Aquablation with AquaBeam for Treatment of Enlarged Prostate Symptoms: Robotic Treatment of Enlarged Prostate

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  

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

Inexpensive Urologist Visit Cost 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.

Call/text today: 1-646-663-4044 or make an appointment online.  

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, and Connecticut, and over 70 countries worldwide.

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 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


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  We offer weekday, weekend, and evening office hours.


Patients Reviews

Overall Rating:

5

Total Ratings

5

Total Reviews

25

Ratings

Ease of Appointment: Bedside Manner:
Promptness: Spends Time with Me:
Courteous Staff: Follows Up After Visit:
Accurate Diagnosis:

Patient review
by on Jan 24, 2020

Recommendation
by on Jul 18, 2019

Therefore I would like to recommend you to anyone who need your services.

Urology Visit
by on Jul 18, 2019

Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.

Review
by on Jul 15, 2019

I was very satisfied with the rezum surgery.

Outstanding
by 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!!!

Care at NY Urology Specialists
by 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.

Highly grateful
by 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.

My experience
by 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.

Rezum procedure
by 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!!!!!!!!!

First class Surgeon & staff
by 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.

Friendly , courteous, effiecient and professional
by 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

Satisfied Patient
by 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

Surgical Procedure
by 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

Review
by on Aug 16, 2018

Outstanding service

A very good doctor
by 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

urology services
by 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.

Review
by 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.

Dr visit
by 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.

Urination problem
by on Aug 25, 2017

Thank you New York Urology Specialists for helping with my problem. The doctor and the staff are great!

Worth the wait
by 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.

Excellent doctor
by on Jul 03, 2014

I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.

My cramps and burning are gone
by 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

Thank you for excellent care
by 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

We appreciate all that you did to help my dad
by 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.

We love you!
by 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

Excellence-Urology_Care-banner2

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 the 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:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-4044 or make an appointment online

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.


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.