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Tomy Perez, MD: Aquablation Therapy for BPH

If you’re a man over 50, you’re not alone in facing the symptoms of an enlarged prostate, also known as benign prostatic hyperplasia (BPH). This common condition affects roughly half of men between 51 and 60, and nearly 90% of men over 80. Symptoms like frequent nighttime urination, weak urine flow, and constant urgency can significantly impact quality of life.

Fortunately, there’s a modern solution: Aquablation therapy, a safe and effective treatment that provides long-lasting relief without the sexual or urinary side effects associated with traditional procedures.

What Is Aquablation Therapy?

Aquablation therapy is a robot-assisted, heat-free treatment for BPH that uses a high-velocity water jet to remove prostate tissue causing urinary symptoms precisely. Unlike traditional surgery (such as TURP), Aquablation minimizes the risk of damage to surrounding nerves, preserving sexual and urinary function.

Benefits of Aquablation for Enlarged Prostate Treatment

    • Clinically proven, long-term relief from BPH symptoms
    • Nearly 100% of men preserve erectile and urinary function
    • 90% of men maintain ejaculatory function
    • Works for any size or shape prostate
    • No incisions required
    • Short recovery time—most patients return home the next day

How Aquablation Works

The procedure begins with real-time ultrasound to create a detailed, 3D map of the prostate. Using this personalized data, the AquaBeam Robotic System is programmed to target only the excess tissue, removing it with a heat-free water jet. This approach allows for highly accurate results while preserving the nerves that control urinary and sexual function.

What to Expect After the Procedure

Most patients are discharged within 24 hours and often return home without a catheter. Temporary symptoms such as mild discomfort, urinary urgency, or blood in the urine may occur but typically resolve within a few days. Most men resume normal activities shortly after treatment.


Tomy Perez, MD, Urologist at Boulder Medical Center

Schedule a Consultation with Dr. Tomy Perez

Dr. Tomy Perez, a board-certified urologist, diagnoses and treats enlarged prostate (BPH) with a personalized approach that considers each man’s lifestyle and goals. He offers various treatment options, including lifestyle guidance, medical options, and advanced procedures like Aquablation therapy.

He sees patients in Boulder and at his new Louisville clinic.

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