Aquablation.ai · Dr. Ali Tourchi · Modern BPH Treatment in South Florida

Chapter 1 · Your Body, Before

When you were 22, you never thought about it.

You could hold it through a long drive. The stream was strong. You slept through the night. You emptied completely and never thought about any of it — because your body was working exactly as designed.

At a younger age, the prostate is small (walnut-sized) and the urethra running through it is unobstructed. The bladder muscle is well-conditioned — contracting efficiently and emptying completely with low post-void residual.

🙌
A small prostate. About 20 mL — the size of a walnut. It sat quietly below your bladder and caused no problems.
💧
A wide-open urine tube. Urine flowed through easily, like water through an unkinked garden hose.
●
A well-conditioned detrusor (bladder muscle). Normal wall thickness, efficient contraction, and complete emptying with low post-void residual.
🎯
A perfect valve. Complete control. No leaks, no accidents, no rushing. You went when you wanted to go.

"This is the body you remember. This is what we work to bring back — not identical, but as close to it as modern medicine allows."

— Dr. Ali Tourchi

Chapter 2 · Patterns of Prostate Enlargement

Three patterns of benign prostatic hyperplasia (BPH).

As men age, the prostate gradually enlarges. This is called benign prostatic hyperplasia (BPH). It is not cancer, but it can obstruct urinary flow in three distinct anatomic patterns. The pattern of enlargement guides which treatment is most appropriate.

TYPE 1 — LATERAL LOBE ENLARGEMENT

Lateral Lobe Enlargement

The lateral lobes (the side portions of the prostate) grow inward and compress the urethra from both sides. The bladder must work harder to overcome the resistance, producing a weak stream, hesitancy, and incomplete emptying.

TYPE 2 — MEDIAN LOBE GROWTH

Median Lobe Growth

The median lobe grows down into the bladder neck and behaves like a one-way ball valve. When the bladder contracts, the lobe is pushed downward and seals the bladder outlet. Patients feel urgency but have difficulty initiating the stream.

TYPE 3 — COMBINED ENLARGEMENT

Combined Enlargement

Both the lateral lobes and the median lobe enlarge simultaneously. The lateral lobes compress the urethra from the sides while the median lobe obstructs the bladder outlet from above. This pattern carries the highest risk of acute urinary retention.

"Prostate volume alone does not predict the severity of obstruction. Ultrasound and cystoscopy are used to identify the specific pattern of enlargement, since no two patients are alike. A small prostate with isolated median lobe enlargement can be more obstructive than a large prostate with only lateral lobe enlargement."

— Dr. Ali Tourchi

Chapter 3 · Bladder Decompensation

The natural history of untreated bladder outlet obstruction.

The prostate is only part of the picture. Over years of working against an obstructed outlet, the bladder muscle hypertrophies — it grows thicker. Eventually the muscle can decompensate (lose contractile function). Once that occurs, even technically successful prostate surgery may not fully restore normal voiding. This is why earlier evaluation matters.

STAGE 1 · Normal Function

Healthy bladder. Normal muscle thickness. Empties efficiently with low post-void residual.

✓ NORMAL

STAGE 2 · Compensated Bladder

Compensated phase. The bladder muscle hypertrophies in response to outlet resistance. Voiding still occurs, often with straining. Function is typically restored when obstruction is relieved.

⚠ COMPENSATED — TREATABLE

STAGE 3 · Decompensated Bladder

Decompensated bladder. The muscle wall thins and loses contractile strength. Elevated post-void residual increases the risk of recurrent UTIs, bladder stones, and renal compromise.

✕ DECOMPENSATED

Symptoms that warrant urologic evaluation

Discuss these symptoms with your physician promptly: post-void dribbling · sensation of incomplete emptying · urinary frequency within 5 minutes of voiding · recurrent UTIs · gross hematuria · rising serum creatinine · nocturia of 4 or more times per night · persistent straining throughout the stream. A simple bladder scan measures post-void residual urine. A residual greater than 100 mL suggests significant obstruction and warrants urologic assessment.

