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Aquablation therapy surgical treatment for BPH (enlarged prostate)

Aquablation therapy is a new type of surgical treatment for benign prostatic hyperplasia (BPH). At Arizona Urology Specialists we are proud to be among the first in Arizona and the first in Glendale to offer this advanced, minimally invasive treatment. 

We are excited to offer Aquablation therapy at Arrowhead Hospital, because we believe in helping men suffering from BPH to get their life back and feel like themselves again. 


We know choosing a treatment option can be overwhelming, as it often forces men to compromise in some way. This could mean not responding well to medication, or choosing a treatment that only provides limited relief, that may have a long recovery time, or that may even cause issues with sexual function.  


Aquablation therapy is a one-of-a-kind procedure that aims to minimize this compromise.  


What is Aquablation therapy?

Aquablation therapy uses the power of water delivered with robotic precision to provide long-lasting BPH relief without compromise. It is precise, consistent, and predictable, and provides long-term relief no matter how large your prostate.

How does Aquablation therapy work?

Aquablation therapy is a resective procedure, which means that the prostate tissue causing symptoms is surgically removed. No incision is made in the abdomen, as the prostate is reached through the urethra.

Aquablation therapy is performed in a hospital and is done under anesthesia. The procedure typically takes less than an hour and involves an overnight stay.


There are two key steps to the Aquablation procedure:

Step 1: Creating a surgical map

Every prostate is unique in size and shape. Aquablation therapy enables Dr. Nelson to customize your procedure to your specific anatomy.  

How? Aquablation therapy is the only BPH surgical procedure integrates ultrasound imaging with the standard camera (called a cystoscope). This gives Dr. Nelson the ability to see the entire prostate in real time, which allows him to map which parts of your prostate he wants to remove and which parts he wants to avoid.  


Specifically, this mapping enables Dr. Nelson to avoid removing the parts of the prostate that cause irreversible complications like erectile dysfunction, ejaculatory dysfunction, and incontinence.      

Step 2: Removing the prostate tissue

Once Dr. Nelson has created a surgical map, a robotically-controlled, heat-free waterjet removes the prostate tissue that was outlined on the map. This robotic technology minimizes human error in removing prostate tissue, and ensures the prostate tissue is removed precisely, consistently, and predictably.

When required, Dr. Nelson may choose to use a minimal amount of cautery following an Aquablation procedure to control bleeding.

What are the side effects of Aquablation therapy?

We know that the primary reason men are delaying surgery is because they are concerned about side effects.1In fact, a recent survey shows that 85% of men are concerned that surgery will cause incontinence, and 4 out of 5 men are concerned that surgery will have a permanent impact on their sexual function.

In clinical studies, men who had Aquablation therapy had a very low rate of irreversible complications—incontinence, ejaculatory dysfunction, erectile dysfunction.

Nearly All

Men With BPH Preserve Ejaculatrory Function With Aquablation Therapy


Impact on Erectile Function, Orgasmic Function, Sexual Desire, Intercourse Satisfaction or overall Sexual Satisfaction.


men with BPH would have considered Aquablation therapy if their doctor had told them about it

Aquablation recovery

As with most BPH procedures, you will wake up with a catheter. Patients typically stay overnight in the hospital. We may send you home with a catheter for a few days or may keep you an additional night in the hospital if you are unable to pee on your own or empty your bladder at the time of discharge.

We know that no one likes staying overnight in a hospital. However, the benefit with Aquablation therapy is that most patients end up leaving the hospital without a catheter.

Once you are home, you may experience mild burning during urination for a couple of weeks. This can be managed with mild pain medication.

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"There were two things that led me to choose Aquablation therapy. First, the lack of heat was key, as I knew heat was associated with undesirable side effects. And second, pairing the skill of my urologist with robotic ensured that the precision necessary for this procedure was there."

Paul, 58
Big Wave

Have questions or want to know more about Aquablation therapy?

For more information, click the "Request a Call" link below and we will reach out to you ASAP. You can also call us at 602-942-5600, and visit for Frequently Asked Questions.