Aquablation · Robotic Water-Jet BPH Surgery in Bangkok

TURP employs electrical energy to cut prostate tissue under direct surgeon control. Aquablation, conversely, utilizes a robotic water jet precisely guided by real-time ultrasound mapping. This innovative approach offers superior ejaculation preservation · with rates around 90% compared to TURP's 60-70% · and eliminates surgeon variability. While Aquablation is a newer technology with robust short-term data, TURP has decades of long-term durability data. You can discuss which option aligns best with your priorities during your consultation.

Yes · ejaculatory function is preserved in approximately 90% of patients in published clinical trials. This makes Aquablation the leading resective BPH surgery for preserving this vital function. Other common procedures like TURP, HoLEP, and GreenLight laser all carry significantly higher rates of retrograde ejaculation. If maintaining your ejaculatory function is a top priority, Aquablation offers you the best chance of achieving this outcome.

Aquablation is highly effective across many prostate sizes, from 30 grams up to 150 grams and beyond. Unlike some other BPH treatments that have size limitations, Aquablation's robotic precision allows for consistent results regardless of your prostate's volume. For very large prostates, the procedure may take slightly longer, typically an additional 15-30 minutes, but the fundamental approach and excellent outcomes remain unchanged.

Most patients experience a relatively swift recovery. You can expect to stay one night in the hospital, with your catheter typically removed within 24-48 hours. Light activity is usually possible within a few days · such as short walks. Most patients feel ready to return to work or normal daily routines within 1 week. We will provide you with detailed post-operative instructions for a smooth and comfortable recovery.

The cost of Aquablation in Bangkok is influenced by several factors, including your specific prostate size, the length of your hospital admission, and the type of anesthesia chosen. The AquaBeam disposable component is notably more expensive than those used for TURP or laser procedures. For a precise and personalized quote tailored to your individual needs, we highly recommend booking a consultation with our specialists.

Aquablation boasts excellent success rates, with significant improvement in urinary symptoms (IPSS scores) and flow rates (Qmax) observed in over 90% of patients. Clinical trials show sustained symptom relief and improved quality of life out to 5 years. Retreatment rates are low, typically around 2-3% at 3 years, which is comparable to or better than other established BPH surgeries. You can expect durable relief from your BPH symptoms.

For your comfort and safety during Aquablation, general anesthesia is typically recommended. This ensures you are completely asleep and feel no discomfort throughout the procedure. In some specific cases, regional anesthesia (spinal or epidural) combined with sedation may be an option, but this will be thoroughly discussed with you by our anesthesiologist. Your preferences and medical history will guide the final decision for your optimal anesthesia plan.

During your consultation, you will meet with our experienced urologist to discuss your symptoms and medical history. We will perform necessary diagnostic tests, which may include a PSA blood test, urine flow study, and a prostate ultrasound to accurately assess your condition. Based on these results, we will discuss whether Aquablation is the best treatment option for you, explain the procedure in detail, and answer all your questions.

We recommend arriving in Bangkok at least 2-3 days before your scheduled procedure for pre-operative assessments. Post-surgery, plan for a stay of approximately 7-10 days before you are cleared to fly home. Follow-up care can often be managed remotely via secure messaging platforms like WhatsApp with your surgeon. We will provide you with all necessary documentation for your travel and recovery.