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Post aquablation & an overactive bladder

Men's Health | Last Active: 1 day ago | Replies (88)

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Hi Everyone,
I’m scheduled to have Aquablation for BPH in 4 weeks. I am very concerned about bleeding after the procedure. I asked my surgeon what he will do to control bleeding. He said that he does spot cauterization only at the opening of the bladder neck area. He said he doesn’t go into the prostate area for cauterization because of the risk of impotency. When I go to AI, it tells me that this surgeon is not skilled enough and cauterization should also be done inside the prostate. Do you know if your surgeon limited cauterization to the bladder neck area or should it be done the way AI suggesting? I appreciate any feedback. Any of you have. Thanks so much!

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Replies to "Hi Everyone, I’m scheduled to have Aquablation for BPH in 4 weeks. I am very concerned..."

@steven112
Connect4321 sent me a Aquablation video. In that video surgeon went into Aquablation area, cut and couterized a lot of tissues which were left after the surgery. You might look at it.

@steven112
I have done quite a lot of research on aquablation and had the procedure three months ago. Aquablation protocols have evolved over the past few based on studies on the thousands of procedures that have been performed. Early on bleeding issues were pretty common with aquablation. Those issues have been largely addressed. What they now recommend is that following the procedure the doctor uses what is essentially a hot electric probe to remove fluffy tissue that remains after the procedure. This lets them look for and cauterize “bleeders” or exposed veins. These most commonly occur in two places near the bladder neck area so this is where doctors go and look for and treat them. What your doctor told is the most up to date approach based on years of outcomes data. You’re good to go. 👍