aquablation and retro ejaculation

Following this one

Let’s hope this is because you’re just still swollen and healing. Post op recovery is mostly not over doing sitting or walking , not an easy task. Everyone is different.

This is an important topic to discuss that isn’t, likely due to embarrassment (as if it’s taboo) unfortunately. I’m about 4 weeks out from surgery on 4/4/25. This morning was my first go at post-surgery masturbation. Intense orgasm but dry, save for a drop or two of fluid. I’m disappointed because I like the sensation of full release. Let’s face it, there’s ethos surrounding a strong ejaculatory release for many men. I’m hoping this will improve over time. Despite assurances from my urologist (a very good one), my instinct warned me I’d likely fall into the 10-15% of men who experience retrograde (unlikely to be a self-fulfilling prophecy). I suspect the % is higher due to under-reporting and more data will emerge as the procedure is performed over time. For those who have experienced retrograde, has it improved over time? (I’m 59, good health, post surgery urinary function vacillates between improved - strong stream - to urgency. I was told the urgency will wane over time. A few times in the last week I also couldn’t make it to a toilet before leaking a bit). Thanks for raising this topic - if you search the web for it, the only information is on here. All other information is promo from the manufacturer and doc advertisements taking about superiority of ejaculate function over Turp and others). I had a PAE 2 years ago that was labeled a “failed PAE” but ejaculatory function was preserved.

I am 4 weeks from surgery. I am having retrograde ejaculation. Agree it is disappointing. I also have a infection and I am on Cipro. The good news is I pee like a racehorse. So I guess I gave up ejaculation for piss. To be honest considering how painful it was to not to be able to pee, I think its worth it. I still get horny and hard and can satisfy a partner, I just don't shoot. I didn't shoot big bc I was fixed before. I think at 66 I have to pick my battles, and health is more important than sex!

Hang in!

I'm much older, 75 now.
And I'm about 10 months post aquablation.
I feel much the same way you do.
Although gradually improving, I'm still suffering urgency more than I had hoped, and I also sometimes spring small leaks on the way to the bathroom.
I still use depends, but mostly at night. Still trying out different under shorts to find the best fit and absorbency.
Urgency comes and goes, as does frequency, which are improvements but not normal yet either.
I wake up 2 and sometimes 3 times a night, but I have made it now and then waking only once.
It surprises me when it wakes me only once,
The urine stream still sprays more than I like, however that's an improvement as well.
I feel like I'm permanently stuck with retrograde ejaculation.
In a few month I plan on a follow up procedure if there isn't more improvement.

I am 10 months out post-aquablation surgery and have RE. The positive is that I no longer need to use a condom and worry about a surprise pregnancy with my younger girlfriend. I am also able to hold an erection much longer as I take longer to orgasm.

Sorry you still have RE. Hope it eventually goes away.
I’m 60 and 2 1/2 weeks since awuablation. Having RE as well. Hoping that improves. Orgasm not as good as before. Woke up w bruise and small bump on penis after sex last night. (My dr said wait a week after cath. removed). Has anybody else experienced the bruising?

Of guys that RE went away, how long did it take?

Hi @arbytee,

I just wanted to check in on how you are doing? Have your symptoms improved at all over the past week or so? I'd also like to invite @djr59, @jgman, @dm2473, and @nuggetnyc back to the conversation to see if they have improved over more time or if they had any thoughts to share with you.

Right now I've been dealing with repeated URI s that don't want to go away.
I still need protection, especially over night.
Took a CT scan which showed a small round thing floating in my bladder, attached to a thin string, or whatever.
My prostate is still huge despite the aquablation.
Something is causing the UTI and preventing me from completely emptying my bladder, which causes the need for repeat toilet visits too frequently.
I began peeing into a clear plastic cup, and notice some wispy white or light gray substance floating in the urine.
Because I have no choice, I will submit to a cystoscopy next week. Doc says I must be awake for that procedure. (I can't begin to guess why)
Currently, before looking inside with the cystoscopy, he strongly suspects the aquablation didn't do the trick, and I will soon need TURP.
I am not a satisfied customer.

9 months post aquablation surgery. Stream is good, but RE has not improved. Guess I should be happy that I'm still reasonably functional at 76 years, but I do miss the release.