• When did you last sleep through the night?
    Remember not caring if there was a bathroom nearby?

    Have you been living with interrupted sleep, weak flow, or the constant mental math of where every bathroom is?


I waited way too long before I got any help. It was horrible. For years, I was literally waking up 5-6 times every night to go to the bathroom.

You used to just go

No mental math. 

No scanning for bathrooms when you walked into a restaurant. 

No waking up at 2am.

No standing at a urinal waiting.

No second guessing a middle seat.

You didn’t think about it because there was nothing to think about.

Try to remember that.

You kind of mask over what's going on, and I think we can try to kid ourselves that I can deal with this

What Happened?

Your symptoms didn’t show up overnight.

They crept in.

A little slower stream, a little more urgency, one extra bathroom trip.

Gradual enough that each change felt like, “just getting older.”

Gradual enough that you stopped noticing what you were losing.

Getting up 3, 4, even 5 times a night.

A weak stream that takes forever to start.

Planning every trip, every outing, every day around the nearest bathroom.

It wears you down. You start skipping things you used to enjoy.

Boy, let me tell you, I made the right decision.

Men don’t know how far they’ve drifted

Not because they’re ignoring it.

Because it happened slowly enough that the new version became normal.

The medications took the edge off and “good enough” became the baseline.

Your bar keeps moving down.

You shouldn’t have to choose.

And if you’re waiting for your doctor to bring up something beyond medication—you may be waiting longer than you need to.

There’s a treatment for enlarged prostate, or BPH, designed to give you real, lasting relief, without the trade-offs. And the longer you wait, the harder it becomes to get the best outcome.


Enlarged Prostate (BPH)

An enlarged prostate makes it difficult to urinate normally.

A diagram of the bladder, urethra, and an enlarged prostate.
Normal
Prostate
Enlarged
Prostate

WHAT IS BPH?

The prostate is a gland that plays an important role in sexual function. Benign prostatic hyperplasia (BPH), or an enlarged prostate, is a prostate that has grown to be larger than normal. BPH is not prostate cancer.

As the prostate grows, it may:

    • Constrict the urethra, making it difficult to urinate
    • Apply pressure on the bladder, causing it to weaken and have difficulty emptying

Left untreated, BPH can cause significant health problems, including irreversible bladder or kidney damage, bladder stones, and incontinence.19

WHAT CAUSES BPH?

The cause of prostate enlargement is not known.

What is known is that there are two phases of growth:

  1. During puberty, the prostate doubles to about the size of a walnut and then stops growing
  2. Around age 25, the prostate continues to grow for the rest of a man’s life

Do any of these sound like you?

Below are common symptoms that people with BPH are constantly frustrated by. Check off the boxes below to find out how BPH may be impacting you.

Getting up 2 or more times a night to urinate

A stream that’s weaker than it used to be

Urgency that makes you rush to the bathroom

Feeling like you can’t fully empty your bladder

Taking BPH medication but still not satisfied with relief

You’ve stopped saying yes to the things you used to enjoy

Putting off treatment?

BPH symptoms don’t get better on their own

BPH doesn’t just stay the same… it usually gets worse over time.15  And it’s not just the symptoms that progress—the blockage itself can put strain on the bladder.16

Over months and years, your bladder has to work harder and harder to push urine through the continuously narrowing opening.

The extra strain can cause the bladder walls to become thicker, harder, and less elastic. Changes that, once they set in, can be difficult to reverse.16 

Treating the obstruction early (before the bladder changes accumulate) can help protect long-term bladder function and gives you the best chance for recovery.

Don’t wait for symptoms to get worse. When adopted early enough, Aquablation therapy treats the obstruction before bladder changes become harder to reverse.

“I don’t want accidents…I don’t want a diaper”

Medication can help, but it won’t get rid of what’s blocking you.

Less than half of men are satisfied with BPH medications — and most stop taking them within a year.10 Over time, medications may have side effects, including impacts to sexual function and quality of life17.

And the prostate keeps growing whether or not you’re taking medications.

There are options beyond pills.

Options that treat the cause, not just the symptoms.


Unblock your flow

Why more than 125,000 men chose Aquablation over other BPH treatments

Aquablation is not TURP. It’s not the rotorooter surgery you may have heard about.

Instead Aquablation is the only ultrasound-guided, robotic assisted therapy for enlarged prostate.

Aquablation provides significant symptom relief.1

Exceptional symptom relief

Remember what normal feels like. Aquablation therapy patients on average, experienced8:

  • Relief in one procedure
  • Urine flow more than doubled
  • No limitations in prostate size
  • Preserves function

Relief that holds

This isn’t another pill to manage symptoms.

Aquablation therapy treats the obstruction. In clinical studies, it has been shown to provide long-term relief at 5 years.8

Superior to TURP*

When compared with transurethral resection of the prostate (TURP), Aquablation therapy demonstrated8,18:

  • No prostate size limitations
  • Lower risk of ejaculatory dysfunction
  • Superior symptom relief in prostate sizes of 50-80 grams – one of the most common size ranges among men with BPH

What you keep

In clinical studies, men who had Aquablation therapy had very low rates of complications related to bladder control (continence), erectile dysfunction, and ejaculatory dysfunction.4,5,6

Confidence in procedure

Aquablation therapy, one of the leading surgical treatments for enlarged prostate, is the only procedure that resects prostate tissue with a robotically controlled waterjet, designed to remove the growth causing the issue while protecting areas important to function.

What this means for your life

Relief that lasts

This isn’t a temporary fix. Aquablation therapy provides lasting symptom relief supported by multi-year clinical studies 8. Five-year data shows the relief holds up.4

No permanent implant. No incisions. Precise.

