Episode 51: Aquablation Therapy
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- เผยแพร่เมื่อ 18 พ.ย. 2024
- This week we are joined by Arpeet Shah M.D. He will be discussing Aquablation Therapy, a minimally invasive surgical treatment for benign prostatic hyperplasia (BPH).
Aquablation therapy uses a heat-free waterjet controlled by robotic technology to remove prostate tissue. It combines cystoscopy with ultrasound imaging, allowing the surgeon to see the entire prostate in real time. Robotic technology minimizes human error in removing prostate tissue, and ensures the prostate tissue is removed precisely, consistently, and predictably.
#bph #prostateproblems #prostatecare
An honest, informative representation. I'm exactly 2 weeks out of surgery. So far, incredible results with still some minor burning. 2 nights ago, I slept for 7 1/2 hours w/o getting up and w/o the little nagging in the pelvic area from not completely emptying my bladder. Normally, I would be up 2 or 3 times. Amazing. I got up in the morning and did a couple of things before I used the bathroom. No real urgency. I stayed the night in the hospital after the procedure. The RN sort of steared me in the direction of staying for a couple more hours to irrigate by showing me some small tissue and clots running through the tube. I was happy to stay. She was the gold standard. I left that Saturday with a catheter till 9am Monday in my doctor's office and voided urine. I'm 65. I've been seeing my urologist for a little more than 3 years. He knew just about everything about my condition. I decided from the start to have Aquablation but waited about 6 months til I got on Medicare.
I had Aquablation 1/24. My urologist made sure of everything before the procedure. He did the cystoscope, euro cuff, mri w/wo contrast. Mostly to rule out cancer first and to do what he knew insurance would want to justify the procedure. I had a 202gm prostate. My procedure was successful. Peeing paint off the walls, however I did have quite a bit of bleeding. So, I did stay 2 nights in the hospital. Now, 5 months out and yes peeing great, emptying bladder and no retrograde ejaculation. So far, I couldn't be happier. If you're on the fence, do it. You won't be unhappy with the results.
Great feedback. This procedure is ideal for large prostates.
Really nice presentation. I am only 49 and have a large 80cc prostate. I have already gone into complete retention about a year ago. I had one minimal TURP to resect my median lobe about 4 months ago. Unfortunately that wasn't sufficient and I am now going in for Aquablation in about 3 weeks. I would have done Aquablation sooner but it wasn't covered by UHC and wasn't available in my area. Guys - If you ever come close to going into retention you need to have a resective procedure like aquablation before you end up in the ER and it will likely happen at the worst time possible. For me I was on vacation in Las Vegas. I already feel like my bladder has been compromised. You don't want to wait till you are 60. Get it taken care of to preserve your bladder.
Glad you enjoyed the presentation. The information provided on the site is for educational purposes only, and does not substitute for professional medical advice. Consult a medical professional or healthcare provider if you are seeking medical advice, diagnoses, or treatment.
I'm 66. My Aquablation procedure is in two days. Thankful that this procedure exists. Looking forward to relief of my symptoms.
How did it go?
@@dockins Success! Am I the same as when I was 20, or 30? No. The flow is still much less than when I was younger, but better than before and I can live with it. I have slept through the night a couple of times but usually only have to go once or twice per night, which is much better than the 6 or 7 times a night before the procedure. The urgency is much less.
Thank you for this presentation. I'm 66 and am having an Aquablation procedure in less than two months. I have gained so much clarity and knowledge watching every minute of this. Again Thank You so Much!
Glad to help. Best of luck on your procedure.
Great show! Looking forward to my appointment on 2/29 with my Urologist
For me it was 42 hours total from entry into the OR to having my catheter removed in the surgeon's office. This was just last Wed.
Now I'm peeing like a racehorce. I'm 71 and had a 108 cc prostate.
Just came across this site. Dr. Shah and your Cardiologist analogy is right on, that's how I feel. 69 and I've been on flowmax since 2011. I can check all the boxes on the BPH symptoms, top of the list: nocturia and the now and then URGENCY to urinate right now.
Great video.
Great presentation. Besides the obvious things that point to needing this procedure is there a tipping point, a sign where the bladder is being severely affected or other types of bodily harm are happening? Thank you for any further information here.
Thank you for sharing.
I had the operation with aquabeam in Italy on 11/28/23. after some pre-admission tests, the following day the urologist reduced the central part of my prostate by 70 percent. the course is unpleasant because you have to wear the catheter for a few days and then you are subject to hospitalization (needles, antibiotics, antithrombosis, heparin, etc.). I was discharged today 2/12/2023. at the moment everything is going well: erection and urination are working. I will soon check whether I have retained the function of ordinary ejaculation. the doctor told me that I had an adenoma that was targeting the ejaculatory function part and that my prostate had hardened following various prostatitis. the total cost, including the services of the medical team, the tests and hospitalization in a private clinic, is 8000 euros, of which I have only paid a part. the rest was paid by the private insurance I took out, which however will also reimburse me for this part. In Italy, however, some public hospitals carry out this operation free of charge, but it is necessary to join long waiting lists.
It is 12/10/23. You are not home for 2 more days. Explain.
@@jimzimmerman5288 after having had the aquablation procedure, which lasted 40 minutes, I was taken back to my room. I preferred to be sedated entirely rather than just epidurally. I didn't hear anything. I remained under observation for three days and on antibiotics. I kept my bladder clean with something called cystoclysis. I kept the catheter, rather annoying, for about 5 days. everything is going well: urine flow, erections are ok. the blood is still pink.
India
Can Aquablation be performed after Breakytherapy ?
@16:20. Important info, men! Dont rely on your symptoms. Instead rely on objective testing. Dont just rely on medications. Find a doc that does objective testing.
You presentation NEEDS to minimises on the statistics and concentrate on the real issues and you MUST use common sense and logic to explain the results of the procedures.
I'm on coumadin for a mechanical heart valve. My past surgeries allowed me to go off of the coumadin for 3 days. Is it still possible for me to get the aquablation treatment? If not what's the difference between a the aquablation, holep or TURP procedures when it comes to bleeding? From what I have seen, it is common practice to cauterize any bleeders after the main procedure has been completed. Why is the bleeding (off of thinners) issue so critical for aquablation and not TURP and holep? Thanks