Aquablation: Post-surgery expectations

Posted by Phil, Alumni Mentor @upstatephil, Jan 26, 2024

After decades of pills to (partially) manage BPH, I am scheduled for aquablation at Mayo JAX in mid-Feb. Has anyone had that procedure done? What was post-surgery like? What were your experiences regarding regular vs. retrograde ejaculation?

My expectations are high. My general health is good+ (71 yo), my prostate is enlarged but not massive, my PSA's suggest no cancer concerns. The surgeon expects a low-risk procedure (no incisions I believe) and a quick recovery (unless something unexpected pops up). I appreciate it's impossible to predict surgical outcomes with certainty - I would like to hear of others' experiences to help set my expectations.

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@av8r6

Excellent post! Thank you very much.

One question, do you know if you have a median lobe that was protruding into the bladder/bladder neck?

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I did not. As far as I know there were no unusual circumstances surrounding the surgery.

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@peehelp23

Does anyone know if there are cases where there has been a second aquablation, say a year or two after the initial one?

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I read it a lot. Look online. I’m no doctor, but I think sometimes they don’t take out enough or there was an underlying condition that wasn’t discovered until later and last and not my favorite when people develop something called a stint.?

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