Aquablation with AquaBeam for Treatment of Enlarged Prostate Symptoms: Robotic Treatment of Enlarged Prostate
We offer affordable prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
What is Aquablation Therapy for Treatment of BPH – WaterJet Ablation Therapy for Enlarged Prostate
Aquablation refers to a new approach to removing obstructive prostate tissue through the use of high-velocity saline (saline is essentially water with some minerals). Aquablation is a surgical procedure designed to replicate the efficacy of TURP or prostate enucleation using waterjet ablation therapy.
How is Aquablation for Treatment of Enlarged Prostate Performed?
Aquablation is performed by a urologist in the operating room under general anesthesia. The procedure is performed with ultrasound guidance by performing a transrectal ultrasound of the prostate. Transrectal ultrasound maps the prostate anatomy which is then fed into the AquaBeam surgical robotic planning system. The urologist decides which area of the prostate to treat and programs the Aquablation robotic system to ablate the particular part of the prostate that needs treatment. Cystoscopy is performed and the Aquablation delivery device is positioned within the prostate through the cystoscope. Robotically guided delivery of high velocity heated saline according to the planned program chosen by the urologist.
How Does Aquablation Compare to Laser Enucleation of Prostate?
There have been no direct studies comparing Aquablation using the AquaBeam system to laser enucleation of the prostate (HOLEP). It appears that Aquablation results in similar outcomes as TURP. Based on indirect comparisons, most studies suggest that prostate enucleation, especially for large prostates, result in superior long-term outcomes compared to TURP. It is likely that AquaBeam Robotically guided waterjet ablation therapy for BPH using Aquablation achieves similar outcomes to laser enucleation of the prostate.
What are the Risks of Aquablation?
Post-Aquablation it is difficult to pinpoint the source of bleeding and cauterization can sometimes be challenging. All patients require an inpatient hospital stay with continuous bladder irrigation (CBI) or balloon tamponade of the prostatic area to stop bleeding. This is also a risk with TURP but with modern TURP methods with direct visual control of bleeding during the procedure it is rare to require balloon tamponade of the prostate.
What are the Advantages of Aquablation?
ProCept Aquablation AquaBeam System does not generate much heat which limits potential injury to periprostatic nerves that can occur with traditional TURP procedure. Heat injury is a suspected cause of occasional erection problems in men after TURP. There is probably no significant advantage of Aquablation compared to bi-polar TURP and laser prostate enucleation in terms of heat degeneration. Prostate enucleation using Holmium laser, for example, is very precise in terms of heat generation, and heat is delivered to the area of less than a millimeter at a time, which is under the surgeon’s control.
Aquablation is fast with the surgical time of fewer than 5 minutes however the total time that is required to perform the procedure including ultrasound generation is similar to TURP with about 30-35 minutes based on the results of the Aqua study, a randomized controlled study comparing Aquablation using an Aquabeam surgical planning system to traditional TURP.
Aquablation results in improved quality of life, improved urine flow, and improved urinary frequency and urgency symptoms, similar to what is achieved with TURP.
The Water Study, a randomized control trial of Aquablation and TURP showed that urinary symptoms significantly decrease (lower is better) from 23 to 6 (improvement of 70%). Urine flow is also significantly improved with the maximum flow of 21 ml per second from 6 (higher is better, stronger urine stream). Similarly, residual urine volume decreases from 97 ml to 50 ml with both TURP and Aquablation, a good improvement.
Aquablation seems to preserve ejaculatory function in most men.
What are the Disadvantages of Aquablation?
Aquablation is associated with a risk of bleeding. As a result, the procedure always requires an overnight hospital stay. In comparison, men can go home after procedures such as Rezum procedure and Urolift procedures. Many if not most men are able to go home the same day after prostate enucleation (HOLEP), Greenlight laser, and bipolar TURP.
Because Aquablation requires an overnight hospital stay, it is more expensive than alternative treatments.
Cost of Aquablation and Insurance Coverage
Aquablation is a promising treatment for millions of men with an enlarged prostate. Many insurance companies including Medicare are introducing coverage for Aquablation. Please contact our office with your insurance information to verify if your health plan covers the cost of the Aquablation procedure.