Your surgeon uses real-time imaging to see exactly what tissue they’re removing while preserving the areas responsible for function.1,9

Your sex life stays yours

Aquablation therapy is designed to treat BPH while helping protect sexual function and confidence.4,5,6

Works for prostates of all sizes

Unlike some procedures designed only for small or medium prostates, Aquablation is clinically proven across a wide range of prostate sizes — from small to very large.5,6

Three steps to lasting BPH relief

Aquablation therapy was what fixed me. I knew right away that it was working”

Step 1. Ask One Question

“Am I a candidate for Aquablation therapy?”

Step 2. Get Treated with Precision

Your surgeon uses real-time imaging to map your prostate, then water-based therapy removes the tissue causing your symptoms.1 No permanent implant, no incisions. Your surgeon stays in full control.

Step 3. Get Back to Living

Most men return home within one day after treatment.7 The goal is lasting relief — so you can stop managing symptoms and start putting BPH behind you.

The men who get the best outcomes didn’t wait until things got unbearable. They asked a question early, got the facts, and made a decision on their own terms

What life looks like after treatment

Take back the sleep BPH is stealing

No alarm from your bladder.

Stop planning your life around the nearest bathroom

Go where you want, when you want.

Confidence that everything still works

99% of men preserved erectile function

One procedure may put BPH symptoms behind you

Stop managing. Start living.


Aquablation success stories

He knew he had to make a change and that’s when he found Aquablation therapy.

“I’m happy as hell I got this done. I feel like a garden hose… I’m very thankful, I have a new lease on life.”

Watch his story to find out how Aquablation therapy helped him

“I actually don’t remember being able to ever pee quite this well”

When Ed started researching BPH treatments, the side effects worried him more than the symptoms. See how Aquablation therapy changed that.

“When I came across Aquablation I realized I didn’t have to compromise”

Individual results may vary. These testimonials reflect personal experiences and do not represent a guarantee of specific outcomes.

Ready to get lasting relief? Not just manage symptoms
One conversation with a urologist could change everything. Ask if Aquablation therapy is right for you.


Find an Aquablation Urologist

Frequently Asked Questions

Have questions? Read our most asked questions about Aquablation Therapy below.

Aquablation Therapy – The Procedure

What Is Aquablation Therapy?

Clinical Outcomes

What Is the Cost of Aquablation Therapy?

Request a Call

Sources:

  1. Gilling P, Barber N, Bidair M, et al. WATER: A double-blind, randomized, controlled trial of Aquablation vs TURP in BPH. J Urol. 2018;199(5):1252-1261
  2. Gilling P, et al. WATER Study design: first FDA pivotal study randomized to gold standard TURP. ClinicalTrials.gov NCT02505919; WATER II NCT03123250.
  3. Centers for Medicare & Medicaid Services (CMS). CPT 52456 coverage. AMA CPT Coding Updates 2023.
  4. Gilling PJ, Barber N, Bidair M, et al. Five-year outcomes for Aquablation therapy compared to TURP. Can J Urol. 2022;29(1):10960-10968.
  5. Bhojani N, Bidair M, Kramolowsky E, et al. Aquablation therapy in large prostates (80-150 mL): Final WATER II 5- year results. J Urol. 2023;210(1):143-153.
  6. Omidele O, Siegal AS, et al. Aquablation at 4-years: Real world data from the largest single-center study. Urology. 2024;194:216-220.
  7. Gilling PJ, et al. Procedural outcomes and recovery data. J Urol. 2020. PMID:31715174.
  8. Berjaoui MB, Nguyen DD, et al. WATER versus WATER II 5-year update. BJUI Compass. 2024;5(11):1023-1033.
  9. Bataille F, et al. Ultrasound visualization during Aquablation. J Endourol. 2020. PMID:32091909.
  10. Cindolo L, et al. Drug adherence and clinical outcomes for patients under pharmacological therapy for LUTS/BPH. PMC. 2015.
  11. Ahyai SA, et al. Meta-analysis of functional outcomes following transurethral procedures for LUTS. Eur Urol. 2010;58(3):384-397.
  12. Roehrborn CG, et al. Five-year results of the prospective randomized controlled prostatic urethral L.I.F.T. study. Can J Urol. 2017;24(3):8802-8813.
  13. Rassweiler J, et al. Complications of transurethral resection of the prostate. Eur Urol. 2006;50(5):969-980.
  14. Gravas S, et al. EAU Guidelines on Management of Non-Neurogenic Male LUTS. Eur Urol. 2015.
  15. Roehrborn CG. BPH progression and worsening of LUTS. Rev Urol. 2005. PMID:16985841.
  16. Osman NI, et al. Detrusor changes from chronic bladder outlet obstruction. Neurourol Urodyn. 2014. PMID:23868441.
  17. Bortnick EM, Simma-Chiang V, Kaplan SA. Long-term Consequences of Medical Therapy for Benign Prostatic Hyperplasia. Rev Urol. 2019;21(4):154-157.
  18. Oumedjbeur K, et al. Aquablation versus TURP: 5-year outcomes of the WATER randomized clinical trial for prostate volumes 50-80 mL. Can J Urol. 2023;30(5):11650-11658.
  19. Johns Hopkins Medicine. Benign Prostatic Hyperplasia (BPH). Johns Hopkins Medicine Health Library. https://www.hopkinsmedicine.org/health/conditions-and-diseases/benign-prostatic-hyperplasia-bph. Accessed April 10, 2026.