Aquablation: Post-surgery expectations

Just had aquablation 4 weeks ago but now I have an overactive bladder which refrains me from leaving my house.

3-Week Post Surgery

I found this blog after my surgery and I feel foolish for not finding it prior to my procedure . I am providing updates for those who might be in research mode .

Two weeks after my procedure , I was in great despair as there was constant blood dripping and blood when I urinated . I had to revert to Depends . But things have improved and the blood has essentially stoped . I have a decent flow and I am not running to Pee every few minutes . I still have urgency that comes all of the sudden but that has been manageable .

Next think on my list is sex. Happy to say that it is working although I have not had a release yet as I have been too nervous about that . I have heard so many bad stories related to RE and am hoping that I do not suffer from this as this was a prime reason for me to have this procedure (was experiencing RE from medication) . Also hoping that I get back to normal urination path . I get up at night but ot so much to urinate but typical stress thoughts, so I think that will be good . I have my post-op appointment end of this week so looking to see how things are progressing from the medical perspective .

I had bloody urine on the first week and everything was clear. My main concern right now is i have an overactive bladder. Had my procedure done on June 24, 2025. Do you currently have overactive bladder or you are peeing normal.

I would not say I am normal but not that bad . When I have to go its a bit more urgent that I get to the bathroom . I had my follow up appointment today an the Doctor said that this will improve over time and not to worry as full recovery will be 3- 4 months. I am optimistic as I had sex with no RE so that was a huge burden lifted, praying for continued imprvement

3-4 months. That’s a quite a long time. I had my appointment yesterday and he just told me to be patient. I will get better. He said that I had the aquablation to take care of two things. Prostate cancer and BPH. My bladder is all cleaned up right now and I am still healing. He gave me an order to get pelvic therapy to help with my overactive bladder and see him in 3 months.

Anyone have AFIB and have any issues with the procedure because of it?

I'm 64 years old. I've had a urethral catheter since June 2024. My prostate size was determined to be 78 ml. Due to various health problems, surgery seemed impossible. In fact, two clinics in my city refused to perform TURP. So I felt stuck. At least I could get a suprapubic catheter (SPC). Nevertheless, I did my own research and found — in short — Aquablation. The surgery was performed on April 22nd this year in Winnenden (southern Germany). It went smoothly. I woke up pain-free until I moved a bit —and then I felt the "garden hose" catheter. Now I had two catheters in my bladder... The irrigation procedure followed. Bleeding was minimal though. The garden hose was removed the second day after surgery and I was asked to pee. This didn't work well but I was discharged anyway. The next few days at home were difficult. Urination was barely possible (and painful). At night, I used the SPC. After 17 days, things improved significantly. The SPC was removed four weeks after surgery. In the following days, my bladder was somewhat overactive. This went back to normal, and I can now pee "like a horse." No EjD, no RE. At night, my bladder remains calm. I consider the treatment a success.

Thank you for sharing your experience. Im glad you are finally getting relief from your symptoms.

did they flush out on their own or did you need a procedure to remove the build up of bladder tissue/ stones?

The answer is both. Large tissue required an instrument done real time without any type of pain killer; unnerving to say the least. I also pass smaller bits when urinating. It's not continually but very much episodic. A recent MRI shows prostate calcification so believe that's what I am experiencing.
The remaining issue is that following a strenuous run there is substantial blood in the urine. I was put on Finasteride for 6 weeks and have a scheduled meeting with the surgeon the end of this month where they will do a scope. Other than the blood in the urine the aquablation did what it was intended to do; better flow, less awakening at night, less sense of urgency, etc.