Aquablation, HoLEP may provide unique benefits for men with benign prostate hyperplasia

Medical Xpress / HealthDay / World Journal of Urology ^ | June 4, 2024 | Lori Solomon / Jakob Michaelis et al

[ConservativeMind]

For men with benign prostate hyperplasia, aquablation provides temporary benefits for ejaculation and continence at three months, while holmium laser enucleation of the prostate (HoLEP) has superior operation time, safety profile, and volumetric results, according to a study published online.

Jakob Michaelis and colleagues compared the outcomes of aquablation (16 patients) and HoLEP (24 patients) among men with benign prostate hyperplasia.

The researchers found that HoLEP was associated with shorter operation time (59.5 versus 87.2 minutes) and led to better prostate volume reduction over all timepoints. Aquablation's results were better regarding ejaculatory and continence function at three months.

However, there were no significant differences between the groups beyond three months for erectile, ejaculatory, continence function, and lower urinary tract symptom reduction. Clavien Dindo grade ≥3b complications were seen in six patients in the aquablation group versus one patient in the HoLEP group.

"We can conclude that both procedures have their specific strengths and that to offer a broad range of different procedures might give clinicians the opportunity to offer each patient the procedure which suits best their individual priorities and objectives," the authors write.

[ConservativeMind]

It seems both procedures net out about the same, after three months.

Either Aquablation or HoLEP laser get the job done for an enlarged prostate.

[ConservativeMind]

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[ckilmer]

I had an aquablation 3-4 years ago. I’m about ready for another one. But my prostate may be too big for insurance to cover an aquablation.

[Red Badger]

Too big to fail?.....................

[mad_as_he$$]

This study seems premature! Couldn’t help it. Good news for many bio males.

[ConservativeMind]

Aquablation is a water jet, while Resum is steam.

https://www.urologytimes.com/view/dr-elterman-discusses-rezum-and-aquablation-for-patients-with-bph

This says Aquablation works for very large prostates, now.

You could also do this specific laser your next time.

[Pete from Shawnee Mission]

Thanks for posting! Appreciate this information.