Aquablation now available in Volusia County

AdventHealth Fish Memorial is the first in the area to offer incision-free prostate treatment
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  • Jed Dunstan
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Dr Arash Rafiei assisted by the surgical team at AdventHealth Fish Memorial performs the first Aquablation procedure in Volusia County.

AdventHealth Fish Memorial is the first hospital in Volusia County to offer Aquablation therapy, a new, minimally invasive treatment to relieve symptoms of an enlarged prostate – without any incisions or heat.

Millions of men live with benign prostatic hyperplasia (BPH), a non-cancerous condition that can cause frustrating symptoms like frequent urination, weak flow, and trouble sleeping through the night.

First Aquablation procedure at AdventHealth Fish Memorial performed by Dr Arash Rafiei

Aquablation combines ultrasound and AI to map each patient’s anatomy. Then, a robotic-guided stream of water gently removes the excess tissue, offering a safer, more precise option designed to protect healthy areas and preserve quality of life.

“This technology enables us to precisely target and remove only the tissue causing symptoms, while preserving the good tissue we want to keep,” said Dr. Arash Rafiei, the urologist with Advanced Urology Institute who performed the hospital’s first Aquablation procedure. “It’s guided with advanced imaging, almost like having internal GPS – it helps us navigate with incredible accuracy, which leads to better results and fewer side effects.”

Most patients go home the next day and see noticeable relief in just a few weeks.

“This is exactly the kind of care people hope for: advanced, effective, and close to home,” said Eric Lunde, president and CEO of AdventHealth Fish Memorial. “We want our community to know they don’t have to wait or travel far for innovative treatment. We’re bringing it right here to West Volusia County.”

Aquablation is also offered at several other AdventHealth hospitals in Florida, including Palm Coast Parkway, Celebration, Heart of Florida (Davenport), Kissimmee, Ocala, Winter Garden and Apopka. Its arrival to Volusia County marks an important step in expanding access to leading-edge treatments throughout the region.

“As we reflect on three decades of serving this community, it’s meaningful to offer something that can make such a big difference in someone’s daily life,” said Dr. Stephen Knych, chief medical officer at AdventHealth Fish Memorial. “If something as common as an enlarged prostate is keeping you from sleeping, traveling, or enjoying life – this could be the answer.”

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