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Aquablation: Post-surgery expectations

Men's Health | Last Active: 3 days ago | Replies (211)

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@brucekn

I have had urologists attempt to control my urine retention now for years, with 2X TURP procedures (the second one caused partial ED), and some UroLift components inserted into my prostate. The most recent procedure was an Aquablation in last December (2024). The procedure seemed to go well (I was asleep, of course), and I stayed the night in the hospital while nurses came in every hour or so to change water bags that were feeding distilled water up my penis in a tube, and then draining it (along with a lot of bloody discharge). My only issue was that I couldn’t urinate on my own at the time of discharge from the hospital, so was given a Foley catheter- which several days later got blocked and resulted in a trip to the ER to remove it.

I noted after I had been home for a week that when I walked, I had urine incontinence. Only when I walked, I believe it’s called “Stress Incontinence”. My urologist had me do Kegel exercises, strengthening my pelvic floor, and after a few weeks the stress incontinence passed- I can now walk without any embarrassment of having a wet soiled circle on my trousers in a conspicuous location. The blood in the urine has gone, I have a good urine stream, and my urologist measured 7ml of urine retention (down from significantly more prior to the procedure), and he is very happy. My only issue now is a very low grade urine incontinence that appears to occur when I sit, and/or when my bladder is full. There’s not enough urine to cause a soiled area on my trousers, more like what I would expect from sweat- only very mild dampness in my underpants, but invisible- I only know it occurs by the dampness. It’s now been 4 months out, so hoping to get past this by containing my Kegel exercises.

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Replies to "I have had urologists attempt to control my urine retention now for years, with 2X TURP..."

I had similar after Urolift. Took about 2 years, but the slight dampness eventually went away. Just have to keep active to improve muscle tone.