6 HEALTH COMPASS Early Spring 2026 New AI-assisted surgery offers lasting relief from BPH symptoms In fall 2025, CMH expanded its robotic-assisted surgery offerings with the addition of Aquablation therapy. This is the only treatment for benign prostatic hyperplasia (BPH) that is real-time and ultrasoundguided and uses a waterjet to relieve symptoms while preserving sexual function and continence. What is BPH? “BPH is a very common condition that severely compromises the quality of life for many men,” says John Mansfield, MD, boardcertified urologist at the CMH-OHSU Health Urology Clinic. “When BPH becomes advanced, it can also significantly affect critical kidney functions.” Millions of men struggle with BPH symptoms, including difficulty urinating and fully emptying the bladder. Needing to urinate immediately or urgently, urinating more often than normal, and urinating frequently at night are all indicators of BPH. “Symptoms of an enlarged prostate are very common in older men, and 70% of men respond well to simple medical therapy,” Dr. Mansfield says. “If a man is continuing to have symptoms despite medical therapy, he should be referred to the Urology Clinic for a conversation about Aquablation.” How does the new surgery work? Built on experience from over 50,000 procedures, the Hydros Robotic System is the latest advancement in Aquablation therapy. This design incorporates AI tools to make the procedure more efficient, easier to use for surgical teams and more consistent, leading to better results for patients. “Aquablation is a modern, better way to perform the ‘gold standard’ operation of a transurethral resection of the prostate,” Dr. Mansfield says. “It is faster, surgeon-directed by real-time ultrasound and has fewer side effects.” This advanced treatment uses a heat-free robotic waterjet system guided by real-time imaging. Aquablation allows doctors to create a personalized plan by removing only the prostate tissue causing problems while protecting important functions. Following the treatment, patients can expect minimal downtime and side effects. How does it benefit patients? “Men experience an improved urinary stream almost immediately,” Dr. Mansfield explains. “Over the next one to two months, the bladder behavior improves, with less urgency, frequency and less getting up at night to urinate.” Since September, CMH urologists Dr. Mansfield and Grecori Anderson, MD, have performed 20 Aquablation procedures using the Hydros Robotic System. “The patients are very pleased with the outcomes so far,” Dr. Mansfield notes. “One gentleman had been in retention for six months, needing catheters. He is now catheter-free and feeling like a new man after Aquablation therapy.” Reclaim your lifestyle Call 503-338-4075 to make an appointment with the CMH-OHSU Health Urology Clinic today. For more information about the procedure, visit aquablation.com. Urologist Grecori Anderson, MD, with the Hydros Robotic System.
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