Having Trouble Urinating? Enlarged Prostate (BPH) Treatment and Aquablation®
September 10, 2026 | 4 min read

Frequent or urgent urination, a weak stream, difficulty emptying your bladder, or getting up repeatedly at night can be symptoms of an enlarged prostate (BPH).
The first step is finding out what’s causing your symptoms. Boulder Medical Center urologists can evaluate your symptoms and discuss treatment options, including whether Aquablation® therapy may be right for you.
Make an Appointment with BMC Urology
If you’re experiencing symptoms of an enlarged prostate, you may benefit from making an appointment with one of our experienced urologists to determine if Aquablation or another treatment may be appropriate.
Call (303) 440-3093 to book an appointment or schedule online.
Could Your Urinary Symptoms Be BPH?
Benign prostatic hyperplasia (BPH), also called an enlarged prostate, is common as men age. As the prostate enlarges, it can press against the urethra and interfere with the normal flow of urine.
Symptoms can include:
- Frequent urination
- A sudden or urgent need to urinate
- Weak urinary stream
- Difficulty starting urination
- Starting and stopping while urinating
- Difficulty completely emptying the bladder
- Waking multiple times at night to urinate
Urinary symptoms can affect sleep, travel, exercise, and everyday routines. They can also worsen over time, which is why persistent or bothersome symptoms are worth discussing with a urologist.
What Can Be Done About BPH?
Treatment for BPH depends on symptom severity, how much they interfere with daily life, and other individual factors. Options can range from lifestyle changes and medications to minimally invasive procedures and surgery.
- Lifestyle changes may help manage mild symptoms, such as adjusting fluid timing or limiting beverages that increase urinary frequency.
- Medications may be used to improve urine flow, relax muscles around the prostate, or help reduce prostate size.
- Minimally invasive procedures may be considered when symptoms are more bothersome, medications don’t provide enough relief, or a patient wants to explore other treatment options. BMC Urology offers Aquablation therapy as a minimally invasive option.
A BMC urologist can evaluate urinary symptoms and discuss which treatment options may be appropriate based on each patient’s individual needs.
Aquablation Therapy: Proven Results with Low Risk of Long-Term Side Effects
Aquablation therapy is a minimally invasive treatment for BPH that uses a robotically controlled, heat-free waterjet to remove prostate tissue that is obstructing urine flow.
The procedure combines real-time ultrasound imaging with a personalized treatment plan based on the size and shape of the prostate. Once the treatment area is mapped, the Aquablation system uses a high-pressure waterjet to remove the targeted tissue without heat.
Aquablation may be an option for men whose BPH symptoms are interfering with daily life and who are considering procedural treatment.
Clinical studies show that Aquablation therapy offers significant symptom relief with very low rates of irreversible complications:
- 0% impact on erectile function or sexual satisfaction
- About 90% of men preserve their ejaculatory function
- 99% of men do not experience incontinence after treatment
These results make Aquablation an appealing option for men seeking symptom relief while minimizing the risk of long-term side effects.
What Patients Can Expect
Aquablation therapy is typically performed in the hospital, with most patients going home the next day. Recovery is usually quick, and many patients return to normal activities within a few days. Temporary symptoms such as urinary urgency, mild burning with urination, or small amounts of blood in the urine may occur during recovery but usually resolve as healing progresses.
Experienced Aquablation Care in Boulder County
Board-certified urologists Tomy Perez, MD, and Stephen Siegel, MD, have performed more than 400 Aquablation procedures combined, bringing significant experience with this minimally invasive BPH treatment to Boulder Medical Center.
Both physicians provide evaluation and treatment for enlarged prostate, including Aquablation therapy. BMC currently offers Aquablation using the HYDROS™ Robotic System, the latest generation of Aquablation technology.
Resources
- Learn more about BMC Urology
- Get to know Dr. Tomy Perez and Dr. Stephen Siegel
- Call (303) 440-3093 to book an appointment or schedule online.

