BPH treatment system includes real-time, ultrasound-guided technology

In this video, Ravi Munver, MD, discusses the real-time, ultrasound-guided technology that is part of Aquablation with the HYDROS Robotic System for the treatment of benign prostatic hyperplasia. Munver is the vice chair of the department of urology at Hackensack University Medical Center (HUMC), as well as the director of minimally invasive and robotic urologic surgery, the chief of living donor kidney surgery, and the director of the minimally invasive robotic laparoscopic and reconstructive oncology fellowship program at HUMC in New Jersey.

Transcription:

Can you explain how HYDROS' real-time, ultrasound-guided technology allows for a personalized treatment plan for each patient?

Aquablation is like no other transurethral therapy that has come about in the last 100 years. The TURP procedure is still the gold standard. It's a resective procedure that removes tissue using a lot of cautery. A lot of side effects are associated with this procedure, but it's still the gold standard, and the number 1 procedure that's performed in the United States. Aquablation is revolutionary. With the HYDROS system, it offers artificial intelligence-powered technology to allow the prostate margins, size, and shape to be identified so that a treatment plan can be individualized for the patient. It uses real-time ultrasound imaging. No other BPH therapy uses real-time ultrasound imaging to not only plan for the prostate tissue removal, but also for use during intra-operative removal of the prostate tissue. So you can see what's happening in real time. Number 3, it's heat free, so there's no thermal energy that's used during the removal of the prostate tissue, which means that there are fewer side effects and fewer irritative symptoms after the procedure - irritative symptoms that include frequency, urgency, burning, and just pain from the procedure. And lastly, there is real-time ultrasound imaging that's integrated into digital cystoscopy. That's a novel aspect comparing the first generation and second generation Aquablation system. HYDROS incorporated enhanced imaging with digital cystoscopy as well as improved ultrasound imaging for the prostate, so it allows us to do a better operation and be able to see much more clearly. To answer your question, the real-time ultrasound imaging with the artificial intelligence-powered planning, called FirstAssist AI, and enhanced imaging quality, heat-free water jet resection, not mentioned is that this is a robotic procedure. What that means is that once the treatment plan is created, the robotic technology removes the prostate tissue under real-time ultrasound guidance, without the surgeon needing to make manipulations with his or her hands, so that it allows standardization of the procedure, something that's never been encountered with any transurethral BPH therapy over the last century.

This transcript was AI generated and edited by human editors for clarity.