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Orgasms after Aquablation
I had an aquablation procedure two weeks ago. I have had some urine flow issues but my doc says that all went well and I am recovering properly. There was one topic on which he was entirely unclear, however, and the internet thus far has failed to provide useful information. Similarly, my email to the aquablation developer has gone unanswered.
This seems like information that should be available readily but it is not, so I will ask here: how soon after aquablation is it safe to have an orgasm? I already am having erections, so I would like to know what I can do with them.
I previously had a laser prostate procedure. At its conclusion, the urologist was quite clear: no orgasms for 45-60 days or risk damaging my internal organs. I haven't had similar warnings this time, so I wonder if the risks are the same or less significant with the more modern procedure.
I appreciate any information you can provide.
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Hi I am 3 weeks after Aquablation surgery and no natural erections yet. Should I be concerned?
Hi @ricciardelli. Welcome to Mayo Connect. There's no exact answer to your question as every aquablation patent is different and so is their recovery. You didn't mention your age? For me (early 70's) I was taking a combination of tamsulosin and Cialis (low dose) to manage bph symptoms. So - naturally - I began many days with an erection. Not sure it was exactly natural?
I no longer take either med (and I'm glad for that) but one "price" has been the absence of a morning erection. That might be a permanent change? I'm 3+ months post aquablation. But that trade-off is quite reasonable from my perspective.
Just hoping to give you a perspective to assist...
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1 Reaction60yo, 214 lbs, 16% body fat and in gym 6 days or about 14 hours per week.
Today is May 24, 2024. I had aqua ablation on Monday, May 13. Less than two weeks from surgery of removing about 2/3 of my prostate. All was tested and negative for the Big Casino. Spent one night in hospital where they used over 18 liters to maintain a continuous flush of my bladder while in hospital. Release on Tuesday with a, what I was told was a 3-way catheter. All was going as expected with bloody urine and blood clots. Thursday, May 16, the catheter was removed. They backfilled my bladder and I was able to urinate with no issues other than some burning. Was sent home.
At midnight that same day, I got up and tried to urinate. Nothing would come out. I tried for about 3 hours and I was now having contraction lasting 1 1/2 minutes coming every 3 minutes. I was unable to stand up to walk to cart, so we called an ambulance to transport me. Once at the hospital I went in the restroom try to go. Now my pain level is at a 9 or 10 and I’m screaming out in pain during the contraction. God bless the nurse, who demanded me to get to my room so she can help me. Unable to lay down, she used a syringe of lidocaine into my urethra. She said I must lay down to insert the foley. Once that was accomplished, over 40 ounces of blood and urine filled the bag. She started an IV and gave me some morphine.
On May 22, I had that foley removed and was again able to urinate. I was told I will see blood for a minimum of 2 weeks, but could be up to 2 months. However, I asked my doctor when I could resume sexual activity and he told me 1 week. He said when I do, I will still have orgasms, but will not ejaculate because the semen goes into the bladder. Wife isn’t ready for Mr Wiggly, because of what I’ve been through and is afraid I’m can hurt myself.
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1 ReactionThis is my first post. I had aquablation in February 2024. I am 60. My erections are much more brief, no semen and my “orgasm” lasts for a few seconds. I’ve taken a “viagra” type pill which prolongs my erection, but again my sexual feeling of excitement is very brief. My doctor’s response is, “Oh, that shouldn’t happen.” He doesn’t offer any solution. Any thoughts?
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1 Reaction@yonklevy - I had aquablation the same monbth as you and have not had your negative orgasmic challenges. I am 72. You might benefit from talking to a urologist who has an ED specialty. I studied aquablation in depth before hand and the issues you are experiencing "shouldn't happen". My point is, there may be something else you need to track down.
I will ask around
I’m a 67 year old healthy guy who is at three weeks today. I had my follow up today and got fully released.
I decided to have a trial run with my wife yesterday. All systems were go. The only semi surprise was my ejaculate was seemingly all blood. My doctor said at my follow up that should not be concerning. It is common the first time.
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1 Reaction@yagermeister - Congrats on being "released" in more ways than one. It took me several months to have all systems return to "go"...so don't be too surprised or upset if your outcome isn't exactly what you expected during the recovery process. I am six months post and I would say I'm 95%+ recovered. It takes some patience...
I resumed sex two and half weeks after Aquablation. No issues besides the retrograde ejaculation.
After the two week and 4 day mark my wife and I had oral sex.
No problem with erection, a good but somewhat sore orgasm. But no ejaculation, which I was also having on Flomax for a month . So if anybody is wondering how long you should wait, two weeks and 4 days worked for me so far.