Dr. CARLO BRAVI Urologist and Andrologist
Aquablation Surgery for an Enlarged Prostate
Aquablation is a minimally invasive surgical treatment for urinary symptoms caused by benign prostate enlargement, also known as benign prostatic hyperplasia or BPH.
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The procedure combines real-time ultrasound imaging, robotic assistance and a high-pressure waterjet to remove prostate tissue that is obstructing the flow of urine. It is performed through the urethra, without external surgical incisions.
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Dr Carlo Bravi offers private assessment and advice for men considering Aquablation and other treatments for an enlarged prostate. Consultations are available in Northampton and London.
What is Aquablation Surgery?
Aquablation is a minimally invasive surgical procedure used to treat an enlarged prostate (benign prostatic hyperplasia, or BPH). Like Transurethral Resection of the Prostate (TURP) and Holmium Laser Enucleation of the Prostate (HoLEP), it is performed without any external incisions. ​​During the procedure, a thin telescope-like instrument (called a scope) is passed through the urethra (the tube that carries urine through the penis) to reach the prostate.
Unlike traditional procedures that use heat or a laser to remove prostate tissue, Aquablation uses a high-pressure, heat-free jet of sterile water to precisely remove the enlarged prostate tissue causing the blockage. The treatment is guided by real-time ultrasound imaging and robotic technology, allowing the surgeon to create a personalised treatment plan while preserving important surrounding structures.
By removing the tissue that is obstructing the flow of urine, Aquablation relieves urinary symptoms while reducing the risk of damage to surrounding tissues. It is particularly beneficial for men with larger prostates and for those wishing to preserve sexual function, including ejaculation, where appropriate.
What symptoms can Aquablation treat?
An enlarged prostate can compress the urethra and interfere with the normal flow of urine. Possible symptoms include:
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A weak or interrupted urinary stream
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Difficulty starting urination
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Straining to pass urine
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A frequent or urgent need to urinate
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Waking repeatedly at night to urinate
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A feeling that the bladder has not emptied completely
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Episodes of urinary retention
These symptoms are not always caused by benign prostate enlargement. Assessment is important to exclude other urinary or prostate conditions.
Frequently Asked Questions About Aquablation
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.​
Recovery after Aquablation
Recovery after Aquablation varies from person to person. The procedure is normally performed as a day case, although some patients may need to stay in hospital overnight depending on their individual circumstances.
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More precise recovery instructions can be given once the operation has been completed. Your surgeon will advise you based on how the procedure went and your individual progress. In general, most patients should allow approximately two to three weeks for recovery before gradually returning to their normal activities.
