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Aquablation: Post-surgery expectations
Men's Health | Last Active: 4 days ago | Replies (168)Comment receiving replies
I had aquablation 1/30/2024 at the HCA Florida Northwest Hospital. I was taken into the operating room a few minutes after 9AM and was in recovery by about 1040AM. The actual waterjet lasted about 4 minutes. I was kept overnight for observation. During this time they ran big bags of fluid through my catheter. However, at one point the bag had run out and before it was replaced they had to flush out the catheter which was not fun. The whole time my urine bag was filled with a red color which had lighten somewhat by the time I was discharged. The time I experienced the most pain was when I had to urinate with the catheter in me. On Friday 2/2/2024, I went to the doctor to have the catheter removed. My urine was still red, but she said it was old 'blood' and that was fine. The tech then filled by bladder with fluid until I needed to urinate at which point she pulled out the catheter and I had to finish in a bowl that measured how much came out. The catheter removal was essentially painless.
I did need to use depends after the catheter since on at least 3 occasions when I got a strong urge I didn't make it to the toilet in time. Also it was only on the first of these that I ever saw anything like 'clots' in my urine.
Today is 2/7/2024 and my urine is basically clear. I've had no other pain other than with the catheter. I haven't had any morning erections as I've seen in other reviews. The doctor's report showed an 80gm prostate. I'm 80 years old and that might be the age limit for these procedures. Good luck with your procedure.
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I related to your experience so well, I wanted to share my experience with you.
Aquablation Surgery: My Experience (2 Days Post-Surgery)
@wxman38 , I related to your experience so well that I wanted to share my experience with Aquablation surgery, so here’s a summary:
My prostate was 45cc and had become a major disruption to my daily life. I had to carefully plan bathroom trips, such as peeing before boarding a plane and again 20–30 minutes before landing. At night, I was waking up around five times to urinate.
My surgery began at 10:00 AM January 24 / 2025, and I woke up in the recovery room around 12:00 PM. Here are some things I didn’t anticipate or found noteworthy:
Hospital Stay
• Overnight Stay: My doctor required me to stay in the hospital overnight, and I highly recommend this. I can’t imagine going home the same day given how I felt after waking up from surgery.
The 3-Way Catheter
• Flushing Process: A 3-way catheter was used to flush my bladder. This created a constant sensation of needing to urinate or have a bowel movement, which was uncomfortable but no too bad. The flushing process coninued all night.
• Discomfort: The catheter was as uncomfortable as I had feared. My penis was very sore and sensitive—just touching the catheter tubes hurt. The two most painful moments were being moved from the gurney to the bed and having the catheter removed. After returning home, urination cause alot of pain at the tip of my penis.
• Nurse Interactions: Nurses regularly checked the color and clarity of the flushed fluids. Sometimes, they lifted the discharge bag too quickly, causing a slight back pressure that could be felt in my bladder. Letting them know to lift the bag slowly helped a lot. The fluids in my “flushing bag” were a light pink and quite translucent.
• Sleeping Challenges: Sleeping in the hospital was difficult with the catheter. Rolling to one side strained the catheter tubes and woke me up.
First Night at Home
• Leakage: Be prepared for some leakage and blood. I recommend having Depends or similar products on hand.
• Improved Nighttime Urination: Before surgery, I had to urinate five or six times a night. On my first night home, I only woke up twice—at midnight and 3:00 AM. This is already a significant improvement for me.
Pain and Recovery
• Burning Sensation: Two days post-surgery, urinating remains painful, with a burning sensation in my penis. However, the intensity is starting to subside.
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Coming up on 4 weeks since procedure. One thing that has occurred is often after I finish peeing I experience a noticeable pain at the tip of my penis. In addition for a couple of weeks after the procedure my stools were real dark. So I assume there was some blood in them. No problem with the stools now. Also not many cases of urgency now either.