What if your prostate symptoms aren’t actually being treated—just managed? In this episode, Dr. Geo sits down with Dr. Brian Helfand, Clinical Professor at the University of Chicago and a leading expert in prostate care, to break down aqua ablation, a water-powered, precision therapy that’s changing how we treat BPH (benign prostate enlargement)—and potentially even prostate cancer. What You’ll Learn 1. Why Medications May Not Be the Best First Step Most prostate medications manage symptoms—but don’t fix the problemLong-term use may come with side effects and limited improvementMany men stay on meds for years without real resolution 2. The Shift Toward Personalized Prostate Care Not all urinary symptoms come from the prostateKey contributors include:DiabetesSleep apneaAnxietyTreating the whole patient, not just the prostate, leads to better outcomes 3. What is Aqua Ablation? A minimally invasive procedure that uses a high-pressure water jet to remove excess prostate tissue. Key Features: Robotically controlled for precisionGuided by real-time ultrasound imagingNo heat (unlike lasers or steam)Customized treatment plan for each patient 4. Why Aqua Ablation is a Game Changer Compared to traditional procedures: ✅ Lower risk of sexual side effects ✅ Minimal risk of incontinence ✅ Faster recovery ✅ Highly durable results Results: Significant improvement in urinary symptoms (~15-point IPSS improvement)Very low retreatment rate (~0.4% per year) 5. The “Money Shot” Conversation (Yes, It Matters) Preservation of ejaculation is a top priority for many menAqua ablation preserves it in 90%+ of casesMany other procedures result in permanent dry orgasm 6. Who is a Candidate for Treatment? There is no single number or test. Dr. Helfand looks at the full picture (“gestalt”): Symptom severity (IPSS)Patient bother levelUrinary flow strengthPost-void residual (PVR)Overall health 👉 Bottom line: If symptoms are bothering your life, you’re a candidate for discussion. 7. What About the Bladder? Not all urinary issues are prostate-relatedBladder function must be consideredUrodynamics are only used in complex cases, not routine ones 8. The Future: Prostate Cancer Applications Early data suggests aqua ablation may: Improve urinary symptoms Potentially reduce cancer burden in some patients Could evolve into a whole-gland treatment approach ⚠️ Still emerging—but very promising 💡 Key Takeaways Medications are not always the best long-term solution Treat the patient, not just the prostate Aqua ablation offers a precision, low-side-effect alternative Sexual function preservation is a major differentiator The future may include dual treatment for BPH + prostate cancer 👨⚕️ About the Guest Dr. Brian Helfand Clinical Professor, University of Chicago MD, PhD Author of 270+ peer-reviewed studies Expert in prostate cancer and precision medicine 📞 Phone: 847-503-3000 🌐 Website: Endeavor Health (under development) This conversation goes beyond procedures. It challenges the traditional “medication-first” approach and explores how personalized, data-driven care can transform outcomes for men.👉 View complete episode show notes, resources, and transcript at DrGeo.com___________________________________ 🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAx AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV ___________________________________ 💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership ___________________________________ 📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast 🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm 📸 Instagram → https://bit.ly/DRGEO-INSTA-YT 📘 Facebook → https://bit.ly/POD-FB-DrGeo 💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT 🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE 🌐 DrGeo.com Website → https://bit.ly/43khht0 ___________________________________ 📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology ___________________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