Did you know? Dr. Shteynshlyuger has performed over 1,000 surgeries and procedures for enlarged prostate, including Rezum, Urolift, prostate enucleation, laser ablation of the prostate, and TURP. He performs over 100 prostate procedures a year.
Cost of Enlarged Prostate Treatment without Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Rezum procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.
At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Urolift procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.
Cost of Treatment and Insurances
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
We accept many health insurance plans. We would be happy to verify your eligibility and benefits and to provide you with detailed information on your health plan’s coverage. Financing options and credit options are available to help you pay for medical care.
Where to Get Prostate Surgery in NYC?
At New York Urology Specialists, we offer specialized treatment for enlarged prostate for men. Same-day virtual video appointments and in-person appointments are available.
We perform a cystoscopy, urodynamic testing, prostate and bladder ultrasound in our office. We offer Urolift procedure, Rezum water-vapor procedure in our office, and laser enucleation of the prostate in a hospital setting. We treat urinary and erection problems. We offer confidential appointments.
Our appointment costs are affordable with or without insurance. We offer free insurance verification.
Read Real Stories of Men who Underwent Treatment of Enlarged Prostate (BPH) at New York Urology Specialists
We offer treatment for prostate problems, including slow urine stream, frequent urination at night, difficulty emptying the bladder, and other problems to patients within driving distance to our offices as well as from other states and countries. Our patients come from New York, New Jersey, Pennsylvania, Connecticut, and over 70 countries worldwide.
- 46-year-old Man with Urinary Retention Treated with Urolift
- 53-year-old Man Treated with Prostate Enucleation (HOLEP) after Urolift Did Not Work
- 61-year-old Man with Intermittency and Weak Urine Stream Tamsulosin does not work
- 73-year-old Man Treated with HOLEP (Holmium Laser Enucleation of Prostate)
- 73-year-old Man with Frequent UTI and Pain – Finasteride and Alfusozin Do Not Work
- 86-year-old man Treated with Prostate Enucleation After Rezum
Why Choose New York Urology Specialists for Treatment of Enlarged Prostate Problems?
- All treatment is performed by a board-certified urologist experienced in treating men with symptoms of frequent urination, urinary urgency, urinary incontinence, and bladder pain using medical therapy, minimally invasive therapies, lasers, and open surgery.
- We are one of the few practices in the region to offer a full range of options for the treatment of urinary problems caused by an enlarged prostate in men.
- We offer treatment options for enlarged prostate, overactive bladder, UTI, and urinary incontinence in our office, which avoids the risks, costs, and recovery from general anesthesia.
- Extensive experience: Thousands of men have been treated successfully using medical therapy, surgery, and minimally invasive procedures such as Urolift procedure, Rezum surgery, Botox for overactive bladder, Interstim for frequent urination, and tibial neuromodulation.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
- We are conveniently located within a 30-60 minute commute to men who are seeking BPH treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What do Prostate Problems Look Like?
You can find images of uroflow as well as before and after treatment images in our image gallery.
Scheduling Appointments for Enlarged Prostate Treatment at New York Urology Specialists
We offer affordable appointment prices with or without insurance. We offer weekday, weekend, and evening office hours.
by john harry on Dec 09, 2022
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by Winston - via Healthgrades.com on Feb 14, 2021
Dr Alex Shteynshlyuger is the best urology doctor there is. He is attentive, analytical, knowledgeable and skillful. Very confidential with a masterfully professional staff. I would not hesitate in recommending Dr Shteynshlyuger to the world because I am a satisfied patient of his.
by via HealthGrades.com on Jan 29, 2021
Dr. Shteynshlyuger helped to solve my problem with ED
by A. Pereira via Vitals.com on Jan 21, 2021
Very Pleased, I couldn’t have asked for more from Dr. S as well as everyone in the office, The procedure and after was a dream with Dr. S. If you are on the fence, I can tell you, that you will love your experience with Dr. S
by via HealthGrades.com on Jan 04, 2021
Yes I would recommend Dr. Shteynshlyuger . Effective physician at all levels.
by Elson via Google.com on Nov 25, 2020
This was a very fast and easy process. No pain at all and the job was very well done. He stays on top of your progress and helps to heal faster. I will definitely recommend Dr Alex at all times!!!
