Aquablation: Post-surgery expectations

Well I guess I should have read how far along you were in your journey. I got excited to post something since i was so late. I was just googling something else when I noticed my username in the Aquablation thread. You got er whipped!! Congratulations and continued good health to you.
Mike J

75 yo who has been treating BPH (180 gm prostate) for the last 10 + years with alpha-blockers, but finally decided to pull the trigger and seek a surgical solution. After a good deal of research and discussion with my urologist, I decided to go with Aquablation. Surgery went smoothly, but I did develop some urethral adhesion (possibly due to minor injury from catheter or tools used) which was causing a weak and somewhat erratic stream. I needed to have an office procedure to clear that. Now, 7 weeks after surgery, stream is strong and I'm sleeping much better at night, having to get up only 1 or 2 times. I do experience some urgency and minor leakage at times, but hoping that will improve in the coming months. I'm interested how others are doing after a number of months.

@billrtx - Sounds like you're nicely progressing post aquablation. I am 6 1/2 months post and feel I am 97% back to normal with all the BPH symptoms gone. I'm pleased I had the surgery and I expect you will continue with small additional improvement in the next few months. Congratulations on a successful surgery!

Hi all, I have been dealing with BPH for 10 years now and my prostate is around 80 grams and has been squeezing my urethra hard enough for me to use catheter to empty my bladder for the past 4 years! I have avoided TURP and other procedures but when I found out about aquablation, I became hopeful. Reading your posts have definitely given me a better perspective whether I do the procedure or not. My Dr. wants to do a biopsy to rule out cancer and view the inside of my bladder to map out how to avoid the ejaculation tube and the bladder mouth (map out the procedure). Has anyone gone through the same steps before your surgery? Also, any one with Reverse Ejaculation issues as well as Erectile dysfunction symptoms? If so, any reversals?

Can you help me understand why several men seem to prefer dealing with the discomfort and invconvenience of a catheter over just getting treated, with TURP or other options? Why not just get treated?

I've had a foley catheter for 8 months. I enjoy being able to sleep through the night. Waking fully refreshed instead of getting up just as tired as when I laid down. I had BPH for 20 years. My prostate is 139 cc and I'm having trouble finding a doctor who can do the procedure. Of course I'm 81 years old, if I was 60 I can see there would be a problem. LOL

I can't answer why some men prefer a catheter. But having had aquablation, I can honestly say that experience was hardly a walk in the park.
Four months after the procedure I'm not measurably better than I was before the procedure.
I am now wearing Depends, which is certainly not an improvement. I usually have to urinate sitting, rather than performing that task the old fashioned way, standing.
Will see my urologist in a few weeks to go over some issues.

Please read my post I did for my husband, Sharing post op experience. Pre op he had a cystoscopy in the office and an MRI, to look at size, positioning , median lobe etc. The results are amazing, now at 6 week post op point, not 1 issue at all, he just wishes he would have done it sooner.

Five weeks after my Aquablation I’m doing well (good stream!) except for a very strong feeling of urgency to pee — sometimes before my bladder is full. When the urge suddenly hits, I can barely make it to the toilet in time. Doctor told me kegels can help and he also prescribe gemtesa to relax the bladder.
Has this happened to others post Aquablation and, if so, how long before the issue resolves itself?

@tag30 - Five weeks is an awfully short time! Your post-aquablation recovery will probably extend for several months with all impacts slowly diminishing over time. I certainly recall that sudden-onset urgency...but those feelings gradually became less frequent before ultimately disappearing.

I am seven-months post and believe I'm 99% of the way to full-normal. And that feeling is great and worth the effort you're expending, now. Best of luck!