Aquablation: Post-surgery expectations

I have been following this board for a few weeks in anticipation of my aquablation procedure on 10-15. It was really helpful to learn about the experiences of others. So, now that I’ve gone through it, for what it’s worth here is my story.

My procedure was a little different…I am part of a trial to use aquablation to both reduce the prostate and remove tumors. I had a biopsy in July that indicated two prostate tumors with the lowest possible Gleason score of 6 (3 +3). Initially the recommended treatment was aquablation for BPH (my prostate was about 80 grams) and surveillance for the cancer. But a genomic test indicated the cancer cells were aggressive and this trial was just beginning, so I hoped to be included to have a chance of removing the cancer, reducing my prostate, and having the best chance of normal function afterwards. I am 54 years old.

The surgery was done 10-15. It was basically the same as aquablation for BPH, except 95% of my prostate was removed (all but the capsule which is where the essential parts are located). The surgery was delayed about an hour because an instrument had broken, but once started it lasted about two hours. I was in the hospital one night afterwards.

At first there was no blood in the urine which surprised the nurses, but eventually it started. Through the catheter they washed out my bladder with saline all night, as others have reported.

I had an erection the very next morning, which was a pleasant surprise. I went home with the catheter for six days, which was not pleasant. I would have liked to have been more active, as I felt like I was physically able to the next day, but when I tried to walk the catheter pulled against the tip of my penis, which was very irritating and painful. I finally decided to just wait until it was taken out. It was frustrating to just sit around for that long, feeling like you could do a lot more. Being patient was maybe the hardest thing.

They removed the catheter this morning. It was maybe the greatest feeling of relief I have ever experienced. It came right out without any pain or discomfort, and I passed the voiding test with flying colors. My urine was still pretty red. I went by my office afterwards just to check in, but didn’t stay as I wanted to gauge my urinary function before spending a full day at work. I didn’t want to spend the day at the office peeing down my leg.

Not to worry. My urinary function is almost 100%. It’s a little difficult to hold it for a long time, it burns some to pee and there is still a little blood and tissue coming out, but not too much. The flow is much improved, it comes out like a firehose and then doesn’t last long because of the volume. When I’m done it shuts off immediately and doesn’t keep dribbling out like before. I wore a pad all day and there are traces of urine in it, but not much. I am very surprised.

I must say, so far so good. Tomorrow, one week after surgery, I plan to spend a full day at the office. Over the past couple of years, at least a half dozen times a day I’ve walked the length of our floor, about 100 yards one way, to go to the men’s room. I am very curious to see how that goes tomorrow.

The big test comes in December, with another PSA to see if the cancer is gone. But for now the relief of the BPH symptoms is much appreciated. I may sleep the night through tonight for the first time in years.

My restrictions are light activity for three weeks after surgery, i.e. no lifting of anything over 15 lbs, no pressure on the prostate region from cycling, riding a mower, golf cart, UTV, tractor or the like. Basically walking and other gentle low-impact exercise is okay. After that, the activity level is based on tolerance, with blood in the urine as the gauge for tolerance level. They said I can drink alcohol in moderation, but I think I will abstain for that three-week period.

As I was finishing up this post, my wife came over to see what I was doing. As a test, we messed around for a bit and I got an almost instant, full erection. I don’t think I’m quite ready to follow through on that, it’s still pretty sore down there, but it seems promising.

Sorry if any of this is TMI, but the reason I was interested in this board was to learn about such things. Inquiring minds want to know.

More to come as the weeks go by….

I have been following this board for a few weeks in anticipation of my aquablation procedure on 10-15. It was really helpful to learn about the experiences of others. So, now that I’ve gone through it, for what it’s worth here is my story.

