• Aquablation shows a significant decrease in IPSS scores by approximately 15 points after 5 years, regardless of prostate size, indicating sustained symptom relief.
• The procedure significantly improves Qmax, nearly doubling flow rates from baseline, demonstrating enhanced urinary function over the long term.
• Low complication rates and excellent preservation of sexual function highlight the safety profile of Aquablation in treating BPH.
• A retreatment rate of less than 4% over 5 years suggests durable outcomes with Aquablation, underscoring its potential as a long-term solution for BPH.