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Aquablation: Post-surgery expectations

Men's Health | Last Active: 5 days ago | Replies (123)

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@geoffpuma999

Almost three months have now elapsed since my Aquablation procedure and I'm dismayed to report there's been virtually no improvement in my urinary urgency/frequency symptoms - particularly overnight when 6-7 bathroom trips remain the norm. This is obviously very disappointing as I've experienced all of the unpleasant side effects, but none of the benefits of this procedure - at considerable personal cost!...
I've had one follow-up consultation with my Urologist who has advised that a cyst was discovered in my prostate during Aquablation and is now suggesting I have an MRI and then possibly a TUR to remove the cyst...
As I've already blown a substantial amount of money on this problem I'm obviously VERY reluctant to spend even more and feel I'm 'between a rock and a hard place'...

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Replies to "Almost three months have now elapsed since my Aquablation procedure and I'm dismayed to report there's..."

@geoffpuma999 - Your analogy of being between a rock and a hard place clearly describes that inaction is likely the wrong decision. In other words, if you want relief, you have to do something. Other than going through the MRI diagnostic process to understand your possible cyst - what else can you do? That's not what you want but that's what you face.

I also wonder if there's a bit of habit involved when 6-7 bathroom trips a night are a long practice but no longer are required. Is it possible there is some re-training that might help you reduce your nightly urination treadmill?

I'm at about 10 weeks since aquablation.
I'm not waking up any less often than I was prior to surgery. About twice a night. Urination was more comfortable prior to the procedure.
I'm 75 years old. PSA was down to about 2.5 with finasteride but shot up to about 9 after I decided to stop taking it about 6 months prior to the surgery. Drug side effects were bothering me.
I had a very large prostate, doc removed about 40% with aquablation. Then 2 miserable days in the hospital.
Doc had a strong assumption that I had developed cancer, which is why I agreed to the surgery. Got the size reduced while avoiding a standard vika the rectum biopsy. (tissue was checked after aquablation, no cancer detected).
But as I said I'm not getting up in middle of the night any less frequently than before the procedure.
However, I need diapers, which shocked me and is uncomfortable. And costly.
I'm finding a quantity of a mucus like substance in my urine almost evert time I urinate. Doc said it's "left over" semen, whatever that means.
Sometimes the mucos hardens at the tip, and starting urination is a bit painful until the force if the urine breaks the "seal"..
I can't control where the urine is going to flow, so I either sit like a female, or pee into a cup.
Using a cup helps me see the quantity and check the color.
At about 7 or 8 weeks color became closer to normal.
Early on I noticed chunks of tissue in the urine. That has slowed considerably, but I still notice it frequently. Small gray or white bits floating in the urine.
So far I question if this was worthwhile, except I have stopped the tamsulosin and finasteride.
Doc told me to see him in 2 or3 months suspects I will be doing much better by then.