The National Institute for Health and Care Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on 19 September 2018. NICE is currently updating this guidance. The new guidance will be published shortly. Until then the NHS should continue to follow the recommendations outlined in the current version of the guidance. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure review and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
Status Awaiting development
Technology type Procedure
Decision Selected
Reason for decision Anticipate the topic will be of importance to patients, carers, professionals, commissioners and the health of the public to ensure clinical benefit is realised, inequalities in use addressed, and help them make the best use of NHS resources
Process IP
ID number 1569
Description Transurethral water ablation for benign prostatic hyperplasia is done using a specialised system that combines image guidance and robotics for the targeted heat-free removal of prostate tissue. Prior to the procedure, the surgeon maps the desired area for resection of the prostate. Transrectal ultrasound is used throughout the procedure. A cystoscope is inserted through the urethra and into the bladder. A special handpiece is then attached to the cystoscope and used to deliver a high-velocity jet of saline to the prostate tissue according to the prescribed treatment plan, under robotic control. The ablated tissue is aspirated through ports in the handpiece and can be used for histological analysis. The average resection time is 3 to 5 minutes, regardless of the size of the prostate.

Provisional Schedule

IPAC 1 09 March 2023
Interventional procedure consultation 25 April 2023 - 24 May 2023
IPAC 2 13 July 2023
Expected publication 27 September 2023

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Key events during the development of the guidance:

Date Update
06 May 2022 Awaiting development. Status change linked to Topic Selection Decision being set to Selected

For further information on how we develop interventional procedures guidance, please see our IP manual