Chapter 4 · Older Surgical Methods

Established surgical methods and their limitations.

For decades, the two standard surgical options for an enlarged prostate have been transurethral resection of the prostate (TURP) — using electrical current to remove tissue — and laser vaporization or enucleation. Both procedures relieve obstruction effectively, but both rely on heat energy that can affect the nerves and structures responsible for sexual function. Newer technologies, including Aquablation, are designed to reduce these heat-related side effects while still relieving the blockage.

TURP uses a 400°C electrical loop to resect tissue.
Thermal energy can affect adjacent structures.

⚡
Thermal spread is inherent to electrocautery. The neurovascular bundles responsible for erectile function lie just outside the prostatic capsule and can be affected by the heat used to resect tissue.
🔥
The bladder neck is involved during resection. The bladder neck mechanism that prevents retrograde flow can be disrupted; retrograde ejaculation is reported in approximately 65–90% of patients after TURP.
👁
No real-time imaging guidance. TURP is performed under direct cystoscopic vision; precise sparing of landmarks depends on surgeon experience.
⚠
Volume limitations. TURP is generally not recommended for prostates above approximately 80 mL; patients with larger glands have historically required open simple prostatectomy or alternative approaches.

How Aquablation Works

Four precise steps in a single procedure.

Aquablation Therapy combines real-time ultrasound radar, AI-guided planning, robotic execution, and the judgment of your surgeon. Together, they deliver an outcome that is not possible with TURP or laser surgery.

Ultrasound Radar Maps Your Prostate

Dr. Tourchi places a small ultrasound probe that creates a live, 3D picture of your prostate — updating 30 times per second. Every structure is visible: the outer capsule wall, the lateral lobes, the median lobe, the verumontanum (your sex-function landmark), the sphincter, and the nerve bundles outside the capsule. Nothing is hidden. Nothing is guessed.

📡

AI Draws Your Personalized Treatment Plan

On the ultrasound image, Dr. Tourchi marks the exact tissue to remove (red) and the exact structures to spare (green). This treatment boundary is locked 3–5 mm above the verumontanum — preserving your ejaculation — and stops short of the capsule — preserving the nerves that control your erections.

🧠

Cold Waterjet Removes the Blockage

A high-pressure stream of cold saline (~20°C, room temperature) sweeps across your prostate, removing the tissue squeezing your urinary flow. No heat. No burning. No electrical current. The robot executes Dr. Tourchi's plan with submillimeter precision. Average active treatment time: just 5.8 minutes.

💧

Typically Outpatient. Defined Recovery.

Aquablation is most often performed as an outpatient procedure, with most patients discharged the same day; some patients may be observed overnight based on individual factors. There are no external incisions — the procedure is performed through the natural urinary channel. A urinary catheter is typically required for 3–4 days after surgery. Most patients return to light activity within about a week, with continued improvement in urinary flow over 4–6 weeks. Published 5-year data show favorable preservation of erectile and ejaculatory function.

🎯

The Platform · Engineered for Precision

The only BPH treatment built on an AI-powered robotic platform.

Aquablation Therapy is not just another surgery with a new name. It's a next-generation surgical platform — integrating real-time ultrasound imaging, artificial intelligence treatment planning, robotic execution, and a heat-free waterjet. Nothing else in urology works this way.

The Robotic Platform

AI · Ultrasound · Robotics · Heat-Free Waterjet

📡

Real-Time TRUS

Live 3D ultrasound imaging of your prostate

🧠

AI Planning

AI identifies critical anatomy & suggests treatment

🤖

Robotic Arm

Submillimeter-precise execution, surgeon approved

💧

Heat-Free Waterjet

Cold saline at high velocity — no burns, no heat

🎯

AI-Powered Treatment Planning

Intelligent image recognition software — developed from real-world data and expert surgeon input — helps identify critical anatomy and suggests an optimal treatment plan unique to each patient. Your plan is not a template. It's built for your prostate.

