Aquablation: Post-surgery expectations

@psblin99 Still blood at the start of every pee. Not much but some. 17 days out. Feeling good. Did some light chores yesterday. Took a lot out of me!

Doctor still has me taking Tamsulosin and Finasteride until 6 weeks post op. Anyone with cold turkey stop experience?

I had surgery about 4 months ago. I saw dr and told me about pelvic floor being possible reason for my issues. I think it’s more than that. He did schedule me for a cysto in a couple weeks. Has anyone here had issues and had a cystoscooy? Was anything discovered and how did they fix it?

I had TURP 9 weeks ago and continue to have burning and inflammation. Dr. did cystoscopy and found debris in prostate. He promptly flushed it out. After talking to colleague who does HOLEP he thought it might be nerve inflammation and put me on Gabapentin. It has helped me a lot with symptoms and lack of sleep. Thinks my healing is going very slow.

@psblin99 I an now just shy of 4 weeks. No more blood or skin tissue. Still a little tired but all looks good!

I am 16 days post-aquablation, which I had done by a world class surgeon at a private London hospital. I think the recovery is going as well as can be expected, although the inevitable flash of blood at the beginning of urination continues to be a bit alarming, even though I was told to expect this; ditto, the burning sensation which can be greater or less depending, it seems, on the time of day. My urine, once it gets going, is often more or less a “normal” colour but it does turn rusty or tea coloured some days. I am trying to avoid beverages which will irritate the surgical site (and there is a great deal of advice online urging people to only have water for weeks post-aquablation) and am certainly not drinking alcohol. I am avoiding exertion apart from walking 15-20 minutes a day. My energy levels are only slowly returning to more normal levels. Nonetheless, I go back to work today - I am a swimming teacher, and will do a three hour shift later on today, trying to stay seated for as much of it as possible. My surgeon has approved this.
So, on balance, I am frustrated, I guess, by the slowness with which this is all resolving, but not experiencing any red flags to date. I feel that I was not told plainly how slow and uncomfortable the recovery would be.
Does any of this chime with others’ experience?

@rcwjrstreet Sounds much like me. The flash of blood and sometimes tissue lasted until about 7-10 days ago and the pink ended 4-5 days ago. Stream is good and only got up once last night. Energy is slowly returning but I would like faster. My advice is try to be patient. Brighter days are coming!

@psblin99 Thanks very much. That’s reasssuring.

I am currently 72 and had an aquablation done 5 years ago. Although the results are not perfect the procedure resolved a lot of my issues. I too feel fairly healthy (even though I’ve had 2 stents implanted in my LAD in the last 8 months). I am active outside, I lift weights on an U / L split 4 days a week, I’ve lost 12 pounds with a goal of losing 10 or 12 more (tirzepitide) and I eat healthy. My blood pressure is now controlled and the only serious struggle now is sleep. (I have to use gummies and or trazadone to get over 5 hours a night). I also fight with a CPAP. My weight loss goal is an attempt to resolve sleep apnea in order to nix the machine.)
I gave that rundown because I think my attempt at a comprehensive health improvement program is part of the reason the aquablation has been successful. My PSA is normal, I am no longer on tamsulosin, and wake up only twice a night to pee (most of that is due to my significant intake of water during the day to improve hydration) Although it’s not like it was in my 30’s I mostly wake in the morning hard and have normal ejaculation (less semen however) and normal sex drive. (I actively work on that part of my physiology too because I feel like if you don’t then you lose it.
Overall I’m happy with the results of the proceedure. Good Luck!!! Lift weights!! If I can do it you can too!

@rcwjrstreet I had aquablation done one year ago. I too was discouraged the first several weeks. But after about 4 weeks my urine was clear and I had pretty good control of when I urinated. I did experience urgency for a few more weeks, but as time progressed that lessened, and I awoke less and less during the night with the need to pee. So from my experience I can tell you that things will get better. One suggestion that I have for you is that you could probably increase the amount of time that you are walking. Perhaps do two or three different sessions per day when you walk 15 to 20 minutes.