
Aquablation - BPH Relief
Aquablation Therapy with the HYDROS™ Robotic System for BPH (Enlarged Prostate)
Welcome to a new era of prostate care at www.peedoc.com! I’m Dr. Roscoe Nelson, a dedicated urologist proud to be the first in Utah to perform Aquablation therapy using the advanced HYDROS™ Robotic System. As an early adopter of Aquablation technology in Arizona, where I started one of the most robust programs in the western U.S. at Arrowhead Hospital in Glendale, I bring over 25 years of urologic experience to Utah. Having performed over 200 procedures, I’ve witnessed firsthand how this innovative therapy transforms lives. With the introduction of the HYDROS system, I’m excited to offer an AI-powered, minimally invasive solution for benign prostatic hyperplasia (BPH), delivering significant, long-lasting symptom relief while preserving sexual function and continence for men of all prostate sizes and shapes.
My Journey with Aquablation Therapy
My experience with Aquablation began in Arizona, where I pioneered its use, training other physicians and building a reputation for excellence. Now, in Utah, I continue this legacy with the HYDROS Robotic System, the next evolution in this technology. Leveraging insights from over 50,000 procedures, HYDROS features FirstAssist AI™ for precise treatment planning, advanced ultrasound imaging, and robotic resection. This tailored approach—using real-time visualization and a heat-free waterjet—ensures accuracy and consistency, setting it apart from traditional methods like TURP. My goal remains to help men regain control of their lives with a procedure I’ve mastered over years of practice.
How Aquablation Therapy Works
Aquablation therapy is a resective procedure performed through the urethra, requiring no abdominal incision. Under anesthesia, the process typically takes about an hour and may involve an overnight hospital stay.
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Step 1: Surgical Planning
Every prostate is unique, and the HYDROS system allows me to create a personalized treatment plan. Using next-generation ultrasound and digital cystoscopy, I map the prostate to target obstructive tissue while preserving critical areas, minimizing risks like erectile or ejaculatory dysfunction. The FirstAssist AI enhances this process by suggesting optimal plans based on extensive clinical data. -
Step 2: Prostate Tissue Removal
The robotic-assisted waterjet follows my custom plan, precisely removing problematic tissue. This heat-free technology ensures predictable outcomes across a wide range of prostate sizes, with minimal cautery used to control bleeding.


Benefits of the HYDROS™ Robotic System
Clinical studies and my own experience highlight the advantages of Aquablation therapy with HYDROS:
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Low Rates of Irreversible Complications: 100% of patients were free from erectile dysfunction, >99% avoided incontinence, and 89% preserved ejaculatory function.
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Long-Term Relief: Significant symptom improvement sustained at 5 years, with only 4% requiring retreatment.
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Enhanced Quality of Life: Patients report a 16-point improvement in symptom scores and a 3.3-point boost in quality of life, doubling urinary flow rates.
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Patient Confidence: 94% of men with BPH would consider Aquablation if informed, addressing concerns about sexual function and side effects that 83% fear with traditional surgery.
The HYDROS system’s AI-driven planning and robotic precision reduce procedure time and improve outcomes, making it a game-changer for both patients and surgeons.
Is Aquablation Therapy Right for You?
If you’re experiencing frequent urination, urgency, or nighttime trips to the bathroom due to BPH, this therapy might be ideal. As an early adopter in Arizona and now a specialist in Utah, I’ve seen its impact across diverse cases. Schedule a consultation with me to discuss your symptoms and see if you’re a candidate. Take the International Prostate Symptom Score (IPSS) Quiz here to assess your needs.
Recovery with Aquablation Therapy
Most patients wake up with a catheter to aid healing, which is often removed before leaving the hospital. You may experience mild burning or urgency for a few weeks, manageable with medication, and can resume normal activities once cleared by me. The HYDROS system’s efficiency often leads to faster recoveries compared to traditional methods.
Have Questions?
For more details, call my office at 801-756-7609 or visit https://aquablation.com for additional resources. Follow Aquablation therapy on Facebook and Twitter for the latest updates.
References:
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Gilling PJ, et al. Can J Urol, 2022.
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Bhojani N, et al. J Urol, 2023.
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Elterman D, et al. BMJ Surg Interv Health Technol, 2021.
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Data on file, PROCEPT BioRobotics.
Safety Information: Review potential risks at https://aquablation.com/safety-information/.