Aquablation In Colorado
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Aquablation Therapy for Enlarged Prostate (BPH): A Breakthrough in Urologic Care
Men’s health deserves more than a “wait and see” approach—especially when it comes to urinary health. If you’re experiencing frequent urination, weak stream, or nocturia (waking at night to urinate), you might be facing Benign Prostatic Hyperplasia (BPH), or an enlarged prostate. At Modern Urology, led by the expert care of Dr. Carolyn Fronczak, we offer state-of-the-art diagnostic tools and therapies designed to transform lives. One of the most advanced treatments we proudly provide is Aquablation Therapy—a minimally invasive, robotic-assisted solution designed to relieve BPH symptoms while preserving sexual function.
Enlarged Prostate
An enlarged prostate is also called BPH (benign prostatic hyperplasia).
An enlarged prostate causes urination problems in most men.
The prostate keeps growing throughout a man’s life. A normal prostate size is around 30-40g, about the size of a walnut.
Cancer and noncancerous growth of prostate tissue can co-exist in the prostate.
A wise urologist once said, “50% of men currently see a urologist, and the remaining 50% will eventually see a urologist.”
An enlarged prostate can affect men as early as 45 years of age.
50% of men will have BPH symptoms between 50-60 years of age.
90% of men over the age of 80 years will have urination symptoms from an enlarged prostate.
As the prostate grows, the prostate can pinch upon the tube that drains urine from the bladder. This tube is called the urethra. When the urethra gets narrowed or compressed, urine has a difficult time draining from the bladder (picture a kink in a hose). The bladder will work very hard to get the urine out, but a hard working bladder is not a healthy bladder. As the bladder works harder, the bladder gets weaker. Overtime, a hard working bladder remodels into a thick weakened poorly functioning bladder— the bladder muscle essentially burns itself out.
Symptoms of BPH can include weak urinary stream, getting up more than once at night, dribbling, frequency, urgency, difficulty starting the urine stream, straining to void, feeling that urine is left in the bladder.
Do not ignore these symptoms. The bladder can weaken so much that eventually it cannot empty urine. When the bladder cannot squeeze, a man may need to use a foley catheter to empty his bladder, which can be permanent for his lifetime. When a bladder cannot empty, there may also be kidney failure and possibly permanent kidney damage.
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If you have bothersome urinary symptoms, these symptoms may be signs of urinary obstruction from an enlarged prostate, but also may be signs from stones, bladder infection, urethral stricture, overactive bladder, or even cancer.
Treatment of an enlarged prostate can be with prescription medications, in-office procedures, or surgery.
Medications for prostate obstruction include alpha blockers (Example – tamsulosin) and 5 alpha reductase inhibitors (Example – finasteride). All prostate medications have sexual side effects and these sexual side effects are often bothersome and undesired.
In-office procedures have transformed the treatment of symptoms associated with an enlarged prostate.
Surgical procedures include transurethral resection of prostate and robotic simple prostatectomy.
There are additional prostate treatments on the horizon and Dr. Fronczakis actively evaluating new and upcoming technologies.
Nitrous sedation is offered for all prostate procedures at Modern Urology.
What is Aquablation?
Aquablation Therapy is a robotic-assisted, image-guided procedure that uses a high-pressure water jet to precisely remove excess prostate tissue causing obstruction. Unlike traditional methods, Aquablation is heat-free, preserving surrounding structures responsible for sexual and urinary function.
Why It’s Revolutionary:
Combines real-time imaging (ultrasound + cystoscopy)
Utilizes robotic precision
No incisions—access is through the urethra
Custom surgical map created for personalized treatment
- Minimizes risk of sexual dysfunction
Who is a Candidate for Aquablation?
If you are a man experiencing moderate to severe urinary symptoms due to BPH—and are either dissatisfied with medication or want a long-term solution—you may be an ideal candidate for Aquablation.
Aquablation is suitable for:
Men with small to very large prostates
Those concerned about preserving sexual function
Men looking for minimally invasive treatment with fewer side effects
Patients who have not responded well to medications
How Aquablation Works: Step-by-Step
Here’s what to expect from the Aquablation procedure:
1. Pre-Operative Imaging
Using transrectal ultrasound and cystoscopy, your urologist creates a real-time 3D map of your prostate. This ensures maximum precision and allows your surgeon to visualize exactly which tissues need to be removed.
2. Robotic Waterjet Removal
A robotic device then uses a high-velocity, heat-free waterjet to remove the targeted prostate tissue. This preserves nearby nerves and important anatomical structures.
3. No Incisions
Because the procedure is done through the natural urinary channel (urethra), no cuts or external scars are involved.
4. Overnight Hospital Stay
The procedure typically lasts less than one hour, and most patients are discharged after an overnight observation.
Advantages of Aquablation at Modern Urology
At Modern Urology in Colorado, we go beyond simply performing the procedure. Our team, led by Dr. Carolyn Fronczak, focuses on patient education, empowerment, and customized care.
Key Benefits of Aquablation:
Robotic Precision: Ensures tissue is removed exactly where needed
Preservation of Sexual Function: Low risk of retrograde ejaculation and erectile dysfunction
Suitable for All Prostate Sizes: Unlike some procedures limited by gland size
Fewer Side Effects: Most symptoms are mild and temporary
Heat-Free Therapy: Reduces collateral tissue damage
Minimally Invasive: Quicker recovery, no incisions, no stitches
Advanced Imaging: Real-time ultrasound provides detailed surgical mapping
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What Sets Modern Urology Apart?
At Modern Urology, we understand that treating urologic conditions goes beyond the procedure itself. That’s why we:
Partner with patients through every step
Provide personalized consultations with clear explanations
Utilize nitrous sedation for maximum comfort during procedures
Offer a holistic approach focused on preventing future issues
Our philosophy: “Find the root cause and work toward prevention.” We believe in education, empowerment, and offering advanced technologies—like Aquablation—to support men’s health with compassion and expertise.
Ready to Reclaim Your Confidence?
If you’re ready to take control of your urinary health and explore advanced treatment options, Aquablation might be the answer. At Modern Urology, we offer the latest in minimally invasive prostate care with a personal touch. Dr. Carolyn Fronczak and our expert team are here to guide you through every step, from diagnosis to post-op recovery.
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