Abstract
The treatment of lower urinary tract symptoms due to bladder outlet obstruction secondary to benign prostatic enlargement is continually evolving. Aquablation is a new ablation modality which uses a high-velocity saline stream to ablate prostatic tissue via a transurethral approach. Using robot assistance and real-time transrectal ultrasound guidance, ablation is highly targeted, and hydrodissection negates the need for thermal energy apart from electrocautery for hemostasis. Early phase I and phase II clinical trials show aquablation has a promising safety profile and clinical efficacy. There have been no significant complications in human clinical trials, including urinary incontinence and sexual function-related adverse events. A larger multi-center randomized controlled trial is currently underway to validate these early findings.
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Drs Pimentel & Nair declare no conflicts of interests
Dr. Gilling reports other from Procept Biorobotics Ltd, during the conduct of the study; other from Procept Biorobotics Ltd, outside the submitted work;
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This article is part of the Topical Collection on BPH-Related Voiding Dysfunction
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Pimentel, M.A., Nair, S.M. & Gilling, P.J. Aquablation™: Early Clinical Results. Curr Bladder Dysfunct Rep 11, 130–133 (2016). https://doi.org/10.1007/s11884-016-0364-5
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DOI: https://doi.org/10.1007/s11884-016-0364-5