Aquablation: Post-surgery expectations

@bookman65 Just want to mention I'm a road biker. I'm 14 months away from the procedure. Still peeing normally and no sexual dysfunction. I went on a 6 mile ride in September. I woke up the next morning with blood in my urine. First time since I healed from the procedure. I bought a more comfortable ergonomic saddle and thicker padded tights...haven't had a recurrence since. I didn't get back on my bike until 7 months after the procedure. Bike riding pounds into the prostate.

I had an aquablation done on December 4, 2025, and so far, things seem to be going well. To be entirely honest, I don't think my doctor did a very good job of preparing me for the aftermath. I've had to look online for the answers to most of my questions. For example, I play trombone in a couple of bands and was wondering about how soon I might get back to it. My urologist said I might want to wait a few days, mainly suggesting that the urge to urinate might hit me while onstage. But nothing about the potential dangers to the pelvic floor, etc., that I've been reading about. I am planning to try an hour-long Christmas concert tomorrow--will be a challenge because I'm currently able to go about 30-40 minutes between bathroom trips. Another thing I was a bit surprised about was returning to bicycling. I do a lot of Zwift riding, especially now that it's winter, and though I could just hop back on. But it looks like I should wait at least a month, if not longer. No one mentioned anything about sexual function, but it looks like I should be waiting at least a month, maybe six weeks before giving that a try?

One of the PAs who dealt with me in the hospital actually told me she usually suggests patients take two weeks off from work. Again, nothing like this came up prior to the operation. I'm a college librarian and largely sit at a desk/computer, but a week before the procedure, I was moving books around so that we could remove shelves and make the space more accessible, so there are times when it's a pretty physical job.

I was in the hospital overnight on December 4 and the original plan was to release me on the 5th, but there was enough bleeding that they kept me a second night and sent me home on Saturday the 6th. I have been urinating much more freely than before, though still see the occasional blood. I seem to have urine that ranges from light watermelon to orange in color. I can sleep for 4-5 hours at night, rather than getting up every 90 minutes or so, which was my experience before. I'd been having bladder stones develop every year and a half or so, so am hoping that this procedure will help prevent that.

I'm in Minnesota and the procedure was done at North Memorial hospital in Robbinsdale. My doctor was Dean Tortorellis from Minnesota Urology. Have a follow-up appointment scheduled for December 19.

I had an aquablation done on December 4, 2025, and so far, things seem to be going well. To be entirely honest, I don't think my doctor did a very good job of preparing me for the aftermath. I've had to look online for the answers to most of my questions. For example, I play trombone in a couple of bands and was wondering about how soon I might get back to it. My urologist said I might want to wait a few days, mainly suggesting that the urge to urinate might hit me while onstage. But nothing about the potential dangers to the pelvic floor, etc., that I've been reading about. I am planning to try an hour-long Christmas concert tomorrow--will be a challenge because I'm currently able to go about 30-40 minutes between bathroom trips. Another thing I was a bit surprised about was returning to bicycling. I do a lot of Zwift riding, especially now that it's winter, and though I could just hop back on. But it looks like I should wait at least a month, if not longer. No one mentioned anything about sexual function, but it looks like I should be waiting at least a month, maybe six weeks before giving that a try?

One of the PAs who dealt with me in the hospital actually told me she usually suggests patients take two weeks off from work. Again, nothing like this came up prior to the operation. I'm a college librarian and largely sit at a desk/computer, but a week before the procedure, I was moving books around so that we could remove shelves and make the space more accessible, so there are times when it's a pretty physical job.

I was in the hospital overnight on December 4 and the original plan was to release me on the 5th, but there was enough bleeding that they kept me a second night and sent me home on Saturday the 6th. I have been urinating much more freely than before, though still see the occasional blood. I seem to have urine that ranges from light watermelon to orange in color. I can sleep for 4-5 hours at night, rather than getting up every 90 minutes or so, which was my experience before. I'd been having bladder stones develop every year and a half or so, so am hoping that this procedure will help prevent that.

I'm in Minnesota and the procedure was done at North Memorial hospital in Robbinsdale. My doctor was Dean Tortorellis from Minnesota Urology. Have a follow-up appointment scheduled for December 19.

I had an aquablation done on December 4, 2025, and so far, things seem to be going well. To be entirely honest, I don't think my doctor did a very good job of preparing me for the aftermath. I've had to look online for the answers to most of my questions. For example, I play trombone in a couple of bands and was wondering about how soon I might get back to it. My urologist said I might want to wait a few days, mainly suggesting that the urge to urinate might hit me while onstage. But nothing about the potential dangers to the pelvic floor, etc., that I've been reading about. I am planning to try an hour-long Christmas concert tomorrow--will be a challenge because I'm currently able to go about 30-40 minutes between bathroom trips. Another thing I was a bit surprised about was returning to bicycling. I do a lot of Zwift riding, especially now that it's winter, and though I could just hop back on. But it looks like I should wait at least a month, if not longer. No one mentioned anything about sexual function, but it looks like I should be waiting at least a month, maybe six weeks before giving that a try?

One of the PAs who dealt with me in the hospital actually told me she usually suggests patients take two weeks off from work. Again, nothing like this came up prior to the operation. I'm a college librarian and largely sit at a desk/computer, but a week before the procedure, I was moving books around so that we could remove shelves and make the space more accessible, so there are times when it's a pretty physical job.

I was in the hospital overnight on December 4 and the original plan was to release me on the 5th, but there was enough bleeding that they kept me a second night and sent me home on Saturday the 6th. I have been urinating much more freely than before, though still see the occasional blood. I seem to have urine that ranges from light watermelon to orange in color. I can sleep for 4-5 hours at night, rather than getting up every 90 minutes or so, which was my experience before. I'd been having bladder stones develop every year and a half or so, so am hoping that this procedure will help prevent that.

I'm in Minnesota and the procedure was done at North Memorial hospital in Robbinsdale. My doctor was Dean Tortorellis from Minnesota Urology. Have a follow-up appointment scheduled for December 19.

@icorus1959 Thanks for sharing. Re my current hematuria (blood in urine) episode, I suspect and hope it's just from sitting too long in front of the computer that's abrading the prostate thus causing the bleeding.

Wife & I recently had a month-long pilgrimage in the EU that had us walking a lot almost every day and I never had hematuria. Now that I'm back on my computer for business, I've had another episode.

@bennysr
I had a TURP about 10 years ago. Perhaps 5ish years ago, I developed hematuria. My original surgeon wanted to repeat the TURP. The second opinion urologist, who was previously my urologist until a 4 hour wait caused me to change, suggested finesteride for the hematuria. Due to the potential side effects, I asked him to consider an every other day dose which he permitted. No longer a problem until this year, a bladder stone and horribly enlarged prostate (it grew back with a vengence) gave cause for the aquablation I had in August. So far so good and I'm off finesteride as as well as off tamsulosulin. As they say on tv: ask your doctor. Good luck!

@rdunncpa
How big did your prostate get ?
Mine is huge.