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Aquablation: Post-surgery expectations

Men's Health | Last Active: 47 minutes ago | Replies (460)

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Profile picture for Blaze @mkaften

I had Aquablation about 3 months ago, and although my BPH symptoms are mostly gone, I'm still not 100%. Peeing stream is now strong, although there is still some urgency. I clearly have a long way to go.

After reading about many people's experience with the procedure on this site, I've come to several conclusions. Number one is that, contrary to popular belief, there is no such thing as a "standard" post-op experience. Everyone will have different outcomes, and time to full recovery varies. If your outcome was different from lots of others, that isn't necessarily anything to worry about. The prostate requires a lot of time to heal, significant swelling can go on for a time, and bleeding may continue. Urination will normalize, but this may take much longer than anticipated. Perhaps there is not enough publicizing of these facts. Most men go into this with certain expectations, most of them based on advertisements on the internet, and explanations of the urologist. In fact, the outcome depends on a LOT of variables, among them:

-the expertise and level of experience of the urologist/surgeon (this could be the most critical factor),

-the size of the prostate,

-the amount of tissue removed,

-possible nerve damage,

-the length of time that the catheter is in place,

-the reason for the length of catheter time,

-the condition and health of the bladder,

-the condition of the urethra and how much damage was done in the procedure,

-the amount of physical or sexual activity and how early after the procedure it began.

I believe that urologists should be more up front about the fact that the outcome has a lot of unknowns. I'm still glad I had the procedure, but I'm disappointed that I only found this web site after going ahead. This site has been extremely valuable.

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Replies to "I had Aquablation about 3 months ago, and although my BPH symptoms are mostly gone, I'm..."

@mkaften Excellent post, thank you.
This goes for HoLEP also, the treatment I selected. I follow the Aquablation posts to compare post op recovery to mine. Surgical skill/experience is paramount, even if you have to travel to get the best care possible. Don't settle for any compromises