@vtredwolf -
"My case is very similar to yours and with that large median lobe less invasive options won't be effective". - I'd noticed your posts as I scrolled through them all and at that time noted the similarities. I'd like to go back to re-review your earlier posts...is there any way to recall just an individuals postings in this group without scrolling through all posts?
Yes - the minute I was told I had a choice of a foley or self catheter...I knew I wanted to move as quick as possible into an appropriate surgery. While the post surgery bleeding and the clogged catheter issues concern me...I still believe this was the best choice to address the issue. Since I'm traveling to Austin, (taking a friend along for assistance for the first few days), and staying in a hotel for the first 3 days then moving to a relatives mostly unoccupied apartment for the anticipated 3 weeks...that's adding a bit more stress and planning. Would have preferred to stay at home...but this surgeon comes very highly recommended, (has done over 2k aquablations I've noted), and I was able to arrange surgery in February as opposed to early April with my local urology surgeon. Seeing some of the comments in the posts suggesting experience is everything, I guess the extra stress is probably worth it. Dr. is telling me to plan on staying in Austin for 2 weeks beyond the catheter coming out...which will be in for 7 days.
Was it ever discussed in your case that your bladder had been damaged (temporarily or permanently) in any way due to longer term retention? This is what concerns me the most since my issues started in 2017. The thing is...I never felt any discomfort due to retention...it was more a weak stream and staccato voiding that bothered me. Most the time I never got up at night...just was not a problem sleeping.
And yes, I agree that the forum likely fields more negative results since those with the best experiences are less likely to join any sort of a support group but instead put the experience behind them.
Thanks again for reaching out and I'll definitely follow up with outcome...likely as I progress.
@b140 the doctor said from my initial cystoscopy that there was some thickening of the bladder wall which could effect my results. He said my results would likely peak around 3 months. My first couple of months everything was great, the third month I had increased frequency and urgency which lasted for a few weeks, but it has settled down somewhat. The doctor recommended i start pelvic floor therapy which i start this week, will see how it goes. My aquablation was in September. I have to urinate once or twice at night and probably go on average 8 or 9 times a day. I can hold it if I have to, sometimes as long as 4-5 hours between bathroom visits, sometimes 1-2 hours. Am I back to normal? Who knows what that even is. I've had symptoms for 15 years and probably should have had surgery 5 years ago, but I had a poor urologist. Wasn't until he retired that my new Uro set me straight. Anyway, every case is different, but don't be discouraged if the first few days are frustrating or you have setbacks, we all have ups and downs during our recoveries. To be honest I felt like I could have gone back to work a few days after my catheter was out. Week 2 bleeding increased. Week 3 things got better right on schedule.