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Aquablation: Post-surgery expectations
After decades of pills to (partially) manage BPH, I am scheduled for aquablation at Mayo JAX in mid-Feb. Has anyone had that procedure done? What was post-surgery like? What were your experiences regarding regular vs. retrograde ejaculation?
My expectations are high. My general health is good+ (71 yo), my prostate is enlarged but not massive, my PSA's suggest no cancer concerns. The surgeon expects a low-risk procedure (no incisions I believe) and a quick recovery (unless something unexpected pops up). I appreciate it's impossible to predict surgical outcomes with certainty - I would like to hear of others' experiences to help set my expectations.
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@icorus1959
Thank again for your experiences. So it sounds like you had a course of Cipro that did not clear an active infection correct? Then you were given a course of levo just prior to your procedure. Was the bug still there after your procedure and finally cleared up after your self treatment? I would very much like to speak to you about your experience. Im heading out for my appt midday with my urologist.
I will let you know how that goes.
@icorus1959
Heres a quick rundown of my experience so far.
In march I had a turp procedure and went home with a catheter for 7 days. The day after it came out I got a high fever. Was put on Cipro for 7 days. The Cipro ended three weeks ago. The fever went away and my dr felt the bug was likely gone but I wanted to know for sure. When I got the followup culture it showed serriata was still there in large numbers but no fever, chills etc. Since taking the cipro ive had some symptoms that might be attributable to the cipro, trouble concentrating, memory issues, shakiness and oddly my voice got very soft for a time.
@connect4321 I was completely asymptomatic...except my urine smelled revolting when I opened the bag. Also looked a bit funny. That's how I knew I was infected. I was on catheters for 4 months. 860-380-7807 is my number. I'm in Connecticut.
after having the aquablation, do you stay in the hospital overnight? has anyone been released the same day?
@billrtx How did the doctor determine you had a urethral adhesion? Did they have to do a cystoscopy? I am 5 weeks post my aquablation surgery where they removed a large median lobe that was pressing on my bladder and I still have to take Tamsulosin....and even that still yields a weak stream and lots of dribbling although it is intermittent. I have an appointment with my urologist/surgeon next week and am hoping not to need another cystoscopy.
Part of the problem might be myself as I returned to tennis about 4 weeks after surgery. However, since I never saw blood in my urine I figured it was okay to be active again. Hopefully I didn't screw anything up........Yikes!
@icorus1959
Thanks again for sharing your experience. One other question, did you have any issues with kidney or bladder stones forming during that long time with the asymptomatic infection and indwelling catheter?
@mirdad22
I realized that I had a urethral stricture at the position of the fossa navicularis (about 1 inch from tip of penis). At about 10 days post surgery my stream became very narrow. Cystoscopy confirmed this. I was given a few options for treatment, including more surgery. Instead I decided on weekly self catheterization using Fr14-16 catheters to keep the stricture from reforming.
More than likely the stricture occurred due to the tools used for this transurethral procedure. Good luck.
@connect4321 Thank God no!
@icorus1959
That’s good!
@albiet I have read that in some cases patients are do not require an overnight stay. I stayed overnight and am glad that I did. The nursing staff closely monitored the saline used to flush my system. They said that I would be released when my urine was clear or a light pink. I highly recommend staying over night if that is an option.