Aquablation: Post-surgery expectations

Very sorry you had complications - I know first hand how awful a catheter is. Aqua does not remove all the Adenoma of the prostate, maybe 50% or so. It depends on how it's programmed and how many passes it takes. More importantly, the instrument does not rotate 360 degrees but around 225 degrees leaving 135 degrees of tissue untouched. This can grow back or possibly be the cause of the curtain of tissue. As mentioned the surface is very rough and bleeds requiring another instrument for cautery. I loved the idea of better chances of normal ejaculation with Aqua but chose HoLEP to avoid some of the problems and a better chance of "once and done". Hope you are feeling better soon

63 active male with a rather large prostate of 130g. Brother had aquablation and results were great for him. On Tamsulosin. Was getting up 2-3 times a night, very weak stream, always felt like I could never empty my bladder.
Surgery was Jul 14 in Middletown CT. The local Dr here was one of the first to bring this surgery to CT. He was great and experienced One overnight stay in hospital, 3 more days with the Foley catheter. Zero pain throughout the entire process. The thing I hated was the catheter- it wasn’t painful, just uncomfortable. In general, the more fluids I drank, the clearer the urine became. 5 weeks out and in general clear urine. A few incidents where I had some blood and a clot come out, even as recently as 4 weeks post surgery.
Post op appt today and dr said this is normal and if occasional blood, not to worry, drink more water and rest. Obviously if a lot of blood to call him.
My other issue I told him about was leaking. I have been using a female panty shield to catch the leaks. He told me to try pressing the prostate after urination to help with the leaks. I have to say, this seems to work and is so simple that I figured I should post in case someone had the same issue. Sex is the same as before surgery. Off Tamsulosin as well. I get up once per night and seem to fully empty. Stream is strong (told my wife I might be able to chip the porcelain off the toilet, lol).

Further update. Visited aqua surgeon yesterday 8/21 to discuss and scoped to determine why I have significant bleeding after running and also episodic discharge of material when urinating. Prior to visit I had a CT scan of the area. The results of the scan showed calcification of prostate. The scope showed a "garden of stones" which seems to be the culprit in terms of bleeding and discharge following a run. These stones are a result of the healing and is the first time my surgeon has encountered this after aqua. So what to do; three options presented; 1. Do nothing and deal with bleeding and discharge of material haphazardly; 2. Laser the stones which may require a catheter for a short period (the worst part for me); 3. laser the stones and the prostate which should provide more of a guarantee to stop the bleeding. Option 3 will require a longer recovery time. I have a decision to make. Has anyone else experienced this calcification/stones issue?

Dr. Myer is outstanding. I also had a lot of bleeding. Lived on a catheter for four months before the procedure. Large prostate that was completely asymptomatic...until I couldn't pee at all. I stayed an extra day at Middlesex. I'm a year out and still peeing like a racehorse.

I am about 10 days post op. I went home with a catheter after staying in the hospital over night and it was removed 6 days later. My flow after catheter removal and for the next 12 hours was astounding, but then quickly went back to about where it was before the procedure, maybe even worse, and has stayed there for the most part. I feel lots of pressure as if it is mainly the urethra blocking flow, and I get occasional bloody urine at the very beginning but then mostly clear. The urologist told me multiple times that things would get worse before they get better, but it is discouraging to see the reduction. I know I am early in the recovery process, but I hope to start seeing improvement soon.

After my experience with urolift then going to a major ranked hospital (KUMC) and my experience (6 weeks of misery) with Aquablation recovery and then only 7 months of good result. Then like flipping a switch, back to same as prior to surgery and on flomax. I can live with flowmax, but that 7 months was really nice!

Then I really don't get the answers that explain what happen after 7 months, I posted that in other threads.

Thinking if I ever try another surgery, I may do the old gold standard TURP? They have mention a more aggressive aquablation on really push hard for HoLep, but from what I read most, I am not impressed with HoLep.

Just out of curiosity what is it about HoLEP you are not impressed with?
Thanks

I just don't see enough people saying that it was really great and seems too many having leakage issues. Also, I have a friend that had it done and leakage issues still and it been a month. Would like to see 80 percent of post saying how great it worked.
But then I would bet those that all went well and things were great don't get on here and post.
Then I was told how great Urolift was- wrong. Then by a different doctor and facility how great Aquablation was- only lasted 7 months and recovery was not what they said. In fact I think a resident did the surgery??

The good news is that over the last couple of days things have definitely improved for me, and while flow is not as good as it was immediately following catheter removal [9 oz in 15 sec] it is definitely better now [8 oz in 16 sec] than it was before the procedure. Still some occasional pink right at the start but then mostly clear. I can tell the urethra is still healing as there is pain along the length when sitting down or bending forward to get up, and still some occasional burning and mild pain when urinating. No need for any pain relievers since the catheter removal. I have been walking every day since about day 4 with no observed adverse affect. I am encouraged by this progress.

That’s great to hear. Have you seen any clots come out in the last few days?. That could be the reason for the increase.