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Aquablation Prostate "Mapping"

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WilliamUSA
WilliamUSA

I see that creating a surgical map of the prostate is done before an Aquablation is performed. What is the timing of this? Is the map created sometime prior to the procedure (days/weeks/months) or is the prostate mapped just prior to the procedure when the patient is anesthetized?

Also, has anyone had Aquablation performed in Morgantown, WV, by Dr. Shakuri-Rad? This looks like the closest Aquablation facility to me.

Thanks,

Bill

0 likes, 3 replies

3 Replies

  • chris14864
    chris14864 WilliamUSA

    Posted

    The map is created in the OR before the ablation is done. That is the first step in the process.

  • Steveareno
    Steveareno WilliamUSA

    Edited

    Hi Bill.

    The surgical map for the prostate is done before the surgery on the operating table. This is great bc the surgeon only takes out what he needs to with this procedure and it can maintain the bladder head (for incontinence; sexual nerves, and they can stay away from the veromontanum for ejaculation to be normal). An ultrasound probe is inserted into the rectum. This will visualize the prostate and then the doctor does the map of your prostate. After all the surgical map is in place the robotics take place in ablating the prostate with in the map. It is done with a heat-free water jet. My understanding from my surgeon is that it takes 1 hour to set it up and 10-15 min for the ablation to happen. The tissue is removed precisely to what the surgeon set on the map.

    There is research for Benign Prostatic Hypertrophy: Aquablation vs TransUretheral Prostate Resection (TURP's). TURP's have been the gold standard for years. Look up the research and it compares these two. This is what cemented in to me that Aquablation is the way to go.

    I was under general anesthesia and did not know anything that went on. My suggestion is to go to the Procept - Aquablation website. There is a great video that shows you what happens. Also on YouTube are many videos that are actual Aquablations. Very interesting.

    Medicare has been covering this procedure...since 2019 when it approved it. You need to check with your insurance company. Also, Procept (the company that makes the robotics) has a reimbursement department that will help with appeals and letters.

    I have medicare advantage through United Healthcare and they cover the procedure. I have been on a catheter for 68 days before the procedure bc my prostate was 182 cc's . Xtra large.

    I had the Aquablation on Monday, June 5 and on Tuesday, June 13, I am getting the catheter removed. Most men go home with no catheter but bc my prostate was extremely large my surgeon wanted to leave it in for a week. Can't wait to be rid of this...to urinate on my own and eventually have sex with my wife again. I had no problems with either till I had Prostate biopsy on March 28. No Cancer...Thank God.

    All the best to you and your decision. Do you homework and ask questions.

    Steve

  • WilliamUSA
    WilliamUSA

    Edited

    Thank you both for the information. I would have thought that there would be more time between the map creation and the Aquablation to allow the doctor to study things and come up with the best possible surgical plan. I guess that determining the parts of the prostate that can safely be removed is not as complicated as I perceive it to be.

    Enjoy your Tuesday, Steve!

    Bill

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