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Urology · UK

Aquablation (BPH) - robotic waterjet resection for benign prostatic obstruction.

AquaBeam robotic waterjet resection preserves ejaculatory function better than TURP in most series. NICE and UK urology use it for men with moderate to large prostates who want to protect ejaculation.

A radiographer guides a patient onto the bed of an advanced 3 Tesla MRI scanner in a London imaging suite

Indicative pricing

What private aquablation costs in the UK.

Indicative ranges across our partner units.

In short

£14,000–£20,000, results in 1 night.

Procedure Indicative range
Aquablation (BPH) £14,000–£20,000
Consultant consultation £200–£400
Pre-procedure bloods £80–£220
Follow-up review £150–£300

Prices vary by hospital, by consultant and by the complexity of your case.

The problem

The right aquablation, at the right time - with the right consultant.

NHS pathways are excellent but capacity is stretched. Private care shortens the timeline and lets you choose the consultant.

  • NHS waits are long

    Median waits for elective work vary by region and specialty; private care shortens the timeline.

  • The right consultant matters

    Outcomes in urology track with volume and subspecialisation - not just hospital brand.

When it helps

When aquablation is the right step.

Situations where aquablation is a reasonable next step in the UK.

  • Moderate to severe LUTS

    IPSS ≥8 with poor flow.

  • Prostate 30–150 g

    The size range where aquablation excels.

  • Ejaculatory preservation important

    Younger, sexually active men.

  • Failed medical therapy

    Tamsulosin plus finasteride not enough.

  • Recurrent retention

    Catheter dependence.

  • Bladder stones or recurrent UTI from BPH

    Definitive treatment indicated.

Procedure options

Options within aquablation.

Technique and delivery vary by consultant and case.

  • Aquablation

    Robotic waterjet - 60–90 min under GA.

  • HoLEP

    Laser enucleation - durable for very large glands.

  • GreenLight PVP

    Laser vapourisation - for smaller glands.

  • TURP

    Traditional benchmark; higher retrograde ejaculation.

  • Prostate artery embolisation

    Minimally invasive alternative for the medically frail.

Safety and recovery

What to expect afterwards - honestly.

The safety profile is well understood - the honest bits are here.

  • Bleeding

    Slightly higher than TURP in early days - irrigation catheter overnight.

  • Retrograde ejaculation

    Around 10% vs 65% for TURP.

  • Erectile function preserved

    No cautery near the neurovascular bundles.

  • UTI risk

    Peri-operative antibiotics per BAUS guidance.

  • Urgency and dysuria

    2–6 weeks after surgery.

  • Not for prostate cancer

    Aquablation is for benign obstruction only.

Reading your notes

Your report in four parts. Read the last one first.

Whichever centre performs the procedure, the report keeps to the same shape.

  1. 01 Header

    Indication and consent

    Why the procedure was done, what was consented and any relevant history.

  2. 02 Findings

    What was seen or done

    The technical detail - anatomy, samples, devices used, measurements.

  3. 03 Assessment

    Consultant interpretation

    What the findings mean in your clinical context.

  4. 04 Impression

    Summary and next step

    Read this first - the bottom line and recommended follow-up.

Recognised by major UK insurers

BupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealix

Usually covered by UK private medical insurance when there is a specialist referral and a clear clinical indication.

Frequently asked

Everything we get asked about aquablation.

  • How much does private aquablation cost in the UK?

    We share two or three options with cover checked.

  • Is aquablation covered by UK private medical insurance?

    Usually yes with a specialist referral and clear indication. Bupa, AXA, Vitality, Aviva, WPA and Cigna are the mainstream insurers we work with.

  • How soon can I be booked?

    Most patients are seen within a week; urgent cases the same week where clinically appropriate.

  • Where is it performed?

    In CQC-registered UK hospitals and clinics across London and the major cities.

  • Will the NHS see the results?

    The report goes to you and - with your consent - your NHS GP.

  • Is there an NHS pathway for this?

    Yes, but waits vary by region. Private care is an option when timing, choice of consultant or symptom burden makes waiting unattractive.