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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Profile picture for kocour @kocour

@albiet I have read that in some cases patients are do not require an overnight stay. I stayed overnight and am glad that I did. The nursing staff closely monitored the saline used to flush my system. They said that I would be released when my urine was clear or a light pink. I highly recommend staying over night if that is an option.

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@kocour thank you.
I am having the procedure in a few days and just found out i will be staying overnight. do you normally leave with a foley catheter in you or do they test you before you leave to see if you can pee on your own? when i did a rezum a few years back I had a foley for 5 days. i was wondering if this is that same.

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Profile picture for mirdad22 @mirdad22

@billrtx How did the doctor determine you had a urethral adhesion? Did they have to do a cystoscopy? I am 5 weeks post my aquablation surgery where they removed a large median lobe that was pressing on my bladder and I still have to take Tamsulosin....and even that still yields a weak stream and lots of dribbling although it is intermittent. I have an appointment with my urologist/surgeon next week and am hoping not to need another cystoscopy.

Part of the problem might be myself as I returned to tennis about 4 weeks after surgery. However, since I never saw blood in my urine I figured it was okay to be active again. Hopefully I didn't screw anything up........Yikes!

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@mirdad22
Did the weaker stream start soon after taking up tennis again? That could have spiked up inflamation which can definitely be an issue. Stop tennis for two weeks and take ibuprofin during that time. Then see if your stream has improved.

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Profile picture for albiet @albiet

@kocour thank you.
I am having the procedure in a few days and just found out i will be staying overnight. do you normally leave with a foley catheter in you or do they test you before you leave to see if you can pee on your own? when i did a rezum a few years back I had a foley for 5 days. i was wondering if this is that same.

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@albiet I had the procedure done at the Mayo Clinic on a Thursday morning. Was released from the hospital early Friday afternoon with a catheter. One catheter was designed to be worn on my leg under my clothing so that I could be up and about. At night I switched to a larger catheter bag that would get me through the night without having to empty it until morning. A nurse taught me how to switch between the two. On Monday morning the catheter was removed. I was then tested to see if I could pee on my own.
Some advice for post procedure recovery: take the prescribed meds, especially the anti bladder spasm pills (I tried to do without and regretted it). Drink lots of water (but not sparkling or carbonated as it may irritate the bladder). Do some walking to keep your body moving, but not too much. I over did the exercising and I think that may have set my recovery back. Take it easy for the first three weeks after the procedure. It took 3 to 4 months for me to fully realize the benefits of the procedure. I am now really happy with the outcome.

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