Hossein Saadat1,2, Dean S Elterman3,4. 1. Division of Urology, Department of Surgery, University Health Network, University of Toronto, Toronto, Canada. 2. Toronto Western Hospital, 399 Bathurst Street, MP-8-317, Toronto, Ontario, M5T 2S8, Canada. 3. Division of Urology, Department of Surgery, University Health Network, University of Toronto, Toronto, Canada. Dean.elterman@uhn.ca. 4. Toronto Western Hospital, 399 Bathurst Street, MP-8-317, Toronto, Ontario, M5T 2S8, Canada. Dean.elterman@uhn.ca.
Abstract
PURPOSE OF REVIEW: To explore the potential applicability of a novel, heat-free, and robotically controlled ablative therapy for surgical management of benign prostatic enlargement. RECENT FINDINGS: With the emergence of new technology to provide personalized care and overcome the complications associated with options such as TURP, holmium laser enucleation of the prostate, GreenLight laser, or simple prostatectomy, Aquablation has been studied across a variety of prostate volumes. The functional outcome of Aquablation seems to be uncompromised by prostate volume. The sexual profile seems superior to TURP and the risk of retrograde ejaculation is lower. The robotic system provides a reproducible ablation, independent of prostate volume, without requiring extensive training for performing the procedure. The mean ablation time in the prostate as large as 150 ml does not exceed 9.1 min, and the blood transfusion rates do not seem to be higher than open prostatectomy.
PURPOSE OF REVIEW: To explore the potential applicability of a novel, heat-free, and robotically controlled ablative therapy for surgical management of benign prostatic enlargement. RECENT FINDINGS: With the emergence of new technology to provide personalized care and overcome the complications associated with options such as TURP, holmium laser enucleation of the prostate, GreenLight laser, or simple prostatectomy, Aquablation has been studied across a variety of prostate volumes. The functional outcome of Aquablation seems to be uncompromised by prostate volume. The sexual profile seems superior to TURP and the risk of retrograde ejaculation is lower. The robotic system provides a reproducible ablation, independent of prostate volume, without requiring extensive training for performing the procedure. The mean ablation time in the prostate as large as 150 ml does not exceed 9.1 min, and the blood transfusion rates do not seem to be higher than open prostatectomy.
Authors: Albert El Hajj; Vincent Misrai; Ali A Nasrallah; Muhieddine L Labban; Jad A Najdi; Enrique Rijo Journal: World J Urol Date: 2022-01-06 Impact factor: 4.226