🔬

Advanced Image Guidance

Next-generation ultrasound customized for Aquablation, plus an integrated high-resolution digital cystoscope. Dual touchscreens let the surgeon see both ultrasound and camera views simultaneously — no blind spots, no guessing.

⚡

Heat-Free Robotic Resection

The waterjet resects tissue using high-velocity saline — no electricity, no laser, no heat. The robotic arm executes Dr. Tourchi's approved plan with a precision no human hand can match, across a full range of prostate sizes.

"This platform does not replace my judgment. It amplifies it — letting me see what I could not see before, plan what I could not plan before, and execute with a steadiness no human hand can match."

— Dr. Ali Tourchi

What to Expect · A Day, Not a Week

Walk in the morning. Sleep in your own bed that night.

For most men, the biggest fear isn't the procedure itself — it's the hospital stay, the cutting, the long recovery. Aquablation takes all three off the table.

🏠

Typically Outpatient

Most patients go home the same day

The procedure is performed in the operating room at Cape Coral Hospital, Lee Memorial Hospital, or HealthPark Medical Center. After surgery, patients recover in the PACU for several hours. Most patients are discharged the same day, although some patients may be observed overnight depending on individual factors such as bleeding, comorbidities, or how they tolerate the catheter. Your specific plan is discussed in advance.

🚫🔪

Zero Incisions.
No Scalpel.

No Scars, Nothing Cut

The entire procedure is performed through your body's natural opening. No cutting. No stitches. No scars on your body. Nothing visible on the outside. Nothing for you to clean or protect while healing. The pain of surgery most men picture? It simply does not happen here.

🏃

Defined Recovery Period

Most patients return to light activity within a week

A urinary catheter is typically required for 3–4 days after surgery; the duration is individualized. Most patients return to light daily activity within about a week — walking, working at a desk, light driving once off narcotics. Improvement in urinary flow and emptying continues over the following 4–6 weeks as the prostate channel heals. Activity restrictions and follow-up are reviewed in the post-operative instructions.

🗓 Your Treatment Day — A Typical Timeline

Morning

Check-in at hospital

Mid-Morning

Procedure (~30 min total)

Midday

Recovery in PACU

Afternoon

Discharge (most patients)

"Patients often delay BPH treatment because they picture an extended hospital stay and a long recovery. For most patients, the actual experience is much shorter than they expect — though every recovery is individual and we set realistic expectations together."

— Dr. Ali Tourchi

Chapter 5 · When Surgery Is Indicated

When surgery becomes the right step

Most men with BPH start with lifestyle changes and medication. Surgery becomes the right next step when one or more of the following conditions applies — these are the established indications, in line with American Urological Association (AUA) guidelines.

Failure of medical therapy

An adequate trial of medications — alpha-blockers (Flomax, Rapaflo), 5-ARIs (Proscar, Avodart), tadalafil 5 mg daily, or combination therapy — has not provided sufficient symptom relief. AUA/IPSS score remains moderate (8–19) or severe (≥20).

Refractory urinary retention

Single or recurrent episodes of acute urinary retention requiring catheter drainage. A trial without catheter on alpha-blocker therapy was unsuccessful, or the patient remains catheter-dependent.

Renal insufficiency from BPH

Rising creatinine, declining eGFR, or imaging that shows hydronephrosis or hydroureteronephrosis caused by bladder outlet obstruction. Surgical decompression is medically necessary to protect kidney function.

Recurrent urinary infections

Multiple UTIs caused by incomplete bladder emptying and elevated post-void residual. Antibiotics alone are not enough — the underlying obstruction must be relieved.

Recurrent bladder stones

Bladder calculi seen on imaging or cystoscopy, caused by urinary stasis from BPH. Recurrent stone formation is a direct complication of obstruction and warrants definitive treatment.

