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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Thank you for your reply.
My bleeding slowely stopped after about 6 weeks. Now in my 10th week for the last few days off and on.
I'll bleed for a few urinations with or without clots.
Then go back to a light yellow urination, the first time since the surgery. Dr said it was normal? Have you experienced this?
I thought I was the only one going this long with problems after aquibation now in my 10th week. They advertise it and you read most men are fine after 5 weeks. Are we just the unlucky ones, or there are other guys out there who have suffered as long. Let's hope we get some more replies to see that we're not the only ones.
I know a few men who had aquablation, and they are generally satisfied after a few months.
One fellow I know had to have the procedure repeated within a week or two, because the first effort left him unable to pee at all. But after the 2nd procedure, he recovered quickly.
I know several men who had TURP. One of them is not fully recovered over a year after. He urinates better than prior, but he can't control the direction, so he sits to urinate.
A lesson to be learned, don't rely on doctor google for a post surgery analysis.
I wish mine was going as well. Also had aquablation surgery at Arlington Hospital 6 weeks ago. Frankly, I'm not sure that going through with surgery was a good idea. I'm in a much worse place than I was pre-surgery on practically every metric. I have intense pain when urinating. The need to urinate is more frequent and I'm also having problems with incontinence which is entirely new. I just feel ground down by this whole experience. I've had to cut back on my travel and sleep is intermittent.
Tell me it will get better...someday..??
Who was your doctor who did the Aquablation surgery?
My experience was similar.
Surgery in May, for several months I was worse than before the surgery.
It took an unexpectedly long time to start to feel some improvement.
Now, 6+ months later, there is noticeable improvement.
But I haven't gotten to the point I was prior to surgery.
Currently trying to wean myself off of the Depends.
Pain on urination has subsided a lot, but still feel some discomfort.
Flow is ok, but inconsistently so.
Urgency comes and goes. Usually waking to urinate 2 times per night. After surgery I was getting up as many as 4 times a night. Prior to surgery I was getting up 1 time in the middle of the night.
So, all in all, my urination issue was better before surgery, regressed a lot following surgery, and is only recently, 6 months later, showing improvement.
Hoping to get to my pre surgery situation soon.
I’m just about 4 months out from Aquablabation surgery. Almost everything is normal. Urgency problem is gone, thank goodness. The only thing that is slightly disappointing is the strength of my stream and the inability to completely empty (I’m probably at 80 to 90% empty after urinating). It’s definitely way better than before surgery but I’m not “peeing like a teenager again” as some guys have reported. Definitely acceptable but I feel like it could be even better. I haven’t talked with my doctor about it but I’m guessing that my age (73) and my weary and weaker old bladder may be holding me back some.
Anyway, still very glad I went through surgery. And for those still struggling with post surgical issues, hang in there. Many symptoms resolve themselves with time.
I was asymptomatic until June. Acute Retention shut me down completely and I lived on a catheter for four months. Lots of bad things happened on the way to aquablation, which I knew I wanted versus Holep. Surgery was the end of September. My prostate was 110 grams and I had a trans perineal biopsy to ensure there was no cancer.
Surgery lasted about 75 minutes. I needed to stay in the surgical ward under quarantine, as the long term catheter use infected me with Seratia bacteria. I bled a lot and stayed an extra night in the hospital. Surgery on Friday, discharged on Sunday. I was supposed to have the drain catheter out on Monday...but I was still bleeding too heavily. The spasm from the drain catheter were the worst part. The catheter came out on Friday...a week after the procedure.
I drank 3 quarts of water every day. At around day 17 the bleeding completely stopped with no more clots being passed. I only had two or three days of passing clots. From the very first moment the catheter came out, I was peeing like a racehorse. For the first two weeks it was every ninety minutes...both day and night. By the start of the third week, I was back to 4-5 times during the day...once per night. Volume is much greater than I was passing before the procedure. I haven't peed like this in years...maybe decades.
Semen is being ejaculated forward and out. I do not think my penis is any shorter, which is good. I've never been the biggest tool in the shed. I am on a steady diet of pumpkin seeds, salmon, tomato sauce and green tea. I do not want to go through this again in ten years...but I highly recommend aquablation. Just be prepared to bleed for a while if you have a larger prostate.
Thanks for the update! Where did you have your aquablation and who did it?
I had my operation at Middlesex hospital in Middletown, Connecticut. Doctor Ed Myer. He operates two days per month and does 5 aquablations in a day. He is the only surgeon in the state of Connecticut who does aquablation...and it takes a while until you get an appointment...but highly recommended. The nurses and care I received at Middlesex was outstanding!
I'm scheduled for Aquablation in February assuming my Urologist confirms I'm a good candidate when he does the cystoscopy. I've had BPH symptoms for years, 73 gram prostate, got put on tamsulosin and solifenacin and went from getting up 4 or 5 times a night to zero. I do have to pee around 10 times a day and have a low flow but my question is this: If I want to get off the meds (I don't like the way I feel on them plus the retrograde ejaculation thing) is that a good enough reason to have this procedure done? I'm also curious if anyone else had this done for that reason alone? My normal Urologist wanted to do TURP, as that's all they offer but I found an experienced doctor who offers it a bit further away. Opinions please?