Stein Johannes, Cox Alexander, Hauser Stefan, Ritter Manuel, Bach Thorsten
Department of Urology, University Hospital of Bonn, Bonn, Germany.
Department of Urology, Asklepios Westklinikum Rissen, Hamburg, Germany.
Turk J Urol. 2021 Sep;47(5):351-357. doi: 10.5152/tud.2021.21126.
Technological progress is continuously improving medical care. The urological profession is well-known for further development of technical innovations and quick transfer into daily practice. Robot-assisted surgery, for example, has been part of the clinical routine in modern urological clinics for many years. In the endourological field, the implementation and further evolution of laser-based procedures have dominated research in the last decade. Recently, in 2015, the presentation of a new robot-assisted technique of waterjet-based ablation of prostate tissue raised attention in the society-the AquablationVR therapy. Aquablation therapy has been investigated within several randomized and controlled clinical trials, and-with growing experience- the technique has been modified over recent years to improve the safety of the procedure. Due to the clinical outcome, the number of hospitals performing Aquablation therapy is increasing continuously. This article provides an overview of the technique, its modifications, and the current status of evidence.
技术进步不断改善医疗保健。泌尿外科领域以技术创新的进一步发展以及迅速转化为日常实践而闻名。例如，机器人辅助手术多年来一直是现代泌尿外科诊所临床常规的一部分。在内镜领域，基于激光的手术的实施和进一步发展在过去十年中主导了研究。最近，在2015年，一种基于水刀的前列腺组织消融的新型机器人辅助技术的展示引起了社会的关注——水刀消融VR疗法。水刀消融疗法已在多项随机对照临床试验中进行了研究，并且随着经验的增加，近年来该技术已得到改进以提高手术的安全性。由于临床结果，进行水刀消融疗法的医院数量在不断增加。本文概述了该技术、其改进以及当前的证据状况。
