@joseflesh You're only 5 weeks post aquablation, way too early to be panicking. You're experiencing many of the same issues that many of us faced and you'll continue to have ups and downs until you get to 3 or 4 months with continued lesser improvement to follow. The pain during orgasm is not uncommon and should get better, mine felt like a spasm in my lower groin. I had the same problem which took about month 3 to go away just like my doctor told me it would. I had a great recovery other than that until about 8 weeks when my urgency and frequency suddenly increased. I thought I had a urinary tract infection at 10 weeks, but my urine tests showed leukocytes and no nitrites exactly like you. The leukocytes can be just due to the inflammation in your prostate not necessarily infection, but a simple urinalysis will answer that question. It also showed red and white blood cells even though I could see no visual indications of blood. I don't think any of that is uncommon or a reason for major concern, but check in with your doctor. I'm at 3.5 months now, the pain during orgasm is gone. I still have some minor burning in my perineum area and a little irritation in my urethra some times, but I think that will continue to get better over time. You just had major surgery on your prostate, at 5 weeks don't expect too much, but by all means check in with your doctor. If it helps your experiences are very similar to my own. We all are own journey and I think how old you are, how long you delayed treatment (and damaged your bladder) and of course a little luck all play a factor. You'll read here cases where guys have had poor recoveries and others where they were complication free and never looked back after 6 or 8 weeks. Keep the faith, I think you're going to do great, but it's going to take a little more time.