My procedure is somewhat unique from what I've seen posted here. My experience prior to surgery are very similar though. 64yo, been experiencing issues for roughly 15 years, on Flomax for 10-12 yrs, but began to struggle more and more. My URO retired, thank goodness, and I was referred to a practice in NOVA. In a dozen years my Uro had never done a cytoscope. My new Uro just shook his head, scheduled me for the procedure which revealed 94g prostate with a large median lobe. He described it as a ball valve which made perfect sense. If I delayed urination or had to much to drink to fast, like prepping for a flow test, I would really struggle to go, the Marian line was blocking flow and the back pressure was creating more difficulty. This practice performs PAE followed closely by aquablation. This cuts down on some of the complications and speeds the recovery from aquablation by reducing blood flow to the prostate prior to surgery. Had PAE 28 Aug. Procedure was easy, but I was surprised by the pain after. It wasn't terrible, I just thought there would be none. It wasn't bad just light burning during urination. Had the aquablation 2 Sep so I'm about a week in. Sent home with a catheter post procedure with appt to come back next day for catheter removal. Catheter was ready stuff, but ready to get rid of it by next morning. Went in, they removed catheter and I had to come back that afternoon for testing. Went how and drank lots, peed 4 or 5 times, a little pain during urination, but less than the PAE. My afternoon test went okay, my stream was kind of weak and I was still retaining, the latter more a function of my bladder than my prostate I think. Doc said he would be would let me go home without catheter (He was going to have to fight me to put it back in). Next day urination was even better. So far I've had very little blood in urine, pain is very minor and gets less every day. Stream is meh, but even two days post aqua was better than even a good day before the procedure. Closing out day 6, feeling good and comfortable with my flow improvement with expectation it will get even better. Still up 3 or 4 times a night, but I get up do my business in a few seconds and back to bed. No hovering over the toilet trying to coax it out. Delaying treatment had taken it's toll on my bladder so I expect that will get better over time. Taking it easy, just walking a little, and waiting. Still plenty of time for something to go wrong but currently pretty happy with the procedures. The true test will be when I can have sex which I imagine people like us are very anxious about, I know I am. Whether the combo PAE/Aqua procedure becomes a standard or if the risk of the extra procedure was worth it only time will tell, but so far I would say my recovery has been pretty optimum. I'll keep folks posted on my progress. Fingers crossed.