I was retrograde from a previous procedure, so aquablation did not affect that, at least that I can tell.

I was able to ejaculate after remaining celibate for about 30 days after my procedure. Unfortunately, I have discovered that it now is much more difficult for me to reach orgasm than it was before the procedure. I, however, am not qualified to speculate whether that reflects causation rather than correlation.

Good luck, @upstatephil, with your procedure.

Dang sorry I just seen this. Been busy rehabbing my wife still from stroke and actually put my Aquablation procedure behind me and moving forward with life.
Briefly put I'm very happy with my outcome. Slightly retrograde but I believe I was even before my surgery due to slight peyronies. It has improved with time. Took about 3 months. But everything else is back to normal I like I never had a problem . Urine flow is very strong . No urgency to pee. No getting up at night to pee at all. Back to full activities running 5k and hitting the gym pretty hard at times. I mean i just turn 67 Aug 18th so you know my mind still thinks I can go like a 20 year old then reality sinks in when the joints and nerves and everything else with age rears its ugly head...lol. My PSA 6 months ago was still elevated(lower than pre surgery) but on decline and I'm due for another this week to see if its still trending in the right direction. My URO that did my procedure is Dr Brubaker and did my Aquablation at Sequoia Hospital in San Carlos, Ca. Love everything about my experience with Dr Brubaker. My journey was a long haul due to Kaiser not referring me out, filing grievances and the wait to hear back on decisions etc. All while having the catheter in for 7 months!!!That alone was the worst. I wish I wouldn't have filed all the grievances and just switched medical insurance coverage immediately . Good luck to all.