by Yannis via Google.com on Nov 09, 2020
Very friendly staff, A great experience from the front desk to seeing the doctor. Dr.Shteynshlyuger is very professional and makes you comfortable when you’re in the room. He answers every question with detail. Great place..
by Javier - Via Google.com on Oct 11, 2020
I saw the reviews about this place and was very hesitant to go but something was telling me to go with them and I don't regret it at all, the doctor did a great job and helped me understand the process plus the staff was amazing I would highly recommend it to anyone! quick story after the procedure I was in soo much pain and called the office on a SUNDAY, the doctor gave me a call back within 15 minutes and prescribed a stronger medication, to me that meant a lot for the doctor to take time from his day on a Sunday to help me.
by Grant via Google.com on Aug 20, 2020
To Dr. Shteynshlyuger and your assistants and aids, thank you guys for a successful procedure. I'd refer you to others for your compassionate, knowledgeable, attentive service and indepth follow up care.
by via HealthGrades.com on Apr 12, 2020
excellent doctor and all very friendly staff
by Lucretia via Vitals.com on Apr 09, 2020
This urologist has helped me for my constant UTI’s He gave me a few tests, diagnosed the problem and now I’m 2 years free if any UTI. A kind, intelligent, caring doctor LucretiaLaMura
by Christopher via Google.com on Mar 11, 2020
The staff is very professional. Doctor Shteynshlyuger provided me with the care I needed. The wait, visits, and instructions were brief. I followed his instructions and my issue was resolved. As a patient exercise patience. Follow the instructions and be honest about your condition and what you hope to accomplish be visiting. Thanks again Doctor.
by Jose A La Luz on Jan 24, 2020
by via HealthGrades.com on Aug 14, 2019
Great doctor, good bedside manner and always felt comfortable talking to him and the staff. Great location and affordable prices. Thank you doc !!!
What went wellAppointment scheduling Office environment Staff friendliness Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisions
by JOHN on Jul 18, 2019
Therefore I would like to recommend you to anyone who need your services.
by Oliver on Jul 18, 2019
Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.
by Michael H. on Jul 15, 2019
I was very satisfied with the rezum surgery.
by Allan B. on Jul 09, 2019
Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. I highly recommend NY Urologist Specialist. They are outstanding!!!
by Charles Thompson on Jul 06, 2019
I am a 54 year-old male who is extremely happy with my care at New York Urology Specialists. I came to see Dr. Alex out of near desperation after consulting with three other urologists. Literally over one night, I began experiencing severe penile pain and burning. None of the other urologists were able to help diagnose what my problem was and seemingly didn't take my problem very seriously. In fact, one of them specifically told me at it had nothing to do with my prostate. After 6 weeks of suffering, I saw Dr. Alex. He examined me and gave me some tests and lab work. He very quickly ascertained that my problem was due to an enlarged prostate. He proscribed medicine to deal with my pain in the short-term and keep my prostate size in check over the long-term. My problem quickly disappeared. Today, 5 years later, I feel great. Dr, Alex listens to you as a patient, takes your opinion and health concerns seriously and knows his field inside-and-out so that you can get proper treatment for your problem. I can't thank him enough for diagnosing and solving my malady - you sometimes can't appreciate a problem until you have it. Getting rid of it and getting back to normal is so important - I am so glad that I saw Dr. Alex for my problem.
by HealthGrades.com on Jun 18, 2019
Dr. Shteynshlyuger is a very patient, understanding and caring doctor. I came to take opinion on my father’s treatment going on in my home country. Highly satisfied from his responses. He even responded to so many of my queries through patient portal . Highly grateful.
by Joseph Waddy on Nov 08, 2018
I had a Rezum procedure done a couple of months ago and now my symptoms have improved and quality of life has significantly changed. The Doctor and staff are excellent and I am very satisfied with the services - the surgery and post care. Would highly recommend Dr. Shteynshlyuger.
by Joseph Waddy on Oct 24, 2018
I have been a patient of another Urologist for years, with no positive results. Then I learned about Dr. Alex Shteynshlyuger through a TV newscast. I immediately decided to have a consultation with him. Best decision I ever made!!! Dr. Alex performed the Rezum procedure and has literally changed my life. I highly recommend Dr. Alex and his staff to anyone who wants the most caring, capable and result oriented urological medical care. Thumbs up to Dr. Alex and staff!!!!!!!!!
