Aquablation® for Enlarged Prostate (BPH) DFW
Experience the difference: Robotically controlled, heat-free precision for lasting relief and protection of sexual function.
| Benign Prostatic Hyperplasia (BPH), or enlarged prostate, is highly common in the Dallas-Fort Worth area, disrupting daily life with urinary frequency, weak stream, and incomplete emptying. AquaBlation is a state-of-the-art procedure that uses robotic water-jet technology to precisely remove obstructive prostate tissue. We offer this advanced treatment to provide highly durable, lasting symptom relief while carefully minimizing risks to sexual function. |
Understanding BPH & Where Aquablation® Fits
Enlarged Prostate (BPH) Affects Urination
The enlarging prostate squeezes the urethra, causing symptoms like weak stream, frequency, urgency, and potential infections.
Relief with Function Preservation
AquaBlation is the ideal balance: delivering powerful, lasting symptom relief with the best-in-class protection of sexual function.
Ideal for Larger Prostates
AquaBlation effectively treats medium to large prostates (40–150 g), including complex anatomy like median lobes.
Precision Waterjet Technology
| AquaBlation combines real-time imaging, robotic precision, heat-free waterjet removal, and ejaculation-sparing planning for accurate, safe, and function-preserving results. |
How Aquablation® Works (Robotic Precision)
Aquablation uses the Aquabeam® robotic system, which allows the surgeon to open the urinary channel with exceptional accuracy.
- Step 1: 3D Surgical Map: We create a real-time, personalized 3D map of your prostate using a cystoscope and ultrasound probe.
- Step 2: Surgeon Planning: I plan the resection myself, digitally marking the exact tissue to be removed and, crucially, the areas to spare for ejaculation preservation.
- Step 3: Robotic Execution: The AquaBeam robot executes my plan using a high-velocity, heat-free waterjet with sub-millimeter accuracy, minimizing collateral damage.
The result is a permanently opened channel leading to: Stronger Urinary Stream, Durable Symptom Relief, and Superior Protection of Sexual Function.
Superior Ejaculation Preservation
AquaBlation is uniquely designed to protect sexual function. We use advanced robotic mapping to perform an apex-sparing cut (the “Butterfly Cut”). By precisely avoiding the delicate structures at the prostate’s apex, where ejaculatory ducts run, preservation rates are significantly higher than with older procedures.
Comparing Ejaculation Preservation Rates.
- TURP or laser: retrograde ejaculation rates of 50–90%
- Aquablation: ejaculation preserved in ~85–90% of men with apex-sparing planning
Superior Ejaculation Preservation
- AquaBlation is uniquely designed to protect sexual function. It is one of the only BPH procedures that can be planned specifically to protect ejaculation, as the precision mapping allows us to avoid the delicate structures crucial for function.
Comparing Ejaculation Preservation Rates.
- Traditional Surgery (TURP/Laser): High risk of retrograde ejaculation (50–90% rate).
- Aquablation: Ejaculation is preserved in over 85–90% of men due to customized, apex-sparing surgical mapping.
| Treatment Option | Best Prostate Size | Key Benefits | Procedure Time | Hospital Stay | Tissue Removal Method |
|---|---|---|---|---|---|
| Aquablation® | Medium-to-Large (40–150 g) | Durable Relief + Ejaculation Preservation | 45–60 min | Same Day/Overnight | Obstructive tissue is removed using water jet. |
| Urolift® | Smaller (< 80 g) | Fastest recovery; Ejaculation | 10–20 min | Outpatient/Office | Tissue is NOT removed (pulled aside). |
| PAE | most sizes (40 - 200g) without larger median lobe) | Non-surgical, minimal invasiveness | 60–90 min | Outpatient | Tissue is NOT removed (arteries blocked to cause shrinkage). |
| RASP (ROBOTIC SIMPLE PROSTATECTOMY) | Very Large (80 g and larger) | Most definitive for very large glands | 60-90 min | outpatient/overnight | Complete obstructive tissue is removed surgically. |
Why Patients Choose Dr. Bevan-Thomas
For more than 20 years, Dr. Bevan-Thomas has helped men across Dallas–Fort Worth regain their urinary health. He has performed thousands of robotic urologic procedures, making him one of the most experienced prostate surgeons in Texas.
Dr. Bevan-Thomas offers the full range of modern treatments—UroLift®, GreenLight, TURP, Aquablation®, PAE, and RASP—ensuring you receive an unbiased, experience-based recommendation tailored to your anatomy and goals.
- 866-367-8768
- 801 West I-20 Suite 1 • Arlington TX 76017
Frequently Asked Questions
How soon will improvement be noticeable?
Many men notice stronger flow once the catheter is removed, with steady improvements over the following weeks.
Will Aquablation affect sexual function?
Aquablation has the highest chance of preserving ejaculation among surgical treatments, while erections and continence are reliably maintained.
How soon will improvement be noticeable?
Many men notice stronger flow once the catheter is removed, with steady improvements over the following weeks.
Is Aquablation safe for very large prostates?
Yes, but it works best up to ~150 g. For prostates larger than this, RASP is generally the better option.