Aquablation: Post-surgery expectations

Posted by Phil, Alumni Mentor @upstatephil, Jan 26, 2024

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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I believe my prostate was 81.
They stopped the flushing this morning but are now seeing red blood. They are going to flush manually pans see if all Is good before I leave

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Profile picture for albiet @albiet

I had my Acquablation done today.
The process was fairly straight forward. Got there early. Signed in. Blood taken. Waited then for surgeon and team. Very organized. I believe they preformed the surgery using a Hydros machine.

When I woke up I was in recovery with a high Foley catheter. This foley hurts more than the foley I had in me for the prior 3 weeks waiting for the surgery.
I believe it a larger size . Could that the pain in the head.

I’m staying over night in the hospital as the flush out the bladder with a liquid solution. Was told it’s basically clear right now.

I will
Continue to update
My questions
1- have others here had pain due to the foley ? does the pain stop once it’s removed?

2-I’ve read that it’s common to have blood and clots for the next few weeks. The fact that there is no blood in my flushing mean that I won’t bleed once it’s stopped and the

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@albiet 1. For me the catheter was not very painful, but it was an irritation. My urethra burned a little after it was taken out but that soon subsided.
2. My urine was clear when I was released from the hospital. It stayed clear for a few days, but then I overdid exercising and my urine turned dark red and sometimes included small clots. To held flush out the blood I drank lots of water and after about three weeks my urine cleared up. I experience urgency and wet my pants a few times over the next few weeks. If that happens to you, don't worry too much. It took about 3 to 4 months for me to realize the full benefits of aquablation. You should take it easy over the next three weeks to let your body heal. I over did exercising (going on long walks) and I think that prolonged my bleeding. After three weeks post procedure I suggest stepping up exercise gradually. Avoiding or at least limiting intake of carbonated beverages, caffein, and alcohol helped me to get urgency under control. I am now totally happy with the outcome of aquablation.

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Profile picture for kocour @kocour

@albiet 1. For me the catheter was not very painful, but it was an irritation. My urethra burned a little after it was taken out but that soon subsided.
2. My urine was clear when I was released from the hospital. It stayed clear for a few days, but then I overdid exercising and my urine turned dark red and sometimes included small clots. To held flush out the blood I drank lots of water and after about three weeks my urine cleared up. I experience urgency and wet my pants a few times over the next few weeks. If that happens to you, don't worry too much. It took about 3 to 4 months for me to realize the full benefits of aquablation. You should take it easy over the next three weeks to let your body heal. I over did exercising (going on long walks) and I think that prolonged my bleeding. After three weeks post procedure I suggest stepping up exercise gradually. Avoiding or at least limiting intake of carbonated beverages, caffein, and alcohol helped me to get urgency under control. I am now totally happy with the outcome of aquablation.

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@kocour thank you for you quick reply.i was just told , even though there is some blood , it’s become a light color and they feel I can leave shortly. They mentioned id get an anti spasm med , Tylenol and an antibiotic.
I will then need to call my drs offer to see when they will take out the foley.

What were people’s experience after the foley is taken out?

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