Post aquablation

I am trying, sent a second request in via MyChart asking for a copy of every document I signed and I don't get a response. Where you check in isn't able to access information. I don't know how I can ever get a copy of every document I signed, unless a court order and that would cost a lot. Seems a simple request, maybe I will try to find a phone number to call instead of MyChart.

After reading on HoLep, think I will pass on that.
Aquablation surgeon called me and did say they could do a more aggressive Aquablation or HoLEP. Made me wonder why they didn't do a more aggressive approach on first Aquablation?? Really wasn't much better that the Urolift.
This hospital I had to drive 80 miles to for Aquablation is rated "High Performing" hospital in Urology by U.S. News & World Report. Specifically, is nationally ranked in 7 adult specialties, including Urology, and is rated high performing in 3 adult specialties and 20 procedures/conditions. I was hoping for better results that 7 months. Maybe a person shouldn't go to a training hospital? Like I said, not sure who really did surgery?? And not getting answers. Still hard to believe they wake me up to sign name on tablet hanging over my head!

I still haven't received what I signed when they woke me up or actually anything I signed at all! I got a 90 page summary of tings that happen, like a big log of surgery and time in hospital after surgery. But nothing I signed and hardly any mention of my doctor that was suppose to do surgery, lots of reference to the 4th year resident. Maybe a training hospital is NOT the place to go???

I had my procedure 13 days ago. I spent one sleepless night in the hospital during which my bladder was irrigated continuously. Discharge went from dark pink to light pink to amber to clear during that time. I had constant bleeding at the entry point of the catheter and any movement would cause some pain and more bleeding. I went home with the catheter in place and with scheduled removal for 5 days later. I was told to drink lots of water which I faithfully did. At home the discharge would occasionally turn pink if I moved or when I got out of bed in the morning, then return to clear. Still bleeding at the catheter entry point and pain if I happened to move the wrong way. Catheter removal day finally came and it was a relief to have that thing out. They did a void test where they put 200 mL of water into my bladder before removing the catheter and then I was to pee in a bottle to see how much I would be able to void. Result was very bloody urine but 210 mL so I was OK to go home without a catheter. Doc told me to expect things to get worse before they got better several times and also to drink lots of water. When I got home my stream was a fire hose and I was amazed [9 oz in 15 sec], but that only lasted that day and was probably just the result of the urethra being stretched out by the catheter. Over the course of the next few days my stream got progressively worse and even reached a point where it was worse than before the procedure, especially at night. Even though I was told to expect this it was discouraging and somewhat worrisome to see. But, over the course of the last few days there has been improvement to the point that it is now definitely better than before the procedure [8 oz in 16 sec] with no dribbling at the end. There is still some minor pain and very occasional light pink right at the start if I am not drinking enough water, but otherwise mostly clear. I can tell that my urethra is still healing because there is pain all along the area when I sit down or bend forward to get up. Also, some occasional burning and mild pain when urinating. I am drinking lots of water so I am urinating often and other than a single small 1/4 in dia clot at around day 6 I have not seen any other debris in the urine. I am encouraged by the progress at this point and am happy that my big worry - the potential for incontinence - has not been any problem. Throughout the recovery thus far there has been very little pain and what there was was mostly due to the catheter. I have not needed pain medication since the catheter was removed. I have been walking about 3 miles every day since day 3 or 4 but I have to plan my route so that there is a bathroom available along the way. Once I stop seeing the occasional pink start I may try cutting back on the amount of water I am drinking and I suspect that will cut back on how often I need to urinate. Anyway, so far so good and I am happy with the results so far.

I had that after my TURP 12 years ago. A split stream, Dr said was caused by a structure. Over time it changed but the answer was to sit down to urinate to avoid a misdirected stream. Had aquablation 2 weeks ago, and that’s not an issue for me.

I had a TURP 12 years prior to my aquablation 2 weeks ago. So far so good, just still very bloody urine.

how are you doing?

Same for me. Had Aquablation 4 weeks back and seemed to be progressing well, but now have urgency incontinence. I have been reading that I need to retain my bladder sphincter muscle.

tom, has it calmed down, or are you still noticing it.

I am five weeks out from having had aquablation procedure. I am writing a detailed account of my experience to give other men who are considering the procedure an idea of what you might experience, and to encourage those who are now going through the early recovery process.
I am 65 years old and my prostate was 114 CC before the procedure. I experienced frequent urgency to urinate. At other times I had had to stain to empty my bladder. My stream was often weak and some times split into two or more. I woke up about three or four times per night needing to urinate.
I had the aquablation procedure in mid-August. I spent the night in the hospital and was released the next day with a catheter. I had the catheter for three days and returned to the hospital to have it removed on day four after the procedure. I experienced very little pain as a result of the process, but did find the catheter slightly irritating. The worst part was the bladder spasms when I felt the urge to urinate while the catheter was still in. I had been prescribed a med to minimize spasms, but I avoided taking. I highly recommend taking the prescription.
After the catheter removal I had a slight stinging sensation when urinating the first few days, but that soon subsided. I had a forceful urine stream. I was advised to drink lots of water so I was drinking at least 12 to 20 oz every hour. My urine did have blood usually just at the beginning of the stream. Urine color was a light cranberry color.
By day six after the procedure I felt great, so I became more active and walked 5 to 6 miles that day. Then the blood in the urine intensified and I saw a few blood clots 1/4 inch to 1/2 inch in diameter. Urine color became a dark red and thicker, but never got to the ketchup thickness that I was warned about. I increased my intake in of water and rested. I walked no more than 1 to 1.5 miles per day (I think over doing the walking early after the procedure may have set me back). My urine remained dark red for a few days, but gradually lightened. At day 21 after the procedure my urine was clear and has stayed clear.
My advice from the experience is not to over do any activity the first week after having the catheter out. I also recommend taking the MiraLax that had been prescribed for easier bowl movements for the first week or two after the procedure. Straining may put pressure on a healing prostate and may have lead to the increased bleeding that I experienced.
During the first three weeks after the procedure I had a few involuntary erections, but abstained form any form of sex. My written hospital release instructions said to abstain from sex for four weeks. At week three and six days I took maters into my own hand and had successful orgasm. The semen seemed a bit lighter in viscosity than prior to the procedure, but there was plenty of it and I was satisfied. I did notice for a day or two after my orgasm there was slight stinging sensation in my urethra when I urinated. This might have been my imagination.
Most of the time I have found it easy to empty my bladder and my stream is strong, but there have been a few occasions where I have had to strain to urinate, but that has been rare. I have experienced some urgency to urinate (probably less then 15% of the time) and have lightly urinated in my pants a couple of times before reaching the toilet. I have learned that while I am away from home I should use public restrooms when I seem them available, or before setting out for a long walk. I have been waking 1 or 2 times at night needing to urinate. An improvement to prior to the procedure, but I am hoping that night time urination will get even less necessary. I have put a reminder on my calendar to stop drinking liquids after 8:00 PM.
I have gone into all of this detail to make the point that there may be ups and downs during recovery. I was really worried when blood in the urine had increased, but after a week or two of worry my urine cleared up and I feel great. I have much more control than I did before the procedure and am hoping that daytime urgency and the need to urinate during the night deceases a bit more with time.