6 VITALITY Spring 2026 Like a lot of guys over 50, you might be living with an enlarged prostate—what doctors call benign prostatic hyperplasia (BPH). Getting up to use the bathroom several times a night is one of the hallmark signs. Your prostate normally grows as you get older. Sometimes it grows large enough to block urine flow. This can cause: ● Frequent urination, especially at night. ● Difficulty starting your urine flow. ● Dribbling urine. ● A weak urine stream. Your doctor can help you manage BPH with medications and lifestyle changes. But if that’s not enough to relieve your symptoms, your next option might be a minimally invasive procedure. What to know about Aquablation for treating BPH Are you looking for real answers about an enlarged prostate? Scan the QR code to watch a video about how this treatment works. You’ll learn what benign prostatic hyperplasia is, how it’s treated and how Aquablation offers a precise option for lasting relief. retrograde ejaculation (when semen flows backward into the bladder). How it’s done You will be given general anesthesia, so you won’t be awake. The doctor will insert a scope into your urethra and guide it to your prostate. Ultrasound helps the doctor map the areas of the prostate that need to be removed with the waterjet. “We know exactly the size, the shape, what we’re trying to remove and also what we want to avoid,” Dr. Walterskirchen says. After Aquablation, you’ll stay the night in the hospital. Your doctor will tell you when you can return to your usual activities. Take the first step CMH is the only facility between northwest Arkansas and Kansas City offering Aquablation therapy. If BPH is bothering you, ask your primary care provider for a referral to the CMH Urology Surgical Clinic. You can also call the clinic at 417-326-2550 or visit citizensmemorial.com for more information. Sources: American Academy of Family Physicians; Journal of Urology; Minerva Urology and Nephrology; Therapeutic Advances in Urology Relief without incisions In the past, men who needed surgery for their BPH often underwent transurethral resection of the prostate (TURP). TURP is still an effective treatment for BPH. But it’s not the only one. A newer option, called Aquablation, may have some advantages. Aquablation therapy uses a powerful waterjet instead of cutting or heating to remove excess prostate tissue blocking urine flow. “Because there is no heat involved, we can preserve and protect the important structures,” says Mark Walterskirchen, M.D., a board certified urologist with the CMH Urology Surgical Clinic. Some studies suggest Aquablation may lessen the risk of the sexual side effect called
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