Is your prostate running your life? If you’re tired of the "trickle," the midnight bathroom runs, and pills that don't seem to work, it’s time to talk about Aquablation.

In this episode, Dr. Geo sits down with Dr. Brian Helfand, a world-renowned urologist and genetics expert, to discuss a breakthrough in Benign Prostatic Hyperplasia (BPH) treatment. Unlike traditional surgeries that can leave you with "dry orgasms" or permanent side effects, Aquablation uses a robotic-controlled, high-pressure cold water jet to clear the path—without the heat, without the scalpels, and with a primary focus on preserving sexual function.

🕒 Key Moments You Can't Miss:

05:00 Why most men can't find their prostate (and why that's a problem).

12:00 The "One Size Fits All" Myth: Why Dr. Helfand ditched his app for a robot.

21:00 The Truth About Meds: Why "medicine-itis" might be hurting your long-term health.

41:00 The Money Shot: How Aquablation preserves ejaculation when other surgeries don't.

55:00 Can a BPH procedure actually treat hidden prostate cancer?

🔬 Deep Dive: Why Aquablation is the "Game Changer"

Traditional BPH surgeries like TURP or HoLEP often rely on heat (cautery) or lasers, which can damage the delicate nerves responsible for sexual function. Aquablation is different.

The Aquablation Advantage:

Robotic Precision: The surgeon maps your prostate via ultrasound, and a robot executes the plan with sub-millimeter accuracy.

No Heat: Because it uses room-temperature water, there is no thermal damage to surrounding tissue.

The "Ejaculatory Sparing" Map: Surgeons can specifically "map out" the area around the ejaculatory ducts to ensure you maintain post-surgery.

🔗 Connect & Resources

👨‍⚕️ Guest Information: Dr. Brian Helfand

Practice: Endeavor Health / University of Chicago

Website: endeavorhealth.org

Clinical Contact: 847-503-3000

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Disclaimer: This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s). Always consult with your physician before making medical decisions.