Transforming Urology: Exploring Aquablation Therapy at Texas Health Center for Diagnostics & Surgery

[@orangeguy3314]

I'm going to get a hoLEP in weeks from now. Holep is considered a one and done procedure and that's why I'm going with it. Happy that my VA hospital in Las Vegas is able to do it. I would look at hoLEP also for BPH. Northwest medical center has a lot of great videos on the hoLEP procedure.

[@757MrMark]

Your example, it looks like the tool is during a 180 sweep as it follows the settings program. Do you have to make a 2nd sweep for the opposite 180 portion of the prostate?

[@TexasHealthSurgeryPlano]

Hi Mr. Mark- we spoke with Dr. Parker and here is his response. “Great question. The majority of obstruction comes from the lateral lobes, and potentially a median lobe at the 6 o’clock position. The treatment zone is actually a little bit greater than 180° and goes from about the 2 o’clock to 10 o’clock position. Important vessels are at the 12 o’clock position so this area is typically not treated with any BPH surgery.”

[@snort455]

What about post surgery urine incontinence or dribbling? Is Aquablation safer statistcally than other surgical methods?

[@TexasHealthSurgeryPlano]

Hi @snort455. Thanks for your question. We spoke with Dr. Parker and his response is below. "Continence should not be a long term side effect - very low risk of this (

[@simchad613]

I got aquablation procedure but I was asleep for over 2 hours. I assume it was to stop any bleeding. Ten days out, it’s still painful to urinate. My prostate size was 170 gram . Do larger prostrates take longer to recover? Thanks

[@TexasHealthSurgeryPlano]

Hello - thank you for your questions. We reached out to Dr. Parker and his response is below. "Yes, the increased operative time is likely due to having a larger prostate, as well as potentially bleeding during the case. The healing process varies for everyone, but can be anywhere between 2 to 4 weeks." Alexander Parker, M.D. Urology Clinics of North Texas ________________________________________

[@rongierhart5686]

BPH with a large Median Lobe, is Aquablation a possibility? Reason for asking, I've researched several procedures and several, not for Median Lobe.

[@TexasHealthSurgeryPlano]

Hi and thank you for your question. We checked with Dr. Parker and his response is below. "Yes, a median lobe is typically a treatable portion of the procedure. Happy to consult further with a visit in the office." - Dr. Alex Parker

[@iamthegreatcornholio7836]

what is risk of losing sexual function?

[@TexasHealthSurgeryPlano]

Thanks for your question. The clinical data shows low rates of irreversible complications across prostates of all shapes and sizes. You can read more about this at www.procept-biorobotics.com/clinical-data-aquablation/

[@maximusmeridius3106]

I can’t believe we’re in 2024 and still can’t figure out a better way to treat this.

[@TexasHealthSurgeryPlano]

Thank you for your comment. Aquablation therapy has been a great advancement compared to previous treatment options!