Aquablation is a minimally invasive, robotic-assisted surgery that uses a high-pressure, heat-free waterjet to precisely remove excess prostate tissue causing benign prostate enlargement, improving urinary flow with fewer sexual and urinary side effects than traditional treatments.
The procedure is carried out under general anaesthetic. A small ultrasound probe is placed into the rectum, and a camera with a built-in water jet is passed through the urethra. Using ultrasound guidance from two angles, a 3D map of the prostate is created. This allows Mr Nettleton to plan the treatment precisely.
The robot then delivers a water jet to remove the excess prostate tissue, following the exact plan. Afterward, bleeding is controlled using a small loop electrode. A catheter is placed at the end of the operation and usually removed before discharge.
Aquablation is suitable for a wide range of prostate sizes and offers consistent, predictable results. Unlike some traditional procedures such as TURP and laser surgery, it is heat-free, meaning there is a lower risk of affecting ejaculation and no evidence of harm to erectile function. Studies show only 0.5% of men develop stress incontinence after treatment. There is a 0% risk of erectile dysfunction and only a 11% chance of ejaculatory dysfunction.
Aquablation is one of several treatments available for benign prostate enlargement. Mr Nettleton offers a thorough assessment to help each patient understand their symptoms and choose the most appropriate option. This might include:
Every treatment plan is tailored to the individual, taking into account prostate size, symptom severity, personal goals, and other medical conditions
Mr Nettleton had completed over 200 cases. He is recognised as national leader in this field and has hosted over 50 visiting consultants from across the UK and Europe.
Very good care and treatment for my prostate aquablation proceedure, from the initial consultation where options were given, through having the op on private care in association with the NHS to the final after operation consultation. I am very happy with the results and recovery time was excellent. So glad to be back to normal.
Very pleased with the whole process and outcome. Jeremy was very friendly and helped with explanations of various options etc The operation and hospital stay was also excellent. Al the staff are very welcoming and professional. My choice if surgery, aquablation, has worked very well so very happy.
Mr Nettleton was exceptional and I simply cannot fault him throughout the whole process of my consultation, to procedure and to subsequent follow ups. I would have no hesitation in recommending Mr Nettleton for any prostate issues and surgery should any be required (Aquablation in my case)
Mr Nettleton was especially nice to my 92 year old father, he made him feel comfortable about his procedure. He’s obviously a dedicated and compassionate surgeon.
Jeremy saw me rapidly and sucsesfully sorted my problem. I had aquablation treatment and suffered no significant discomfort in my recovery.
I found Mr Nettleton to be very approachable, and he made me feel as relaxed as I possibly could with a pending surgery. A procedure that went as well as it possibly could.
After carefully researching the most appropriate treatment options for BPH and identifying a suitably experienced surgeon, I chose Mr Nettleton to perform the Aquablation procedure. From the initial consultation, he demonstrated exceptional professionalism and expertise, which gave me the confidence to proceed. The surgery was successful and was supported by the attentive and approachable hospital staff. I have now returned to normal urinary function, with a significantly improved quality of life. I am confident that my choice of procedure, surgeon, and hospital was the right one.
I found Mr Nettleton to be a clear and good communicator and the surgery was successful. He was also very helpful with follow up help after the surgery.
I found Mr Nettleton to be a clear and good communicator and the surgery was successful. He was also very helpful with follow up help after the surgery.
Aquablation does not effect erections, it occasionally leads to ejaculatory dysfunction. Mr Nettleton will discuss your options in clinic.
Most men will have some blood in the urine and some stinging on urination for a few weeks. Mr Nettleton will discuss this in clinic.
Mr Nettleton does complete Aquablation as a day case procedure. All patients need a catheter following the operation. In the NHS around 80% of patients are discharged the same day. In private hospitals most men stay in hospital at least one night.
As with all operations there are risks from aquablation surgery. These risks include infection, bleeding, pain, urinary stricture, incontinence, ejaculatory dysfunction, and reprocedure. These risks are common to all urological procedures for the prostate and can be discussed further in clinic.
