LAUSR

pass (in most cases). This precise and fast (þ/5 min) ablation is able to preserve anterograde ejaculation by sparing the ejaculatory function anatomical landmarks and protecting the urinary sphincter. Hemostasis was achieved by a Foley catheter balloon tamponade. There are various methods of post-Aquablation hemostasis, however the most adequate is still evolving. Case Report: A 56-year-old patient with LUTS secondary to BPH with a prostate volume of 88 mL, a PSA of 2.8 ng/ mL, a Qmax of 7.5 mL/sec and IPSS of 29. RESULTS: Total operative time was 19 minutes from setup through Aquablation. The bladder catheter was removed on postoperative day 2, at the same time the patient was discharged without complication. The 3-month postoperative assessment showed a significant improvement in the voiding function from baseline, a PSA of 1.5 ng/mL, a Qmax of 23mL/sec and IPSS of 6. Anterograde ejaculation was preserved and there was no incontinence or erectile dysfunction. This video demonstrates how to perform Aquablation, a procedure that has been proven to be safe, efficient and easy to learn, regardless of prostate size (up to 150mL). CONCLUSIONS: This video serves as a step-by-step visual guide to perform Aquablation. It has been demonstrated previously in the literature that the combination of robotics and image guidance increases reliability and significantly reduces the operative/resection time and improves anterograde ejaculation preservation. These promising results warrant further studies to assess long-term outcomes.