My procedure was a little different…I am part of a trial to use aquablation to both reduce the prostate and remove tumors. I had a biopsy in July that indicated two prostate tumors with the lowest possible Gleason score of 6 (3 +3). Initially the recommended treatment was aquablation for BPH (my prostate was about 80 grams) and surveillance for the cancer. But a genomic test indicated the cancer cells were aggressive and this trial was just beginning, so I hoped to be included to have a chance of removing the cancer, reducing my prostate, and having the best chance of normal function afterwards. I am 54 years old.

The surgery was done 10-15. It was basically the same as aquablation for BPH, except 95% of my prostate was removed (all but the capsule which is where the essential parts are located). The surgery was delayed about an hour because an instrument had broken, but once started it lasted about two hours. I was in the hospital one night afterwards.

At first there was no blood in the urine which surprised the nurses, but eventually it started. Through the catheter they washed out my bladder with saline all night, as others have reported.

I had an erection the very next morning, which was a pleasant surprise. I went home with the catheter for six days, which was not pleasant. I would have liked to have been more active, as I felt like I was physically able to the next day, but when I tried to walk the catheter pulled against the tip of my penis, which was very irritating and painful. I finally decided to just wait until it was taken out. It was frustrating to just sit around for that long, feeling like you could do a lot more. Being patient was maybe the hardest thing.

They removed the catheter this morning. It was maybe the greatest feeling of relief I have ever experienced. It came right out without any pain or discomfort, and I passed the voiding test with flying colors. My urine was still pretty red. I went by my office afterwards just to check in, but didn’t stay as I wanted to gauge my urinary function before spending a full day at work. I didn’t want to spend the day at the office peeing down my leg.

Not to worry. My urinary function is almost 100%. It’s a little difficult to hold it for a long time, it burns some to pee and there is still a little blood and tissue coming out, but not too much. The flow is much improved, it comes out like a firehose and then doesn’t last long because of the volume. When I’m done it shuts off immediately and doesn’t keep dribbling out like before. I wore a pad all day and there are traces of urine in it, but not much. I am very surprised.

I must say, so far so good. Tomorrow, one week after surgery, I plan to spend a full day at the office. Over the past couple of years, at least a half dozen times a day I’ve walked the length of our floor, about 100 yards one way, to go to the men’s room. I am very curious to see how that goes tomorrow.

The big test comes in December, with another PSA to see if the cancer is gone. But for now the relief of the BPH symptoms is much appreciated. I may sleep the night through tonight for the first time in years.

My restrictions are light activity for three weeks after surgery, i.e. no lifting of anything over 15 lbs, no pressure on the prostate region from cycling, riding a mower, golf cart, UTV, tractor or the like. Basically walking and other gentle low-impact exercise is okay. After that, the activity level is based on tolerance, with blood in the urine as the gauge for tolerance level. They said I can drink alcohol in moderation, but I think I will abstain for that three-week period.

As I was finishing up this post, my wife came over to see what I was doing. As a test, we messed around for a bit and I got an almost instant, full erection. I don’t think I’m quite ready to follow through on that, it’s still pretty sore down there, but it seems promising.

Sorry if any of this is TMI, but the reason I was interested in this board was to learn about such things. Inquiring minds want to know.

More to come as the weeks go by….

I have been following this board for a few weeks in anticipation of my aquablation procedure on 10-15. It was really helpful to learn about the experiences of others. So, now that I’ve gone through it, for what it’s worth here is my story.

My procedure was a little different…I am part of a trial to use aquablation to both reduce the prostate and remove tumors. I had a biopsy in July that indicated two prostate tumors with the lowest possible Gleason score of 6 (3 +3). Initially the recommended treatment was aquablation for BPH (my prostate was about 80 grams) and surveillance for the cancer. But a genomic test indicated the cancer cells were aggressive and this trial was just beginning, so I hoped to be included to have a chance of removing the cancer, reducing my prostate, and having the best chance of normal function afterwards. I am 54 years old.

The surgery was done 10-15. It was basically the same as aquablation for BPH, except 95% of my prostate was removed (all but the capsule which is where the essential parts are located). The surgery was delayed about an hour because an instrument had broken, but once started it lasted about two hours. I was in the hospital one night afterwards.

