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Water Vapor Prostate Ablation Therapy

A new type of prostate cancer treatment that harnesses the power of thermal energy stored in water, offering an alternative to traditional treatments with fewer unintended side effects.

If you want to learn more about water vapor prostate ablation therapy, contact our team to schedule an appointment.

Treating Prostate Cancer with New Water-Based Therapy

If you are considering treatment options for prostate cancer, you are understandably concerned about the potential for negative side effects. Orlando Health Cancer Institute’s water vapor prostate ablation therapy is a new option for some men with prostate cancer.

Traditional treatments (including radiation and surgical removal of the prostate) are effective at fighting prostate cancer. But they often cause significant long-term side effects, including urinary incontinence and erectile dysfunction. The problem is that the prostate is surrounded by a network of delicate nerves that are responsible for those other functions. These nerves are sometimes damaged during traditional treatments.

The minimally invasive ablation therapy minimizes this risk through the precise use of intense steam to destroy cancerous tissue in the prostate. During the treatment – performed under general anesthesia – a tiny device is inserted through your urethra to your prostate. Once there, a small needle is used to direct powerful steam into the tumor.

This is a new therapy, but early results have been promising, with 91 percent of patients having no cancer present after a single treatment. Negative side effects are rare.

What To Expect from Water Vapor Therapy

  • First visit. Our team will gather more information about your medical history to help determine if you are a good candidate. This is a great time for you to ask any questions you might have about the therapy. Your doctor will explain the treatment plan and set a date for the procedure.

  • Before the procedure. It is likely that you will be asked to undergo additional testing, including advanced imaging, to map out the precise location of your tumor.

  • Day of the procedure.  There’s no need to worry about feeling pain during the treatment, since you will be under general anesthesia. Your doctor will use the MRI images, as well as live ultrasound, to locate and deliver the water vapor to the targeted tissue. You will be heading home the same day, after a short recovery time that’s usually less than three hours.

  • After the procedure.  Any side effects are likely to be minor and will go away quickly. You will also have a catheter to help with urination for a few days. And as with any cancer treatment, there will be follow-up tests to watch for the return of cancer.

Frequently Asked Questions

During clinical trials, the procedure was used for patients with intermediate-risk prostate cancer. Talk to your doctor to learn whether you are a candidate.

As with all new treatments, coverage and payments are still being worked out with private insurers. Medicare covers procedures that are considered reasonable and medically necessary. However, each health plan will determine medical necessity for each patient. It is recommended that you obtain prior authorization from your insurance before receiving the treatment.

The procedure is typically performed outpatient and takes about half a day, from check-in to discharge. General anesthesia is used to minimize any movement during the procedure and to avoid any potential pain. You may experience minor discomfort for a few days after the procedure, but that is typically managed with over-the-counter medications.

During clinical trials, common side effects included blood in urine, urinary retention, sexual disfunction, mild incontinence, dribbling after urination and urethral discharge. But most side effects are usually minor and go away over time.

Water Vapor Prostate Ablation Therapy Outcomes

Less than 3%

of study patients experienced urinary incontinence, compared with 15 percent to 25 percent for surgical prostate removal and 4 percent for radiation.

16%

of study patients reported erectile dysfunction, compared with 79 percent for surgical prostate removal and 63 percent for radiation.

94%

of patients were happy with their decision to have the treatment.

93%

of patients were extremely satisfied 12 months later.

For More Information

If you are interested in learning more about water vapor prostate ablation therapy, a member of our care team is ready to walk you through the process. Start by calling (352) 536-8761 to make your initial appointment.

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Meet the Team

Dr. Jamin Brahmbhatt is a board-certified urologist and fellowship-trained robotic surgeon with Orlando Health Medical Group Urology. He is nationally recognized in the field, specializing in advanced treatments for prostate conditions.