Orgasms after Aquablation

Posted by mike5450 @mike5450, Jul 28, 2023

I had an aquablation procedure two weeks ago. I have had some urine flow issues but my doc says that all went well and I am recovering properly. There was one topic on which he was entirely unclear, however, and the internet thus far has failed to provide useful information. Similarly, my email to the aquablation developer has gone unanswered.

This seems like information that should be available readily but it is not, so I will ask here: how soon after aquablation is it safe to have an orgasm? I already am having erections, so I would like to know what I can do with them.

I previously had a laser prostate procedure. At its conclusion, the urologist was quite clear: no orgasms for 45-60 days or risk damaging my internal organs. I haven't had similar warnings this time, so I wonder if the risks are the same or less significant with the more modern procedure.

I appreciate any information you can provide.

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connect4321 | @connect4321 | Sep 13 11:08pm

In reply to @lamarjimmerson "Sure, here you go (it's from p. 4 of this thread): https://connect.mayoclinic.org/comment/1391445/" + (show)

Thank you!

esykesdo | @esykesdo | Oct 1 11:56am

In reply to @mvmjcp "I just had Aquablation Sept 26th. I had a Foley catheter in for 6 months. I..." + (show)

@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?

jaemiami | @jaemiami | Oct 1 1:06pm

My UR said to wait six weeks.

whimpy2024 | @whimpy2024 | Oct 2 7:22am

In reply to @esykesdo "@mvmjcp I also had Aquablation on the 26th, but 2025. Wow! Small world, now small prostate...." + (show)

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

frank1245 | @frank1245 | Oct 15 11:35am

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.