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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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alaais | @alaais | 1 day ago
In reply to @dm2473 "I'm 15 months post aquablation. I have not yet returned to normal, I feel as if..." + (show)
@dm2473

I'm 15 months post aquablation. I have not yet returned to normal, I feel as if the procedure was a mistake, and in general made me feel worse. I can't pee in a normal standing position, and have to sit. I need to use depends. There is still burning in the first ten seconds or so when the amount of urine is greater. Still waking up once or twice per night. At least.
Urologist insisted on doing a cystoscopy a few months ago, which was very painful.
I wanted it done under anesthesia, but he refused. I was given a bit of numbing gel, which accomplished nothing.
The aquablation, which the urologist insisted would make me a new man. seems to have done damage to my urethra.
So the procedure did make me a new man, doc just forgot to warn me that a new man doesn't have mean improved. It could also mean new, but worse.
Repeated UTIs made things worse.
I have changed urologists.

Jump to this post

So Sorry to hear this and it freaks me out a bit . I also just got the hospital invoice so I understand why these doctors are pushing . I wish you the best!

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1 reply
moecavicchi | @moecavicchi | 1 day ago

My husband just had it done yesterday. His prostate was at 70 size wise. Right now he is miserable. Was up most of the night last night with that feeling of having to pee but you just dribble and it burns. 0x worse than his normal, more like having a bladder infection. I guess that is expected but he doesnt feel he was properly prepared for the level of discomfort. He was prescribed ibuprophen, prednisone, antibiotics, antacid and something for urinary burning that makes his urine bright orange. I will update each day if that would be helpful.

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moecavicchi | @moecavicchi | 1 day ago

Sorry, he did not have aquablation, he had PAE prostate artery embolization. Joined to see what to expect for recovery. I cant delete from this thread.

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theonepage | @theonepage | 17 hours ago

I did the same procedure back in March. Things are getting better except for some urgency issues. My hospital invoice was $73,000.

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jojo99 | @jojo99 | 8 hours ago
In reply to @alaais "So Sorry to hear this and it freaks me out a bit . I also just..." + (show)
@alaais

So Sorry to hear this and it freaks me out a bit . I also just got the hospital invoice so I understand why these doctors are pushing . I wish you the best!

Jump to this post

How much did you have to pay after insurance? I have traditional government Medicare and it didn't cost me anything but my deductible for the year.

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theonepage | @theonepage | 4 hours ago

My deductible was $4000

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