Aquablation Therapy: Surgical Treatment for BPH (Enlarged Prostate)

A new minimally invasive robotic treatment for BPH (Enlarged Prostate)

At Middlesex Health, we are proud to be the first health system in Connecticut to offer Aquablation therapy, a new, FDA-approved, minimally invasive surgical treatment for benign prostatic hyperplasia (BPH)

BPH, or an enlarged prostate, is a noncancerous condition where the prostate has grown to be larger than normal. 1 in 2 men ages 51 to 60 have BPH, and the incidence increases every decade of life. BPH can cause significant health problems if left untreated, including irreversible bladder or kidney damage, bladder stones, and incontinence. 


Why Choose Aquablation Therapy

Other BPH surgical treatments often force men to weigh symptom relief against high rates of irreversible complications such as incontinence, erectile dysfunction, or ejaculatory dysfunction.

Aquablation therapy is a different type of treatment for BPH. It’s an advanced, minimally invasive treatment that uses the power of water delivered with robotic precision to provide best-in-class and long-lasting symptom relief with low rates of irreversible complications.


Aquablation therapy is a resective procedure, which means that the prostate tissue causing symptoms is surgically removed. 

The procedure is performed by the AquaBeam Robotic System, a robotically-controlled waterjet. This robotic technology minimizes human error and ensures the prostate tissue is removed precisely, consistently, and predictably regardless of prostate size or shape. 

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. Our team uses ultrasound imaging and a cystoscope to map which parts of the prostate are causing your symptoms and should be removed. 

This detailed and accurate mapping Enables our surgeons to perform precise surgery while avoiding irreversible complications like erectile dysfunction, ejaculatory dysfunction, and incontinence.

Step 2: Removing The Prostate Tissue 

Once our surgeons have created the surgical map, a robotically-controlled, heat-free waterjet removes the prostate tissue 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, our surgeons may use a minimal amount of cautery following an Aquablation procedure to control bleeding.

We know that men are primarily delaying surgery because they are concerned about side effects. In fact. a recent survey shows that 85% of men are concerned that surgery will cause incontinence, and 4 out of 5 men are worried that surgery will permanently impact their sexual function.

However, Aquablation Therapy is uniquely low risk because it combines three key elements to remove tissue safely, quickly, and precisely.

  1. Real-time, multidimensional imaging for improved decision-making and surgical planning
  2. Robotic execution for precision
  3. The power of a water jet that is heat-free, thus avoiding thermal injuries that can occur with lasers. 

These three elements allow your surgeon to conserve the anatomical structures associated with urine control and sexual function, leading to very few side effects.

Aquablation Therapy has been proven as a safe and effective treatment for patients suffering from lower urinary tract symptoms (LUTS) due to BPH. Aquablation therapy can be performed on prostates of any size.

As with most BPH procedures, you will wake up with a catheter. You may go home the same day or stay overnight in the hospital. You will go home with a catheter, which is typically removed in 2 or 3 days. 

After the catheter is removed, you may experience mild burning during urination for a couple of weeks. Symptoms can be managed with mild pain medication.

For more information, visit

Aquablation and Rezum are different types of procedures.
Aquablation therapy is considered a resective procedure, meaning it removes prostate tissue during treatment, providing both symptom relief and low rates of irreversible complications. Rezum is a nonresective procedure that injects steam into the prostate at the time of the procedure. Over time, the tissue will die off.


For more information, call us at 860-358-2270, and visit for Frequently Asked Questions.

Your Care Team

Edward G. Myer, MD

Edward G. Myer, MD

Specialties / Areas of Care

  • Urology
  • Surgical Oncology


  • Middletown, CT