Recurrent gross hematuria

Visible blood in the urine from prostatic bleeding, after other sources have been excluded. If 5-ARI therapy has been trialed without success, surgical management of the prostate is the next step.

Patient preference

Intolerance of long-term medical therapy (side effects, dizziness, sexual side effects), inability to reliably take daily medications, or preference for a one-time definitive solution over lifelong pills. Alpha-blocker therapy may also be contraindicated due to planned cataract surgery (IFIS risk).

Discussion with your urologist

If one or more of these applies, surgical evaluation is appropriate. Your urologist will review your case in detail, confirm the indication, discuss the surgical and non-surgical alternatives, and answer every question you have before any treatment is recommended.

Chapter 6 · Pre-Operative Instructions

Preparing for your Aquablation

A clear, step-by-step guide to the week before surgery, the day before, and the morning of. Always confirm the final plan with your surgeon and prescribing physicians.

STEP 1

One week before surgery — STOP these medications

Stop the following 7 days before your procedure, unless another physician specifically tells you not to stop:

• Aspirin, Bayer, Ecotrin, Excedrin, Alka-Seltzer (with aspirin)

• NSAIDs: ibuprofen, Advil, Motrin, Aleve, naproxen, meloxicam, diclofenac, indomethacin

• Fish oil / omega-3 supplements

• Multivitamins · Vitamin E

• Herbal supplements: garlic, ginkgo, ginseng, turmeric, saw palmetto

• Any over-the-counter supplement that may increase bleeding

OK to take: Tylenol / acetaminophen for pain, unless told otherwise.

STEP 2 · CRITICAL

Blood thinners & antiplatelets

Do NOT stop any blood thinner on your own. These medications must only be stopped after approval from the physician who prescribes them — your cardiologist, primary care, vascular doctor, neurologist, or hematologist. If you have a heart stent, mechanical valve, recent stroke/TIA, atrial fibrillation, recent clot, pulmonary embolism, or vascular graft, a written plan from your prescriber is required before surgery.

Brand	Generic	Hold before surgery*
Coumadin / Jantoven	warfarin	5 days · INR <1.5 ideally
Eliquis	apixaban	2–3 days (3 preferred)
Xarelto	rivaroxaban	2–3 days (3 preferred)
Savaysa	edoxaban	2–3 days
Pradaxa	dabigatran	3–4 days (longer if reduced kidney fn)
Plavix	clopidogrel	5 days
Brilinta	ticagrelor	5 days
Effient	prasugrel	7 days
Lovenox	enoxaparin	24 hours (treatment-dose)
Heparin SQ	unfractionated	8–12 hours
Heparin IV	infusion	4–6 hours (hospital-managed)
Arixtra	fondaparinux	3–4 days
Aggrenox	aspirin/dipyridamole	5–7 days (prescriber approval)
Persantine	dipyridamole	2–3 days

*General guidance. Final plan depends on kidney function, bleeding risk, anesthesia plan, and the reason you take the medication. Patients on dual antiplatelet therapy (e.g., aspirin + Plavix/Brilinta/Effient) must NOT stop either drug without written cardiology clearance.

STEP 3

Diabetes & weight-loss meds

Tell our office if you take any of these:

• Ozempic, Wegovy, Rybelsus (semaglutide)
• Mounjaro, Zepbound (tirzepatide)
• Trulicity (dulaglutide)
• Victoza, Saxenda (liraglutide)
• Jardiance, Farxiga, Invokana, Steglatro

STEP 4

The day before surgery

🧴 Use one Fleet saline enema the night before surgery, unless told not to. Available over the counter at any pharmacy. Follow package instructions.

🍽 Nothing after midnight — no food, candy, gum, mints, chewing tobacco, or drinks (except approved morning meds with a small sip of water).

