Medically Reviewed by Mitchell Fraiman, MD

For many men, the symptoms start gradually: waking up multiple times a night to use the bathroom, a weak stream, the persistent feeling that the bladder never fully empties. These are the hallmarks of benign prostatic hyperplasia (BPH), commonly known as an enlarged prostate, and those symptoms affect roughly half of all men by their mid-50s.

BPH is not cancer, but its impact on daily life can be significant. Left untreated, it can progress to more serious complications, including bladder stones, kidney damage and incontinence. For years, men faced a limited set of options, including daily medication that didn’t always work or surgery that came with real risks, particularly to sexual function and bladder control.

That’s changed. WMCHealth’s Good Samaritan Hospital offers Aquablation® therapy using the HYDROS™ Robotic System, a next-generation, AI-powered treatment that’s redefining what’s possible for men with BPH.

How Aquablation Therapy Works

Aquablation therapy is a robotically executed, image-guided procedure that uses a high-powered waterjet to precisely remove excess prostate tissue without heat, cutting or the complications that can accompany traditional surgery. Before treatment begins, ultrasound imaging is used to create a customized map of the patient’s prostate, allowing the surgical team to plan a treatment tailored to that individual’s anatomy.

“This technology allows us to map each prostate using ultrasound and create a customized treatment plan,” said Mitchell Fraiman, MD, Chief of Urology at Bon Secours Urology. “A high-powered waterjet, guided by the robot and controlled by the surgeon, gently removes excess tissue without heat or cutting. Recovery is typically fast, and most patients see significant improvement within days.”

Unlike transurethral resection of the prostate (TURP), the traditional surgical standard for nearly a century, Aquablation therapy is designed to preserve sexual function and continence, two outcomes that have historically been at risk with surgical BPH treatment.

Backed by Clinical Evidence

Aquablation therapy is supported by five years of clinical data demonstrating symptom relief across prostates of all shapes and sizes. For men whose symptoms haven’t responded well to medication, or who prefer a long-term solution over daily pills, it offers a proven alternative.

“BPH is a common and progressive condition that can severely affect a man’s quality of life,” said Dr. Fraiman. “With Aquablation therapy, we now offer a highly effective, personalized treatment that minimizes risk to sexual function and continence. It’s a game-changer in how we manage enlarged prostates.”

Care Close to Home

Good Samaritan Hospital was among the first hospitals in the Hudson Valley to offer this advanced treatment and is now a high-volume Aquablation center, making it accessible to men in Rockland, Orange, Westchester and Bergen counties.

If you or someone you know is experience symptoms of BPH, our urology team is here to help. To learn more or schedule a consultation, visit our website or call 845.777.3569