Post aquablation & an overactive bladder

@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.

Thanks - very helpful, Where did you have the procedure done, and by whom?

@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. 👍

Hi everyone! I am a 57 years old, prostate was 65cc. Had aquablation on Nov 4th, 2025. One hospital overnight. Went home w catheter for 7 days.

Recuperation has been a "hell on earth" experience. I am still having urgency, pain and urgency as of today. Symponts had improved a bit. Symptons include the urgency to defecate after urinaring. Five visits to the ER, and one to Urgent Care. The reasons?

°Foreskin not been place pack (I am not circumcised). On same day of discharge.
°Blockage of catheter (2 times)
°Heavy bleeding
° UTI symptoms (2 times)

The positives?
° Stream is strong
° Ejaculation is more voluminous than before the surgery.

A CT scan (during an ER visit) discovered a small kidney stone. I believe my aforementioned symptoms have been exasperated by the kidney stone. Bad timing!

Conclusion:
I am still recommending this procedure. The post op "suffering" is just a pay to price for the long term benefits. I know my symptoms are the result of OB along with the kidney stone.

Please have emotional and close support for this procedure. I live by myself and going through this procedure during the holidays have taken an emotional toll and had extended recuperation.

@connect4321 interesting. An alternate approach is used by my Uro's practice. They perform PAE just prior to the aquablation to reduce bleeding and complications. The good news is I only had the catheter for 24 hours, but it is a separate procedure.

@vtredwolf
That is interesting. I have not heard they use PAE as a way of reducing aquablation complications.

@connect4321
Thank you very much for your supportive response and encouragement. How are you doing now after three months do & do you still recommend aquablation?

@steven112
I am now a little more than three months post procedure and doing well. Right at the three month mark I noticed everything seemed to be working well. Just like my doctor’s office predicted. They kept saying the three month mark is when most people seem to be pretty well healed and that has been true for me. I have good size voids of 200-300 ml and very good flow rates. I have zero concerns about having any more episodes of not being able to go. I do recommend the procedure. If there is more than one aquablation provider available i very much recommend picking one that is into communicating with his patients.

Hi, my urologist is saying that medicare requires a biopsy within 6 months of Aquablation. I had never heard this from other doctors when I talked to them. I already had a biopsy 4 years ago which was benign. At the time of last biopsy my PSA was 6.07 and now its actually lower, 6.02. I don't see why I need a biopsy again, my PSA has been stable, and now I don't trust this doctor if he is telling me the truth. Because the first time he told me I needed biopsy, his reasoning was that my PSA had gone up, but when I checked my records I found out my PSA had actually gone down. Now, his reasoning has changed and says that its not him, but medicare that requires that for every patient needing Aquablation. Did any of you have to have a biopsy before your Aquablation? Have you ever heard this before?

@connect4321 I had an Aquablation just 1 month ago for a 140 cc prostate with a large median lobe. Recovery has gone well I believe, but I still have a lot of urgency. I need to be close to restrooms if I'm out of the house because the urge will come with little warning sometimes, and when it does, I have to go immediately. Was this your experience at 4 weeks out? If so, how long did it last? Anything else I should be looking out for at this point?