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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Had the surgery 12/24. The surgery was a non-event and went home with a catheter for 5 days. The catheter was difficult and happy when it was removed. Had bleeding issues for multiple months when exercising; even though I waited the prescribed 4-6 weeks of minimal exercise. The results of the surgery were noticeable and positive; less urgency, less bathroom trips, and strong stream, normal sexual activity. Had a setback after four months as painful urination, blood, and slowed stream came back which was the result of either calcified prostate tissue or perhaps bladder stones. Once removed all systems go.

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@jleeg

Have you ever used a Tadalafil or Tamsulosin prescription for BPH ( enlarged Prostate)? If so what were the results? What was your experience with the drug? Any side effects? I have not had any positive relief or improvement using either for several months, just bad side effects: headaches and dizziness and brain fog .

Have you ever tried using over the counter supplements such as Lycopene, B-Sitosterol, zinc and others separately or in combination. If so, what was the dosage and results.
Thanks for sharing.

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Used Tamsulosin for nearly two years; seemed to work but in the end had to do both artery embolization that failed and then aquablation. Tamsulosin is a muscle relaxer and does nothing to shrink the prostate; eventually it comes down to how comfortable or uncomfortable you are with the effects of BPH. I have heard from the radiologist who did the artery embolization that some form of dementia is connected to Tamsulosin. Did not check that out as I am no longer on the med.
Hope this helps.

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