Aquablation Therapy is the robotic, heat-free, ultrasound-guided treatment for an enlarged prostate. Unlike TURP or laser, it opens your urinary flow while protecting your erections, ejaculation, and continence. Performed by Dr. Ali Tourchi at LPG Urology.
Millions of men over 50 wake up 2–4 times at night, strain to urinate, or rush to the bathroom feeling desperate. These are the most common complaints of Benign Prostatic Hyperplasia (BPH). You are not alone — and every symptom is fixable with modern treatment.
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.
As you aged, your prostate grew inward. This is called BPH (Benign Prostatic Hyperplasia). It is not cancer. But it blocks your urinary flow in three different ways. Your exact pattern determines your treatment.
Two lumps grow inward from both sides, squeezing the urine tube like pinching a straw. Your bladder must push hard to overcome the resistance. Stream is weak, you strain, and the urge never fully goes away.
A lump grows down into the opening of the pee hole — like a cork in a bottle. The harder your bladder squeezes, the tighter the lump seals the opening. You feel the urgency but cannot start the stream.
Lateral lumps AND median plug at the same time. The urine tube is reduced to a thread. This is the highest-risk pattern — often leading to complete retention (inability to urinate), requiring an emergency catheter.
Most doctors will not tell you this: the prostate is not the whole story. For years, your bladder has been pushing harder to overcome the blockage — growing thicker, like a weightlifter. But there is a breaking point. Eventually, the muscle exhausts. Once that happens, even perfect prostate surgery may not fully restore function.
If you have any of these, do not wait to act. Dribbling after you finish · Feeling your bladder is still full · Needing to go again within 5 minutes · Recurrent bladder infections · Blood in urine · Rising creatinine on blood tests · Waking 4+ times at night · Straining throughout the entire stream. At your consultation, Dr. Tourchi will do a simple bladder scan. If residual urine is more than 100 mL — your bladder is in trouble and needs treatment soon.
Traditional surgery — TURP and laser — uses extreme heat to burn out prostate tissue. That heat spreads outward, damaging the nerves that give you erections, and destroys the valve that keeps ejaculation normal. This is no longer acceptable. Not to me.
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.
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.
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.
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.
Aquablation is done as an outpatient procedure — no hospital admission, no overnight stay. There are no incisions of any kind: everything is done through the natural opening. You wake up with a wide-open urinary channel and your sexual function, continence, and dignity completely intact. Catheter in for just 1–2 days. Most men are back to light activity within a week and full results at 4–6 weeks.
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.
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.
Traditional BPH surgery uses heat — electricity (TURP) or laser — which damages the nerves that give you erections and the muscle ring that keeps ejaculation normal. Aquablation is the first and only treatment that uses no heat at all.
Three major clinical trials — WATER, WATER II, and OPEN WATER — have followed patients for five years after Aquablation Therapy. The outcomes hold up in both controlled trials and real-world community practice.
Dr. Ali Tourchi is a board-eligible urologist practicing at LPG Urology · Bonita Health Center in South Florida. He specializes in minimally invasive prostate treatments and believes that no man should have to choose between a working bladder and a working sex life.
Dr. Tourchi offers Aquablation Therapy because, in his view, the combination of real-time ultrasound, robotic precision, and surgeon judgment produces outcomes that no other BPH treatment can match — and every one of his patients deserves that.
Book your appointment directly through Lee Health · Verify credentials on PROCEPT BioRobotics directory
Call or message LPG Urology to schedule a consultation with Dr. Tourchi. Most patients leave their first visit knowing exactly what treatment path is right for them.