STEP 5

Morning of surgery

✅ BRING

• Photo ID & insurance
• Updated medication list
• CPAP/BiPAP
• Inhalers
• Cardiology clearance
• A responsible adult driver

⊘ DO NOT WEAR

• Jewelry
• Contact lenses
• Lotions, creams, fragrances
Wear loose, comfortable clothing.

STEP 6

Restarting blood thinners

Do not restart any blood thinner until specifically instructed by your surgeon or prescribing physician. Restart timing depends on urine color, catheter status, your cardiac/clotting risk, and bleeding during surgery. Most patients restart between 24–72 hours post-op, but the plan is always individualized.

📞 Call the office BEFORE surgery if any of these happen

• Fever or chills
• Burning urination or suspected UTI
• New blood in the urine before surgery
• Chest pain, shortness of breath, new cardiac symptoms
• New stroke-like symptoms
• Any new medication changes
• You accidentally took aspirin / NSAID / blood thinner you were told to stop
• You did not complete required medical or cardiac clearance

⚖ Important Safety Statement

Stopping blood thinners can increase the risk of stroke, heart attack, stent thrombosis, valve thrombosis, DVT, or pulmonary embolism. Continuing them can increase the risk of bleeding, clot retention, catheter problems, transfusion, or return to the operating room. For this reason, every patient's plan is individualized and coordinated between your surgeon, anesthesia, and your prescribing physician.

Chapter 7 · Post-Operative Recovery

After Aquablation — what to expect

Aquablation removes obstructing prostate tissue through the urinary channel. Because the prostate and bladder neck are healing internally, urinary symptoms for several weeks are normal. Here is what to expect — and what to call about.

Common & expected symptoms

• Burning or stinging with urination

• Urinary urgency or frequency

• Mild bladder spasms

• Pink, red, or tea-colored urine

• Small blood clots in the urine

• Leakage around the catheter (from spasms)

• Temporary incontinence after catheter removal

• Fatigue for several days from anesthesia

• Pelvic, bladder, or urethral discomfort

Some blood in the urine can come and go for 3–4 weeks after the procedure — this is normal.

🎨

Urine color in your catheter tubing

Some blood in the urine is expected and may come and go for several weeks. Use this guide to know which colors are normal during healing and which colors should prompt a call to the office or a visit to the ER. If bleeding increases, stop activity, rest, and hydrate.

Visual reference for educational purposes only — actual color may vary; when in doubt, call the office.

✓ Normal — keep watching

• Clear, yellow, light pink, or tea-colored urine
• Small clots
• Bleeding that improves with rest & fluids
• Intermittent bleeding for a few weeks

⚠ Call office or go to ER

• Bright red urine that doesn't improve
• Large clots · Inability to urinate
• Catheter not draining
• Severe bladder pressure
• Dizziness, fainting, chest pain
• Fever over 101°F or chills

💧 Catheter care

• Secure to your thigh
• Bag below bladder level
• Tubing not kinked
• Empty when half full
• Pink/red urine in tubing is normal
• Drink fluids unless restricted

🚶 Activity restrictions

First 48 hrs: rest, walk short distances, no lifting
2 weeks: no lifting >10 lbs, no strenuous activity, no cycling/golf/gym
Weeks 3–4: gradually increase if urine is clear & no clots

🚿 Bathing, driving & bowels

• Shower 24 hrs after surgery — no baths, hot tub, or swim for 2 weeks
• Driving: after catheter out and off narcotics
• Bowels: use stool softener (Colace), Miralax, fiber. No enemas.

💊 Pain control & medications

Use: Tylenol/acetaminophen as directed; prescription pain meds only if prescribed.
Avoid: ibuprofen, Advil, Motrin, Aleve, naproxen, aspirin products, fish oil, bleeding-risk supplements.
Take antibiotics exactly as prescribed. Continue or stop prostate medications (Flomax, Rapaflo, Avodart, OAB meds) only as instructed by your surgeon.

