Orgasms after Aquablation

Thank you!

@mvmjcp

I also had Aquablation on the 26th, but 2025. Wow! Small world, now small prostate. 😉. You had a catheter for 6 months?!!!! I had it for 3 days. Did you have complications?

My UR said to wait six weeks.

@esykesdo please read my original post here and a follow up, I wrote for my husband and his journey. No complications, smooth sailing.

Hi all, I've stumbled on this forum researching for my procedure, and here is my (gladly uneventful) story so far. Please excuse any mistakes, English is not my first language.
Starting with the burning question, according to my urologist/surgeon, I should wait 4 weeks after surgery to resume sexual activity. He also advised that it could sting a little, and to expect a somewhat rosy tint, since I would still have some blood in the vessels. And since I'm still on Tansolosin, I could also have retrograde ejaculation.
I'm 54, 5'11", 270 pounds, and starting having a higher voiding frequency about 7-8 years ago. Did some exams, and the doctor confirmed an early case of BPH. Eventually started on Tansolosin about 4 years ago, side effects on my case were a running nose and RE about 10% of the time.
I've also had 3 UTI's on the last 4 years (which I only had once until them, when I was 12) and after the last one, in June 2025, I've decided to get the surgery. I was voiding every 2 hours, it was really impacting my quality of life. On my last ultrasound, on October 2024, my prostate size was about 100 ml, but it had grown a bit since them.
Everything went fine, I did the procedure about noon on Saturday, the 27h of September, and I've stayed on the hospital until noon Monday, the 29th of September. They used two tandem 3L saline bags for bladder irrigation, I've must gone trough 12 pairs... Mid Monday morning, they removed the Foley catheter, and after drinking 3L of water, I voided like a champion, it really surprised me with the flow and pressure. After that, the doctor signed my release and I've gone home, with the recommendation of not doing heavy exercises, weight lifting, for 10 days.
Everything went fine, took mild pain killers during six days (ibuprofen), and antibiotics during 8 days, had some burning sensation voiding the first week, and still some visible blood and small clots on the urine ... after a week or so I had an erection, and they are good and strong, but I'm taking doctors orders and staying put... not very pleasant, but that's life.
Almost three weeks after the procedure, voiding frequency is improving, I'm now at 3-4 hours intervals, still have some blood on starting, and according to my doctor, it will take some more weeks to get everything OK. I'm now good for getting back on exercises (which in my case are daily walks, nothing heavy... ), but to avoid things like riding bikes or horses, anything that would put higher pressure on the lower end.
A big thanks to everybody who shared their story and I wish a full recovery to us all.

@frank1245
I just had it done and found your comments a huge relief. Thanks

74 old . I'm 2 weeks out from surgery & while I had massive clotting issues during surgery (I have thrombophilia) I had the catheter popped out on Day 6 & there has only been very slight amounts of blood spotting. Urinating fairly normally but its obvious I'm still in the healing process. at 74 I had erections soon after the cath was removed but haven't been able to get into see the Doc and won't yet for a few weeks. It's kinda astounding to me that there is so little data and recommendations out yet but it IS a new procedure. The nursing staff at the hospital were definitely all in learning mode and didn't have much experience yet with the procedure. The big 2 for me prior to surgery was time to having sex and time to getting back on a bike. I know my urologist recommends a hard line for cycling at 6 weeks which will almost be as hard to obey as delaying sex. Before surgery they both kind of were softly spoken of as around 2-3 weeks but it seems like they both are now double that. Not going to take too many risks but it IS hard being patient. When given the all clear for cycling i intend to use an indoor trainer that isn't subject to road vibrations and I'm certainly going to delay mountain biking until well after 8 weeks. In terms of ejaculation I've read several guys who recommend that the 1st one be done solo because of the likelihood of blood or tissue coming out & don't want to have my wife endure that so I might follow those anecdotal guidelines. i was taking. Finally i was put on Myrbetriq for bladder spasms and to relax the bladder. I didn't notice much change after 4 days but I was also peeing clear and regularly and since it was producing farily high blood pressure for me I quit taking it. No impact on anything except the blood pressure is normal. Just wondering if anyone else was taking this and for how long? Cheers everyone. Hope you all have full recoveries.

@bigdog74 the minimum period I've seen on the various Mayo Clinic threads is one month before sex which is what my doctor indicated. I don't know what happens if you rush it, but if there was one thing I didn't want to break that was it. As for ejaculation my first at a month was a little bloody even though I had no blood in my urine at that point. I was still urinating the occasional small scab up until about 2 1/2 months.
As for cycling you're going to do what you're going to do, but i can't imagine putting that kind of pressure directly on my prostate at 6 weeks. I don't know what the long term repercussions might be but I would not be surprised if you started to bleed a little again.

Thanks. I've pushed the envelope my entire life so your words of caution do help moderate that monkey brain. My doc is sick so I haven't yet seen him for the follow-up but I've heard he goes by the 1 month rule for sex and 6 weeks for riding. I have a friend that had the same procedure a few months earlier and he accomplished both in those time periods and has been riding frequently after the 6 week period. I did order a new saddle that has a cutout to give the perineum pressure a break. On a trainer it could also be mixed up with standing for 25-50% of the the time on the bike. That will be challenging but once I'm given the go I'm going for it.