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Current Bladder Dysfunction Reports

, Volume 13, Issue 1, pp 1–7 | Cite as

The Aquabeam System: a Review

  • Marie Adrianne Pimentel
  • Omid Yassaie
  • Peter J. Gilling
BPH-Related Voiding Dysfunction (R Lee, Section Editor)
  • 61 Downloads
Part of the following topical collections:
  1. Topical Collection on BPH-Related Voiding Dysfunction

Abstract

Purpose of Review

The purpose of this review is to provide a description of the Aquabeam system, the technique more commonly known as aquablation, and review the literature to date including select results from the unpublished WATER study to assess the efficacy and safety of this novel technique for the treatment of male lower urinary tract symptoms (LUTS) due to bladder outlet obstruction (BOO).

Recent Findings

Promising outcomes from initial pilot studies and early clinical studies confirming safety and feasibility have led to the large international multi-centre randomised controlled study known as the WATER study. This compared the Aquabeam system to the current gold standard, transurethral resection of the prostate (TURP). This landmark trial has proven that aquablation equals TURP in clinical efficacy and has superior safety outcomes, particularly for larger prostates.

Summary

Aquablation is not only a technically feasible and safe procedure for symptomatic male BOO, but has equivalent efficacy to TURP with a better safety profile. Ongoing trials are taking place to confirm aquablation’s role in the spectrum of minimally invasive treatments for male LUTS.

Keywords

Benign prostatic hyperplasia Aquablation Ablation techniques Minimally invasive surgical procedures Transurethral resection of the prostate 

Notes

Compliance with Ethical Standards

Conflict of Interest

Peter J. Gilling was a consultant to Procept Biorobotics prior to the WATER trial. M. Adrianne Pimentel and Omid Yassaie each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Marie Adrianne Pimentel
    • 1
  • Omid Yassaie
    • 2
  • Peter J. Gilling
    • 3
  1. 1.Waikato HospitalHamiltonNew Zealand
  2. 2.Department of UrologyTauranga Public HospitalTaurangaNew Zealand
  3. 3.Clinical SchoolTaurangaNew Zealand

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