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Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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First Multi-Center All-Comers Study for the Aquablation Procedure.

Thorsten Bach1, Peter Gilling2, Albert El Hajj3

  • 1Asklepios Westklinikum Hamburg-Rissen, 22559 Hamburg, Germany.

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|February 28, 2020
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Summary
This summary is machine-generated.

Aquablation therapy, a waterjet procedure, effectively treats benign prostatic hyperplasia (BPH) symptoms. This study confirms its safety and significant improvement in urinary flow and symptom scores in a real-world setting.

Keywords:
benign prostatic hyperplasialower urinary tract symptomsrobotic surgery

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Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Benign prostatic hyperplasia (BPH) significantly impacts quality of life.
  • Aquablation therapy is an emerging treatment option for symptomatic BPH.

Purpose of the Study:

  • To evaluate the safety and effectiveness of Aquablation therapy in a commercial setting.
  • To assess the impact of Aquablation on BPH symptoms, urinary flow, and prostate volume.

Main Methods:

  • A prospective study involving 178 men with symptomatic BPH across five clinical sites.
  • Data collected on procedure time, anesthesia duration, International Prostate Symptom Score (IPSS), maximum urinary flow rate, and prostate volume reduction.
  • Ejaculatory function and transfusion rates were also monitored.

Main Results:

  • Significant improvement in IPSS from 21.6 to 6.5 (p < 0.0001) and increased maximum urinary flow rate from 10 cc/s to 20.8 cc/s (p < 0.0001) at 12 months.
  • Mean prostate volume reduction of 36% by three months post-procedure.
  • Aquablation procedure averaged 24 minutes with 50 minutes of anesthesia; 2.7% of patients required transfusion.

Conclusions:

  • Aquablation therapy demonstrates safety and effectiveness for treating symptomatic BPH in a real-world clinical environment.
  • The procedure offers significant symptom relief and improved urinary function while preserving ejaculatory function.