What we need to know about Aquablation

Written in association with: Mr Ahmed Ali
Published: | Updated: 28/07/2024
Edited by: Conor Lynch

Aquablation is an innovative medical procedure designed to treat benign prostatic hyperplasia (BPH), a condition characterized by an enlarged prostate. This condition affects many men as they age, leading to symptoms such as urinary frequency, urgency, and a weak urine stream. 

 

Traditional treatments for BPH include medications and invasive surgeries, but Aquablation offers a less invasive alternative with promising outcomes. Here to explain more is esteemed consultant urologist, Mr Ahmed Ali

What is Aquablation?

Aquablation is a minimally invasive surgical procedure that uses the power of water to remove excess prostate tissue. During the procedure, a high-velocity saline stream is delivered through a specialised robotic device called the AquaBeam system.

 

This robotic technology allows for precise targeting and removal of the overgrown tissue without damaging the surrounding structures. The procedure is typically performed under general anaesthesia and guided by real-time imaging, ensuring accuracy and safety.

 

How does Aquablation work?

The process begins with the insertion of the AquaBeam device into the urethra. Once in place, the surgeon uses ultrasound and cystoscopic guidance to map the prostate and identify the tissue to be removed. The high-pressure water jet then ablates the targeted tissue, which is simultaneously flushed out of the body. The entire procedure usually takes less than an hour, and patients can often return home the same day or the next.

 

What are the benefits of Aquablation?

Aquablation offers several advantages over traditional BPH treatments. One of the key benefits is its precision. The robotic system minimises the risk of human error, leading to more consistent and reliable outcomes.

 

Additionally, because the water jet only removes the targeted tissue, there is a lower risk of damaging the surrounding structures, such as the bladder and the urethral sphincter. This precision results in fewer complications, such as incontinence and sexual dysfunction, which are common concerns with other surgical options.

 

Who is a candidate for Aquablation?

Ideal candidates for Aquablation are men with moderate to severe BPH symptoms who have not responded well to medication. It is particularly beneficial for patients with larger prostates, as traditional minimally invasive procedures may not be as effective in these cases. Furthermore, this technique provides durable improvement with very low re-operation rate.

By Mr Ahmed Ali
Urology

Mr Ahmed Ali is a highly experienced consultant urological surgeon who specialises in bladder cancerprostate cancerbenign prostatic enlargementkidney stonestesticular cancer, as well as urinary tract infections, amongst many other urological-related conditions.

He currently practises at the highly prestigious The London Clinic hospital where he consults patients from both overseas and the UK. He also practices in Surrey at The Parkside Suite (Frimley Park Hospital), and the Circle Mount Alvernia Hospital in Guildford. He also recently joined the men’s health team at OneWelbeck in London, a clinic that provides a holistic approach to men’s health including prostatebladder, and andrology health check using cutting edge technology. He is the current lead for bladder cancer services at the Frimley Health NHS Foundation Trust’s urology department, the founder of the Arab British Urological Society, as well as being a consultant urologist at Urology Partners LLP.

He is an expert when it comes to urological oncology, and is highly qualified in relation to every aspect of urological-related diseases. He qualified as a doctor in 2005 after successfully completing an MBChB in medicine at the distinguished University of Baghdad. He moved to the UK and started training as a junior doctor in 2007, which allowed him to go on to obtain a master's degree in urology in 2013 from the University College London.

Ahmed started his urological training at St James Hospital in Leeds and subsequently undertook a fellowship at Addenbrooke’s Hospital in Cambridge. During his fellowship, he studied the role of MRI in the diagnosis of prostate cancer which is now the main method of prostate cancer diagnosis. Furthermore, he completed 5 years of higher urological training at the Kent, Surrey and Sussex Deanery by completing the FRSC Urol exam in 2017.

Upon his appointment as a consultant at the outstanding Frimley Health NHS Foundation Trust in October 2017, Mr Ali was responsible for managing the bladder cancer services in the trust. In the past 5 years, Mr Ali has impressively introduced multiple new cutting-edge technologies in the management of bladder cancer. He introduced the use of radiofrequency-induced hyperthermia treatment for high-risk non-muscle invasive bladder cancer, and the use of laser in removing bladder cancer lesions with minimal blood loss. In addition, he regularly trains more junior urologists in using modern technologies in the diagnosis and treatment of bladder cancer.

After the COVID pandemic, Mr Ali started a new mobile service to help other Trusts in the UK deal with their long wait in treating urological cancers. He regularly undertakes and trains doctors in prostate diagnostic procedures. He follows the pathway of using MRI scan, followed by biopsies, using the fusion method to accurately diagnose prostate cancer using the precision point technique. This ensures accurate diagnosis of the type and grade of prostate cancer with minimal side effects, such as infection and pain.

With regard to education, Mr Ali is the consultant lead for simulation education at Frimley Health NHS Foundation Trust. He has been involved in multiple successful programmes at the trust which involve simulation training. He also is a chief investigator in an NIHR study looking for a biomarker for the treatment of overactive bladder syndrome. 

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