by DAM BEN STANTON on Sep 24, 2018
From the very appointment to the last follow-up visit, I felt I was at the right place and with the right people around me. Dr. Alex Stheynshlyuger and his staff made it easy and confortable. I would recommend them to every man.
by Wyts on Sep 15, 2018
Wyts Wyts recommends New York Urology Specialists via Facebook. September 15, 2018 · Friendly , courteous, effiecient and professional staff members. This office i highly recommend for any and all Urology matters. Dr Alex Shteynshlyuger is very professional and knowledgable easy to communicate with. Thanks Dr Alex
by Winston on Sep 15, 2018
I am very please and satisfied with everything that has been offorded to me by New York Urology Specialist Office.....Dr Alex
by Lee St. James on Sep 01, 2018
Dr Alex and his staff are through professionals in every sense of the word. From initial diagnosis to a period of evaluating and ruling out options, we decided upon a surgical solution, which appears for the most part to have corrected the issue. Thanks to Ana, and the staff, especially Dr. Alex for treating me so well. Best regards, Lee
by Christopher cato on Aug 16, 2018
by Andrei on Aug 15, 2018
Dr. Alex Shteynshlyugerand is careful, patient, experienced. Uses innovative approaches, that actually yield results. He is indeed a good doctor, in every sense
by juanito creque on Apr 11, 2018
I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.
by Bob Brown on Nov 19, 2017
I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.
by Clarence Brown on Sep 14, 2017
I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.
by Jean on Aug 25, 2017
Thank you New York Urology Specialists for helping with my problem. The doctor and the staff are great!
by Richard on Nov 15, 2014
I went to see Dr. Shteynshlyuger for a second opinion about a urinary problem after having a continuing issue for many months that wasn\'t getting better. He seemed very knowledgeable. I highly recommend him. Cons: If you\'re not the first patient the wait can be LONG.
by Michael on Jul 03, 2014
I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.
by Charles M on May 23, 2013
Dear Dr. Alex – Since starting the [treatment], my cramps and burning have mostly gone. The biggest benefit is my leaking has been reduced to the lowest amount in almost 10 years. Charles M. Date: 2013
by George & Sally R on Jan 07, 2013
Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013
by Joanne R. on Sep 17, 2012
Dear Dr. Alex – I just wanted to write you a note to thank you for all of the care you have gave to my father during his illness. We appreciate all that you did to help my dad through his illness. We wanted to be sure to let you know how much it meant to us. Sincerely Joanne R.
by Joyce T on Feb 16, 2012
Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.
Urinary Problems Are Treatable in Nearly Every Man and Woman
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of urinary problems caused by enlarged prostate and BPH in men. We understand the challenges that urinary problems such as a slow stream, waking up at night, pain in the penis and perineum create for our patients, their relationships, and their self-esteem. We help you find a treatment for your urinary problems that fit your needs, lifestyle, and your preferences.
Urologists are doctors specializing in the treatment of men with symptoms caused by prostate enlargement, including frequent urination, poor urine flow, frequent UTI, blood in urine, urinary incontinence, urinary problems caused by an enlarged prostate, prior surgery, neuropathy, chemotherapy, and radiation. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man and woman who desire an effective treatment for their urinary problems. We offer medical and surgical treatment for men’s prostate problems.
We specialize in minimally invasive, highly effective treatment for symptoms of bladder pain, urethral burning, pelvic discomfort, incomplete bladder emptying, urinary frequency, and urgency.
We Treat Some of the Most Complex Men’s Health Problems Including:
- Erectile dysfunction in men for whom Viagra and Cialis do not work.
- Penile Pain During Sex
- Impotence in men with diabetes.
- Burning during urination
- Premature Ejaculation
- Frequent urination
- Urinary retention
Schedule an Appointment with Dr. Shteynshlyuger:
Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in the evaluation and treatment of urinary problems in men using modern effective and proven treatment methods including Botox for OAB, Interstim neuromodulation, Rezum for BPH, prostate enucleation for enlarged prostate, and Urolift procedure.
He has successfully treated hundreds of men with BPH with symptoms of frequent urination during the day and excessive urination at night.
He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.
We offer affordable appointment prices with or without insurance.
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