At first there was no blood in the urine which surprised the nurses, but eventually it started. Through the catheter they washed out my bladder with saline all night, as others have reported.

I had an erection the very next morning, which was a pleasant surprise. I went home with the catheter for six days, which was not pleasant. I would have liked to have been more active, as I felt like I was physically able to the next day, but when I tried to walk the catheter pulled against the tip of my penis, which was very irritating and painful. I finally decided to just wait until it was taken out. It was frustrating to just sit around for that long, feeling like you could do a lot more. Being patient was maybe the hardest thing.

They removed the catheter this morning. It was maybe the greatest feeling of relief I have ever experienced. It came right out without any pain or discomfort, and I passed the voiding test with flying colors. My urine was still pretty red. I went by my office afterwards just to check in, but didn’t stay as I wanted to gauge my urinary function before spending a full day at work. I didn’t want to spend the day at the office peeing down my leg.

Not to worry. My urinary function is almost 100%. It’s a little difficult to hold it for a long time, it burns some to pee and there is still a little blood and tissue coming out, but not too much. The flow is much improved, it comes out like a firehose and then doesn’t last long because of the volume. When I’m done it shuts off immediately and doesn’t keep dribbling out like before. I wore a pad all day and there are traces of urine in it, but not much. I am very surprised.

I must say, so far so good. Tomorrow, one week after surgery, I plan to spend a full day at the office. Over the past couple of years, at least a half dozen times a day I’ve walked the length of our floor, about 100 yards one way, to go to the men’s room. I am very curious to see how that goes tomorrow.

The big test comes in December, with another PSA to see if the cancer is gone. But for now the relief of the BPH symptoms is much appreciated. I may sleep the night through tonight for the first time in years.

My restrictions are light activity for three weeks after surgery, i.e. no lifting of anything over 15 lbs, no pressure on the prostate region from cycling, riding a mower, golf cart, UTV, tractor or the like. Basically walking and other gentle low-impact exercise is okay. After that, the activity level is based on tolerance, with blood in the urine as the gauge for tolerance level. They said I can drink alcohol in moderation, but I think I will abstain for that three-week period.

As I was finishing up this post, my wife came over to see what I was doing. As a test, we messed around for a bit and I got an almost instant, full erection. I don’t think I’m quite ready to follow through on that, it’s still pretty sore down there, but it seems promising.

Sorry if any of this is TMI, but the reason I was interested in this board was to learn about such things. Inquiring minds want to know.

More to come as the weeks go by….

@vtredwolf
You are not alone. I had surgery 10 months ago and experienced something similar. It persisted several months. I pursued physical therapy for pelvic floor. The PT wonders if it may have been brought on by scar tissue. The physical therapist gave me exercises and things seem to be improving with time. Hope this is helpful information.

@tiger14 all the best and yes it's mildly amusing 6 weeks post aqua how I can completely empty my bladder now in 6 or 7 seconds when before it took three times as long to coax out half as much.

@vtredwolf
Wonderful. Sounds like there is a capable Doctor out there. Could you tell me his name and location? I love to ask for his help.
I am sending you a message I wrote to a gentlemen asking about Aquablation.

I hope you are in good hands.
I had a Urolift in Birmingham Alabama. Total failure. I was urinating Every 4 hours. After the surgery every 2 hours for 2 years. Finally stopped up oversees had to be catheterized and came back.
Had a Aquablation in panama City Florida. After seven weeks still urinating every 2 hours and flow decreasing. I believe I am developing scar tissues at my bladder neck and or urethra.
I am a practicing physician for 60 years. I am very disappointed and puzzled with the care available out there. After 3 Urologist I am in worst shape than I started with.
I am in process of trying to get an appointment with Mayo Clinic. I am sure they have the best experience treating those incapable physicians messes and they can give me a decent old age life.