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Post aquablation & an overactive bladder

Men's Health | Last Active: Jun 3 10:32am | Replies (118)

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Profile picture for hobari @hobari

@rolfwi I had aquablation 6 days ago, so I'm now where you were at on November 23, 2025. I am also a very active 70 year old who normally swims 2000 meters 4 days a week and hikes or bikes on the other days of the week. I agree the catheter was awful to contend with but thank goodness that part is over, and although it is disconcerting to continue to see blood and blood clots in my urine, I am fortunate enough to otherwise be healing fast. My number one, biggest concern now is not to be stupid and sabotage my recovery by re-engaging in any of the forgoing physical activities before it is really safe to do so. I want to be very disciplined about it, but I've read a lot of different advice about waiting 2 to 4 to 8 weeks before doing so. What was your experience and how did it turn out? Do you think you could have started up again sooner or should you have waited longer? I think good vigorous exercise is key to a good old age so I want to spend as little time as is prudent being so inactive.

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Replies to "@rolfwi I had aquablation 6 days ago, so I'm now where you were at on November..."

@hobari
I had aquablation at the Mayo Clinic in mid August. The week after the procedure I avoided strenuous activity, but started walking several miles a day. Prior to the procedure I was doing a lot of long-distance bicycling. Since I was told not to bike for at least six weeks I thought walking would be a good alternative to help me stay fit. But I think I over did the walking. About a week post aquablation my urine went from clear to dark red and sometimes syrupy. I also passed some small blood clots. My urine stayed dark red for almost three weeks and then gradually cleared up and has been clear since. From my experience I would recommend to other men having aquablation to not be too active for three to four weeks afterward, drink lots of water to help clear up your urine, and don't get discourage if you have blood in your urine. It will hopefully clear up after a few weeks. The good news is that several months after the procedure my urine flow is usually strong and I wake up less frequently from the need to urinate during the night. I have no issues with erections or ejaculation. I experienced some urgency to pee for a couple of months after the procedure, but now that has almost totally stopped. So take it easy for the next three to four weeks. There will be plenty of time to get back into shape, and if your experience is like mine, aquablation will greatly improve your quality of life.

@hobari the more you do the more you'll bleed and the slower your recovery. Yes, you're stir crazy, we all were. Sitting around is miserable, but keep it really light for 3-4 weeks or whatever your doctor tells you. If I walked too much, increased blood in the urine, lift heavy stuff (just a few bags of mulch) increased blood, etc. Your doctor cauterized bleeding, if you reopen those vessels you might be back in the hospital. Just my opinion.