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… Click to show full abstract
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.
               
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