Presentation Authors: Thorsten Bach*, Christian Wuelfing, Petra Anheuse, Stephan Tauber, Claus Brunken, Andreas Gross, Hamburg, Germany
Introduction: Aquablation offers effective robot-executed tissue removal for the treatment of benign prostatic obstruction. Aim of this prospective evaluation was to compare the efficacy of Aquablation to TUR-P, PVP and laser enucleation in a real-life setting.
Methods: In this multi-institutional prospective study, all patients undergoing Aquablation therapy in a defined time interval have been evaluated for perioperative course, morbidity and symptom relief after three month and compared to a consecutive cohort of the patients treated with the above mentioned surgeries in the same time interval.
Results: 150 consecutive patients underwent Aquablation and have been compared to a consecutive cohort of patients undergoing laser enucleation (n:150), PVP (n:150) and TUR-P (n:86) during the same time. Outcome data and morbidity is displayed in Table 1. Postoperative catheter time was comparable in all groups, OR time significantly shorter during Aquablation.
Conclusions: Compared to established treatment options, Aquablation offers equal symptom relief and comparable peri-operative course in a real-life setting with a short term follow-up. Advantages, i.e. short OR-time, relativ independence form surgeons experience as well as proven reduced sexual side effects, emphasize the future potential of this new treatment option.