February 2024

UROLOGY

CASE REPORT: A PROSTATECTOMY AFTER AQUABLATION THERAPY

Featuring: Edward M. Schaeffer, MD, PhD

Episode Summary

A 74-year-old man presented with a years-long history of progressive lower urinary track symptoms. At a non-Northwestern Medicine facility, he was found to have a PSA of 9.4 and a 140-gram prostate. He underwent an aquablation procedure for the enlarged prostate. After the procedure, some urinary symptoms improved, but the patient developed recurrence of other symptoms and his prostate measured 120 grams with a PSA of 9.3. As a result of this PSA, the patient underwent a prostate biopsy and was diagnosed with prostate cancer. Northwestern Medicine physicians found that the best course of action was to remove his prostate.

In this video, Edward M. Schaeffer, MD, PhD, chair and the Harold Binstein Professor of Urology at Northwestern Medicine, discusses how to approach patients who underwent an aquablation procedure and are then diagnosed with prostate cancer. Dr. Schaeffer walks through the patient’s post-aquablation MRI imaging and surgical footage of the robotic prostatectomy after aquablation. Watch the video to hear Dr. Schaeffer’s rationale for treatment and see a robotic prostatectomy after aquablation.
Edward M. Schaeffer, MD, PhD, ​Chair and the Edmund Andrews Professor of Urology at Northwestern Medicine
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