{"id":87708,"date":"2026-01-05T05:57:35","date_gmt":"2026-01-05T12:57:35","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=87708"},"modified":"2026-01-05T06:22:46","modified_gmt":"2026-01-05T13:22:46","slug":"ai-helps-doctors-plan-aquablation-treatment-for-enlarged-prostate","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/ai-helps-doctors-plan-aquablation-treatment-for-enlarged-prostate\/","title":{"rendered":"AI contributes to innovative aquablation treatment for enlarged prostate\u00a0\u00a0"},"content":{"rendered":"
<\/div>
\"Linda
Linda and Edgar Schrader celebrated their 55th wedding anniversary on Dec. 27, 2025. Edgar holds Miley, their Maltese and Yorkie dog. Edgar’s treatment for his enlarged prostate has given him relief, allowing him to sleep through the night and to stop taking medications for benign prostatic hyperplasia, also known as BPH. Photo by Sonya Doctorian, UCHealth.<\/figcaption><\/figure>\n

Edgar Schrader moved to Longmont, Colorado, with his wife two years ago to be near their daughter and three grandchildren. They moved from South Carolina, where Schrader concluded a long career in electronics with a 28-year stint as a broadcasting engineer at Clemson University.<\/p>\n

Schrader, 77, worked with the university\u2019s public relations team, doing plenty of work with the athletic department and agriculture extension service. The job was varied and satisfying, he said.<\/p>\n

\u201cThere was something different every day,\u201d Schrader said.<\/p>\n

The move to Colorado ushered in more change. Schrader and his wife have lived in their daughter\u2019s basement while they built an accessory dwelling unit, or ADU, on the lot. The project has meant moving their belongings out of the basement, planting flower beds and trees and laying a pea gravel path.<\/p>\n

\"Linda
Linda and Edgar Schrader enjoy the accessory dwelling unit they built at their daughter and son-in-law’s home in Longmont. The Schraders left South Carolina two years ago to live in the Lowrey family\u2019s basement until this summer, when the ADU was completed. After two knee replacement surgeries this year, Linda said she\u2019s thankful not to deal with basement stairs. Photo by Sonya Doctorian, UCHealth.<\/figcaption><\/figure>\n

Benign prostatic hyperplasia becomes an unwelcome and consistent problem<\/strong><\/h2>\n

For about five years, however, one factor has been a constant in Schrader\u2019s life. He has benign prostatic hyperplasia<\/a> (BPH), commonly called an enlarged prostate. It affects about a third of all men 65 or older<\/a>.<\/p>\n

The prostate, normally a gland about the size of a walnut, lies between the bladder and rectum. As men age, the prostate typically enlarges, but with BPH, the growth causes problems that include a frequent need to urinate, weakened urine flow and an increased risk of urinary tract infections and damage to the bladder and kidneys.<\/p>\n

BPH thrust a double whammy on Schrader during his nighttime trips to the bathroom. He had to urinate more and more frequently at the same time that his flow weakened.<\/p>\n

\u201cIt got worse the last couple of years,\u201d he said.<\/p>\n

By early 2024, his BPH forced him out of bed four to six times a night. He cut back on drinking fluids in the evening and took combinations of medications, including doxazosin<\/a> and alfuzosin<\/a> to increase urine flow, and Proscar<\/a> to shrink the prostate. The efforts produced minimal relief.<\/p>\n

\"Since
Since his aquablation procedure in April, Edgar Schrader has more energy to work on the landscaping around the family home. Photo by Sonya Doctorian, UCHealth.<\/figcaption><\/figure>\n

\u201cIt was a real nuisance to deal with,\u201d Schrader said.<\/p>\n

A midday nap became a necessity, although he notes that he also has asthma<\/a> and COPD<\/a>, which may have also played a role in his fatigue.<\/p>\n

An innovative approach to treating BPH<\/strong><\/h2>\n

Today, Schrader\u2019s BPH problems are a thing of the past, thanks to a minimally invasive, robot-assisted procedure called aquablation<\/a> that he received in April 2025 at UCHealth Longs Peak Hospital<\/a> in Longmont. The procedure involves a doctor removing tissue from the prostate via a heat-free stream of water, while preserving areas of the gland that are vital for sexual function.<\/p>\n

The FDA approved aquablation<\/a> to treat BPH in 2017, but Schrader was among the first patients at UCHealth to receive the \u201cnewest generation\u201d of the procedure, said Dr. Chad DeRosa<\/a>, a urologist at Longs Peak Hospital.<\/p>\n

DeRosa used the Hydros Robotic System<\/a> from San Jose, California-based Procept Biorobotics. It is the first aquablation system to use artificial intelligence (AI) as an ally for the doctor, he said. He noted that UCHealth is among only a few hospitals that offer it in Colorado.<\/p>\n