❤ Sexual activity

None for at least 2 weeks AND until urine is clear (per Johns Hopkins guidance). After resuming, you may notice lower semen volume, temporary discomfort with orgasm, retrograde or reduced ejaculation, or temporary erectile changes from healing or stress. These typically improve with time — report persistent concerns at follow-up.

🥤

Fluid intake

Unless you are on fluid restriction (heart failure, kidney disease): drink 2–3 liters of water per day for the first 1–2 weeks. Drink enough that urine stays light pink or clear. Reduce fluids 2–3 hours before bedtime if nighttime urination is severe.

Avoid bladder irritants for 1–2 weeks: coffee, tea, alcohol, carbonated drinks, spicy foods, citrus juices, artificial sweeteners.

📞 Call the office for:

Fever >101°F · chills · catheter not draining · can't urinate · large clots · bright red urine that doesn't improve with fluids/rest · severe pain not controlled by meds · persistent nausea/vomiting · cloudy/foul-smelling urine · new confusion or weakness · worsening bladder spasms · questions about restarting blood thinners.

🚑 Go to the ER immediately for:

Inability to urinate with severe bladder pressure · catheter completely blocked when office is closed · heavy bleeding with dizziness or fainting · chest pain · shortness of breath · stroke-like symptoms · severe allergic reaction · fever with shaking chills or appearing very ill.

Why It's Different

A heat-free, image-guided approach to BPH treatment.

Conventional surgical options for BPH — TURP (electrical) and laser — rely on thermal energy to remove tissue, which can affect the nerves responsible for erections and the bladder neck mechanism that prevents retrograde ejaculation. Aquablation uses a high-velocity waterjet under live ultrasound guidance to remove tissue mechanically, without heat.

TURP

🔥 400°C Electrical Loop

Erections preserved90–95%

Ejaculation preserved10–35%

Heat usedYES, 400°C

Real-time imagingNo

Large prostates >80 mLNot safe

Treatment time~27 min

Aquablation Therapy

💧 ~20°C Cold Saline

Erections preserved10 / 10

Ejaculation preserved9 / 10

Heat usedNONE

Real-time imagingFull TRUS

Large prostates >80 mLYes, to 150 mL

Treatment time~5.8 min

Laser (HoLEP)

🔦 1000°C+ Laser

Erections preserved~90–95%

Ejaculation preserved20–40%

Heat usedYES, 1000°C+

Real-time imagingNo

Large prostates >80 mLLimited

Treatment time60–90 min

Ali Tourchi, MD

Urology · Minimally Invasive Surgery

Dr. Tourchi at the Aquablation operating platform

At the Aquablation Platform

About Your Surgeon

About Dr. Ali Tourchi.

Dr. Ali Tourchi is a urologist with Lee Physician Group (LPG) Urology, where he practices general and minimally invasive urology. He completed his urology residency at the University of Arkansas for Medical Sciences and is a member of the American Urological Association.

His clinical interests include Aquablation therapy and other surgical treatments for BPH, minimally invasive prostate procedures, kidney stone surgery, men's health, and general urology. Treatment recommendations are individualized to each patient.

Office · Estero

LPG Urology · Bonita Health Center

3501 Health Center Blvd, Suite 2140
Estero, FL 34135

Office · Fort Myers

LPG Urology · Fort Myers

12651 Whitehall Drive
Fort Myers, FL 33907

Surgical Privileges

Dr. Tourchi performs surgeries at Cape Coral Hospital, Lee Memorial Hospital, and HealthPark Medical Center.

Schedule at Lee Health ↗ View Full Credentials ↗

Book your appointment directly through Lee Health · Verify credentials on PROCEPT BioRobotics directory

What You've Learned

A Modern, Minimally Invasive Option for BPH.

If you have benign prostatic hyperplasia (BPH) and lower urinary tract symptoms (LUTS), this guide has reviewed how minimally invasive treatment with Aquablation (robotic waterjet therapy) can help relieve symptoms while preserving quality of life.

