Aquablation: Post-surgery expectations

@b140 600cc? Really?

@vtredwolf to clarify…not on an ongoing basis. I had been set up for testing one morning to measure void and then an ultra sound to determine what was still in bladder. On the trip to testing facilities I was chugging water to prepare…so by the time I got there for testing…my bladder was much more full than normal. My guess is the median lobe (with prostate growth into bladder acting as a ball valve) likely closed with all that water. First result was 649cc left in bladder then went a second time and took it down to 600. No pain felt at all. The next morning I was unable to void at all…a first for me. At the point the self catheters were a must

@sorentj I am in Littleton, Colorado. My urologist is Dr Benjamin Katz. I am a Medicare Advantage member of Kaiser Permanente. Dr Katz just left KP & went to UC Health in Castle Rock , Colorado. His new employer makes him available to anyone, wheas before he only treated KP patients.

@b140 Yes, exactly my symptoms. I probably waited too long to agree to an aquablation and allowed my bladder to be permanently distented, hence not feeling a strong urge to urinate while retaining 600 ccs. Pre-surgery my urologist thought I probably would have continuing retention problems post surgery due to the bladder damage, but I've been lucky enough to have avoided that outcome, though it took me almost a month after surgery to be sure of that as things settled down. I hope you have the same good result.

Praying I have that kind of luck as well. On the 3rd March I’ll have a better idea of.

My latest update: Aquablation performed on 20 Jan, left hospital same day with catheter. Catheter removed 27 Feb. All seemed well until 4 Feb when bleeding and blood clots forced me into another catheter on 5 Feb. Got this 2nd catheter removed on 13 Feb. No more bleeding. Now, 2 weeks later, no burning at end of urination and no more urgent need to urinate. Saw urologist today, ultra sound of bladder had PVR of 60. All seems positive so far. Keeping my fingers crossed.

@stevedc1
Thank you for sharing your experience. I hope it keeps going well. Will be interesting to dee if your pvr shows continued improvement at the 2-3 month mark, although 60 ml is perfectly acceptable.

Just starting my journey to determine getting the procedure. Just want to thank all the posters here. You give me some solid reading to help in my decision.

@techee Thanks a lot for your detailed answer!

It's been seven months since Aquablation surgery and at this point I have mixed feelings about the outcome. My original goals for the procedure were: to decrease urination frequency and to maintain ejaculation. I can say that that I have maintained ejaculation, albeit not as abundant as it used to me. However, as far as decreased urination is a mixed bag. There are times that I can go for two hours or more without going to the bathroom, especially in the evenings. But most of the time I still have as much frequency as before Aquablation, every 15-30 minutes. I am frustrated. I have done research and asked the surgeon, and it seems that for some people it can take up to a year for the bladder to adjust. MD prescribed Solifenacin.

Has anyone here had the same experience?