In short, the doctor inserts an ultrasound-guided probe into the prostate, which offers a full view of the gland. The doctor and AI team up to develop a plan to precisely remove and preserve tissue.<\/p>\n

\u201cAI helps with placing markers in certain areas of the prostate that we want to remove,\u201d DeRosa said. AI is an assistant, not a decision maker, he stressed. \u201cThe surgeon has the ultimate call on the planning and the procedure.\u201d<\/p>\n

With the planning stage complete, the doctor uses robot assistance to deliver a concentrated stream of water along the precise area mapped to remove tissue. They complete the work using a loop to clean out any remaining tissue and also to cauterize the area to stop the bleeding.<\/p>\n

\"Edgar
Edgar Schrader painted a U.S. Coast Guard scene in watercolors as a Christmas gift for his grandson, Connor Lowrey. Connor will move to Florida to start his service in January. Photo by Sonya Doctorian, UCHealth.<\/figcaption><\/figure>\n

BPH vs. TURP<\/strong><\/h2>\n

DeRosa said the longtime \u201cgold standard\u201d treatment for treating BPH with surgery was transurethral resection of the prostate<\/a> (TURP). However, the five-year WATER trial<\/a> showed that aquablation produced better results than TURP, including less incontinence and sexual dysfunction.<\/p>\n

The new system also shortens a patient\u2019s stay. DeRosa, who estimated he has performed 50 of the Hydros procedures since the beginning of the year, said that early on, patients stayed in the hospital overnight, but now 90% go home the same day. A TURP procedure usually requires that the patient stay in the hospital for one to three days.<\/p>\n

The biggest downside for patients is that they must wear a catheter, generally for three to seven days after the procedure. The upside: after removing the catheter, most patients are able to go off their medications, which can produce a variety of sexual and other side effects, DeRosa said.<\/p>\n

Begone, BPH<\/strong><\/h2>\n

Edgar Schrader did stay in the hospital overnight after his procedure, and he endured the catheter, which he labeled a \u201cnecessary nuisance,\u201d for about a week. The benefits, he said, vastly outweighed these relatively minor inconveniences. For example, he was surprised that he awoke with no pain after DeRosa completed his work.<\/p>\n

An even more pleasant shock awaited him after the catheter came out.<\/p>\n

\u201cI was totally amazed when I went to the bathroom,\u201d he said. Instead of the usual long wait for relief, Schrader felt his urine flowing normally.<\/p>\n

\u201cIt starts 100 times better than before the procedure,\u201d Schrader said, adding that he now gets up no more than one time during the night.<\/p>\n

\"Edgar
Edgar and Linda\u2019s daughter, Michelle Lowrey, and son-in-law, Eric Lowrey, invited them to live with them in Colorado. It was Eric\u2019s idea to move Edgar and Linda here, as well as to add an accessory dwelling unit to their home. Photo by Sonya Doctorian, UCHealth.<\/figcaption><\/figure>\n

He also no longer takes his BPH medications, doesn\u2019t worry about drinking fluids before bed, and feels his energy levels are a little higher than they have been the past few years.<\/p>\n

A welcome decision with help from UCHealth<\/strong><\/h2>\n

After years of frustration tied to his BPH, Schrader said he is happy he discovered aquablation after seeing an advertisement for it on a billboard, doing his own research, and talking it over with DeRosa, who answered all the questions he needed to make a decision.<\/p>\n

\u201cI felt confident with him that it was legitimate,\u201d Schrader said. He also praised the care he received at Longs Peak Hospital, which is just a couple of miles from his daughter\u2019s home in Longmont.<\/p>\n

\u201cIt was great care; we were very pleased,\u201d he said. \u201cThere were no problems.\u201d<\/p>\n

For his part, DeRosa is equally pleased to help patients like Edgar solve their BPH problems and regain a measure of control over their lives.<\/p>\n

\u201cWe have guys who have been on two or three meds, and can come of all of them,\u201d he said. \u201cThat is very significant.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Edgar Schrader moved to Longmont, Colorado, with his wife two years ago to be near their daughter and three grandchildren. They moved from South Carolina, where Schrader concluded a long career in electronics with a 28-year stint as a broadcasting engineer at Clemson University. Schrader, 77, worked with the university\u2019s public relations team, doing plenty […]<\/p>\n","protected":false},"author":2143,"featured_media":87733,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[833,457,454],"class_list":["post-87708","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-longmont","tag-mens-health","tag-urology"],"acf":[],"yoast_head":"\nAI helps doctors plan aquablation treatment for enlarged prostate - 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