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Enlarged prostate (BPH)

Aquablation vs TURP: what is the difference?

Aquablation or TURP: what's the difference?

The short answer

Both remove prostate tissue that blocks urine flow. TURP uses an electric loop to trim tissue and has been used for decades.

More detail

Aquablation uses a robot-guided waterjet, mapped with ultrasound, to remove tissue. It is designed to lower the risk of ejaculation changes, and it can treat larger prostates. Both are done under anesthesia and need a temporary catheter, and bleeding is a risk with each.

When to see us

If you're comparing BPH procedures, schedule a visit so we can measure your prostate and match the option to you.

Our care near Marietta

Across Marietta, Canton, Dallas and Jasper, our team sees you for visits and follow-ups at the office where you first come to us. Procedures for all four offices take place at our Marietta Clinic & Surgery Center on Church Street Extension NW.

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Where can I go from here?

Start with the condition page, then call or book online whenever you are ready.

Your consultation in Marietta

Our urologists carry out both operations in the surgery center on our Marietta campus. Before recommending one, we'll ask how your symptoms affect sleep, work and travel, review the medicines you've tried, and usually check how well your bladder empties. Measuring the size and shape of the prostate helps us explain which approach suits your anatomy.

How we weigh the options with you

Our urologists describe each procedure in plain terms: how long you're likely to need a catheter, what recovery at home involves, and the effect each can have on ejaculation. Aquablation uses a heat-free waterjet guided by imaging, while TURP removes tissue from the inside with an electrical loop. We'll also mention other choices, such as UroLift or prostate artery embolization, when they fit.

When to call us sooner

Phone right away if you can't pass urine at all, develop a fever with urinary symptoms, or see blood clots. Our team at (678) 344-8900 can arrange the soonest available visit, and the Canton and Jasper clinics see prostate patients from across north Georgia too.

Related articles

Videos from Advanced Urology

#002 - Go With the Flow: How Aquablation Clears the Way for BPH Relief What the video covers: An episode on Aquablation for BPH: how the water-jet procedure works, how it compares with other prostate procedures, who may be a candidate, and what to expect before and after. Watch on YouTube
Dr Greenstein Educates about Aquablation What the video covers: Dr. Greenstein of Advanced Urology talks about Aquablation for an enlarged prostate. Watch on YouTube

Videos play here from Advanced Urology’s YouTube channel, using YouTube’s privacy-enhanced mode.

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