrupted, or require more effort to get started.
⚠️ Feeling an urgent need to go
That sudden need to urinate can become inconvenient when you're travelling, working or out socially.
🔄 Feeling that your bladder isn't empty
You may finish urinating but still feel that you need to go again shortly afterwards.
😟 Losing confidence in everyday activities
Whether it's a long journey, a round of golf, a meal out or simply getting a good night's sleep, urinary symptoms can start to affect your quality of life.
There is help available.
If medication isn't providing enough relief, there are effective treatment options for benign prostate enlargement.
Your symptoms can have different causes. A specialist assessment is important to determine the underlying problem and the most appropriate treatment.
How does Aquablation work?
Aquablation uses advanced imaging, robotic technology and a precise waterjet to remove the prostate tissue blocking urinary flow.
1.
See
Map the prostate
Ultrasound identifies the prostate and the tissue causing obstruction.
2.
Plan
Personalise the treatment
Your surgeon creates a treatment plan based on your individual anatomy.
3.
Treat
Remove the obstructing tissue
A precise high-pressure waterjet removes the targeted tissue — without using heat.
Targeted, Precise, Heat-free
Aquablation is designed to accurately remove the prostate tissue causing urinary obstruction, using a high-pressure waterjet guided by real-time imaging. The treatment is tailored to your individual anatomy, helping your surgeon target the tissue that needs to be removed.
This approach helps not only improve urinary symptoms but also aims to preserve sexual function and support your overall quality of life.
What are its benefits?
Improved urinary symptoms
Designed to improve urinary flow and troublesome symptoms.
Suitable for larger prostates
Aquablation can be considered across a broad range of prostate sizes.
Precise removal
Precise waterjet to remove targeted prostate tissue while minimising unnecessary tissue removal.
Sexual function matters
Evidence suggests favourable outcomes for preservation of ejaculation vs. TURP, although retrograde ejaculation can still occur.
Heat-free treatment
Uses a high-pressure waterjet rather than thermal energy.
Am I suitable for Aquablation?
Aquablation may be an effective treatment option for men experiencing troublesome urinary symptoms caused by an enlarged prostate, particularly when medication is no longer providing sufficient relief.
Whether Aquablation is suitable for you depends on several factors, including the size and shape of your prostate, your urinary symptoms, medical history and your personal treatment goals. Mr Bravi will assess your individual circumstances and discuss the most appropriate treatment options with you.
The first step is a private consultation with Dr Bravi, where you can discuss your symptoms, explore your treatment options and find out whether Aquablation may be right for you.
Why patients choose Dr. Bravi
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Fully registered with the General Medical Council (Registration Number: 8018979)
Specialists in Aquablation and minimally invasive prostate surgery
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15+ Years of experience in diagnosing and treating prostate, bladder and kidney conditions.
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Practicing at Northampton General Hospital, The Wellington Hospital (London), Evergreen Medical Richmond (Richmond)
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Excellent 5-stars patients reviews (powered by Doctify)
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Fast Appointments Available (same-week)
What people say
⭐⭐⭐⭐⭐
Dr. Carlo Bravi performed my father’s prostate cancer surgery, and we are extremely grateful for the excellent outcome. Considering that urinary incontinence can be a common concern after this type of operation, my father recovered remarkably well. Just 8 weeks after surgery, he was doing very well with an excellent recovery and no significant complications.
Thank you, Dr. Bravi, for your skill, care, and professionalism. We highly recommend him to anyone needing prostate cancer surgery.
L.S. - Northampton
⭐⭐⭐⭐⭐
Mr Bravi's explanation of my issue was very clear and his manner was very understanding. The procedure was arranged within days and went very well. His treatment was excellent.
A.C. - London
⭐⭐⭐⭐⭐
Very calm, precise and focused. I was given Mr Bravi's name at a very low point after receiving the results of an MRI scan. I was able to see him very quickly. He appears quite youthful for a Consultant - not what I expected. But he was impressive. He had a precise, analytical approach and very evidence based - not interested in conjecture. And so his reassurance was well based. He needed time to gather my history. But then proceeded quickly He is very patient and paid alot of attention in explanation. He is also very responsive replying to questions and very obliging in fitting me in for surgery. I cannot recommend him highly enough.
T.S. - Northampton
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I am very pleased to recommend Mr Bravi, having been under his care during 2026 including him conducting a laparoscopic robot assisted prostatectomy. During initial consultations Mr Bravi and all his colleagues took onboard and understood my reservations about surgery and the potential of life changing side effects. I had no choice but to have surgery. Due to his surgical expertise and precision, the operation was a success and I am relieved not to be showing any sign of the main side effects, for which I am truly grateful.
J.B. - Northampton
⭐⭐⭐⭐⭐
This surgeon is a legend! A world-renowned expert in Urology, published, and clearly respected y all his colleagues, he is a gift of a serfdom to a patient. Despite all of these great, and necessary, accolades, he is accessible, down to earth and utterly caring. With a calmness that underlines how he is as real as he is resilient, Mr Bravi comes with my complete recommendation for all who find themselves requiring Urological expertise. Thanks Mr Bravi!
M.M. - London
⭐⭐⭐⭐⭐
Carlo was very engaged and keen to understand my post operative experience. He was quick to check / challenge to satisfy himself and was genuinely pleased to hear all was well.
J.P - Northampton
We’ll help arrange the earliest suitable appointment for you.
Other conditions treated
Dr Bravi also provides specialist assessment and treatment for a range of urological conditions.
🩺 Prostate Symptoms & PSA Testing
Concerned about prostate enlargement or PSA results? Get checked quickly and confidentially.
🩸 Blood in Urine
Noticed blood in your urine? Prompt private assessment and expert investigation for peace of mind.
💙 Erectile Dysfunction
Professional, discreet care for erectile dysfunction and performance concerns.
⚕️ Testicular Concerns
Expert evaluation for testicular discomfort, lumps, swelling and related symptoms.
Book a consultation with Dr. Bravi
If you’re experiencing urinary symptoms or have concerns about your prostate health, don’t wait. Dr Bravi offers advanced diagnostic tools and a full range of treatment options to support your health and wellbeing.
Unsure whether your symptoms need specialist attention?
Complete the form below and we’ll help guide you on the most appropriate next steps.