@wadaman01
Thank you for reaching out. When it comes to urgency issues after aqua it can vary quite a lot I know. Fortunately that was not a big issue for me, but early on during the first few weeks I would experience it off and on. I think it was more likely after drinking coffee and pop which no doubt irritated the raw tissue. A relative just had it done and his dr recommends all aqua patients take one oxybutynin tablet three times a day for the first week or so to prevent/reduce overactive bladder symptoms. You might discuss that with your doctor. It takes a long time to heal. Six weeks in i did a little yard work picking up small branches etc and still experienced soreness and bleeding. Now going on four months and things are great but even now i will sometimes feel a bit of urgency for fairly small voids. But at this point its like one step back two steps forward so looking forward to continued improvements although probably smaller ones at this stage. Much better stream and less getting up at night. Much better than before. I wanted to add that I too had a very large median lobe that needed to be treated. Ive read that can be tricky especially when it is protruding into the bladder like mine was. I assumed that means a greater likelihood of the aqua stream affecting bladder tissue and likely a greater chance of causing urgency issues. Eventually healing should take care of that but like i mentioned medication can help calm the bladder and make it less susceptible to spasms and feelings of urgency.

@wadaman01
AI seems to agree with the advice I shared.