Robotic waterjet surgery is an advanced medical technology that precisely removes enlarged prostate tissue using a high-pressure waterjet without causing thermal damage. During the procedure, ultrasound and endoscopic imaging are used simultaneously to monitor the treatment area in real time, allowing the robotic system to remove only the preplanned target area with high precision.
Unlike conventional techniques that use lasers or electrical cauterization, this procedure does not rely on heat, which helps minimize damage to surrounding healthy tissue. As a result, recovery time and the risk of complications can be reduced. The technique also offers advantages in terms of treatment consistency and procedural reproducibility.
According to the hospital, the introduction of this system allows for broader treatment options for patients whose symptoms do not improve with medication, patients with large prostates, elderly patients or those with chronic conditions, and individuals who prefer shorter procedures with a faster return to daily life. Robotic waterjet surgery is known for relatively short operating times and has demonstrated clear improvements in urinary flow rate and the International Prostate Symptom Score (IPSS) after treatment.
In addition, the procedure incorporates the Hood Sparing Aquablation technique. This method focuses on preserving the microstructures around the verumontanum, which are closely associated with ejaculation function. By preserving these anatomical structures, the technique may help reduce the risk of retrograde ejaculation.
Dr. Lee Chang-gi, Director of Goldman Urology Clinic Incheon Branch, stated that by introducing the robotic waterjet surgical system for the first time in the Incheon region, patients in Incheon can now receive advanced treatment for benign prostatic hyperplasia without having to travel to Seoul. He added that the clinic will continue expanding treatment approaches that prioritize patient quality of life while considering both safety and preservation of functional outcomes.