Published on 10. March 2021

Operating on enlarged prostate with surgical robot and high-pressure water jet - so far unique in Berlin

Innovative, gentle method in urology at Vivantes Friedrichshain Hospital

Operating with particular precision using a high-pressure water jet? A surgical robot is helping the urology team at Vivantes Friedrichshain Hospital to treat patients with benign prostatic hyperplasia (BPH) gently. So far, the Friedrichshain Clinic for Urology and Pediatric Urology is the only one in Berlin to offer this innovative method. 

What makes the procedure so gentle

Prof. Dr. Jan Roigas, head physician at the Clinic for Urology and Pediatric Urology at the Vivantes Friedrichshain Hospital: "This method is gentle on the surrounding tissue because it uses water and largely dispenses with electricity or heat. The surgical robot removes the area that the surgeon has previously defined with the aid of ultrasound, with millimeter precision. Our experience to date is consistent with the positive study results, and we are proud to be able to offer this innovative method to our patients."

Typical symptoms

Typical symptoms of prostatic hyperplasia include difficulty emptying the bladder completely, as well as nighttime urination or frequent urination. These symptoms can be effectively treated with the aquablation method. Its effectiveness has been clearly demonstrated in several studies (WATER I & II).

Surgeon controls, robot assists

During treatment, the prostate tissue is removed directly in the urethra via a computer-controlled precision nozzle. This process is controlled by the surgeon and monitored by ultrasound. The sphincter is identified cystoscopically before treatment begins and is actively protected during therapy. The treatment itself takes only a few minutes and can be performed under either general or spinal anesthesia. After treatment, the bladder is temporarily flushed via a urinary catheter and the patient remains hospitalized for two nights.

Preservation of antegrade ejaculation as an outstanding feature

Compared to other surgical methods, the so-called antegrade ejaculation is preserved in more than 80% of cases. This is made possible by a special angle of incision and sparing of the orifice area of the seminal ducts. This is because sexually active patients often suffer considerably when they lose the ability to ejaculate.

Use only for benign prostate enlargements

Whether the aquablation method is suitable for a patient depends on various factors. The prerequisite is a medium to large prostate volume (at least 30ml). There must also be no suspicion of prostate cancer.

Maximum care: Urology clinic treats more than 2,500 patients a year

The Department of Urology and Pediatric Urology treats more than 2,500 patients annually. The main focus is on the treatment of all tumors of the urinary and male genital organs, urinary stone diseases and the treatment of benign prostate enlargement. As a maximum care clinic, patients with acute urological diseases and after accidents receive immediate care 24 hours a day.

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