REMEMBER WHY THIS IS DIFFERENT

📡 IMAGE-GUIDED — Live ultrasound

Aquablation uses real-time ultrasound to guide the waterjet, which TURP and laser do not.

🧠 INDIVIDUALIZED PLAN

Treatment is mapped to your specific anatomy, with attention to nerves, sphincter, and ejaculatory ducts.

💧 NO HEAT — Waterjet only

Room-temperature saline removes tissue mechanically, avoiding heat-related side effects of TURP and laser.

🤖 ROBOTIC PRECISION

The robotic platform delivers the surgeon-defined plan with sub-millimeter accuracy, every case.

PUBLISHED 5-YEAR OUTCOMES

10/10

erections preserved

9/10

ejaculation preserved

10/10

continence preserved

5-yr

durable results

"For decades, the only options for an enlarged prostate came with significant trade-offs. Modern medicine has changed that. Today, with minimally invasive technology, we can relieve your symptoms and restore your quality of life — while preserving your health and dignity. That is what every patient deserves."

— Ali Tourchi, MD

Schedule Your Consultation

Speak with Dr. Tourchi about your options.

Call or message LPG Urology to schedule a consultation. Treatment recommendations are individualized to each patient's anatomy, symptoms, and goals.

📞

Phone

(239) 320-3429

📠

Fax

(239) 343-4116

📍

Location

LPG Urology · Bonita Health Center
3501 Health Center Blvd, Suite 2140
Estero, FL 34135

What to Expect At Your Visit

1. Review your symptoms and medical history
2. Measure your bladder with simple in-office ultrasound
3. Determine which type of BPH obstruction you have
4. Discuss all your options — medications, minimally-invasive, surgical
5. Decide together if Aquablation is right for you

📞 Call (239) 320-3429 Book Online at Lee Health ↗

A modern, minimally invasive option for benign prostatic hyperplasia (BPH)
and lower urinary tract symptoms (LUTS).

Common urinary symptoms of benign prostatic hyperplasia (BPH).

When you were 22, you never thought about it.

Three patterns of benign prostatic hyperplasia (BPH).

The natural history of untreated bladder outlet obstruction.

Established surgical methods and their limitations.

Four precise steps in a single procedure.

Ultrasound Radar Maps Your Prostate

AI Draws Your Personalized Treatment Plan

Cold Waterjet Removes the Blockage

Typically Outpatient. Defined Recovery.

The only BPH treatment built on an AI-powered robotic platform.

Walk in the morning. Sleep in your own bed that night.

When surgery becomes the right step

Preparing for your Aquablation

After Aquablation — what to expect

A heat-free, image-guided approach to BPH treatment.

5-year data across nearly 500 patients.

About Dr. Ali Tourchi.

A Modern, Minimally Invasive Option for BPH.

Speak with Dr. Tourchi about your options.

A modern, minimally invasive option for benign prostatic hyperplasia (BPH) and lower urinary tract symptoms (LUTS).

Common urinary symptoms of benign prostatic hyperplasia (BPH).

When you were 22, you never thought about it.

Three patterns of benign prostatic hyperplasia (BPH).

The natural history of untreated bladder outlet obstruction.

Established surgical methods and their limitations.

Four precise steps in a single procedure.

Ultrasound Radar Maps Your Prostate

AI Draws Your Personalized Treatment Plan

Cold Waterjet Removes the Blockage

Typically Outpatient. Defined Recovery.

The only BPH treatment built on an AI-powered robotic platform.

Walk in the morning. Sleep in your own bed that night.

When surgery becomes the right step

Preparing for your Aquablation

After Aquablation — what to expect

A heat-free, image-guided approach to BPH treatment.

5-year data across nearly 500 patients.

About Dr. Ali Tourchi.

A Modern, Minimally Invasive Option for BPH.

Speak with Dr. Tourchi about your options.

A modern, minimally invasive option for benign prostatic hyperplasia (BPH)
and lower urinary tract symptoms (LUTS).