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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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kocour | @kocour | 8 hours ago
In reply to @albiet "i am about 25 days from the date of my operation. I am noticed some positive..." + (show)
Profile picture for albiet @albiet

i am about 25 days from the date of my operation. I am noticed some positive and negatives. each week has been better but im nowhere near perfect. Since i was in full retention for the month prior to surgey, anything is better than that. when i get up in the morning the most i can pee is about 225. I know there s a lot still left in me, I usually pee 2 more time in the next hour to get around 400mo out of me. i also notice i have to push. nothing comes too easy. im aslo very sore esprcially after i pee. at what point is it what you are doing is your best? is this as good as it gets?
would be reat to hear from others. thanks

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@albiet -- Are you drinking sufficient amounts of water? I drank extra water for the first several weeks after aquablation. I think that helped flush out my system. I noticed improvements over time. I am now 10 months past the date of my procedure and am very happy with the results. (I was told to avoid carbonated beverages because they can irritated the bladder.).

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albiet | @albiet | 6 hours ago
In reply to @kocour "@albiet -- Are you drinking sufficient amounts of water? I drank extra water for the first..." + (show)
Profile picture for kocour @kocour

@albiet -- Are you drinking sufficient amounts of water? I drank extra water for the first several weeks after aquablation. I think that helped flush out my system. I noticed improvements over time. I am now 10 months past the date of my procedure and am very happy with the results. (I was told to avoid carbonated beverages because they can irritated the bladder.).

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@kocour im not sure what is enough. my dr said "if im thirsty drink, no need to go overboard." i have no been peeing blood out since the first week. Also only had 1 huge clot come out and that was on day 4, the day after the cath came out. when did you see your flow really improve?

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fireman123 | @fireman123 | 4 hours ago
In reply to @albiet "i am about 25 days from the date of my operation. I am noticed some positive..." + (show)
Profile picture for albiet @albiet

i am about 25 days from the date of my operation. I am noticed some positive and negatives. each week has been better but im nowhere near perfect. Since i was in full retention for the month prior to surgey, anything is better than that. when i get up in the morning the most i can pee is about 225. I know there s a lot still left in me, I usually pee 2 more time in the next hour to get around 400mo out of me. i also notice i have to push. nothing comes too easy. im aslo very sore esprcially after i pee. at what point is it what you are doing is your best? is this as good as it gets?
would be reat to hear from others. thanks

Jump to this post

@albiet My experience has been very good. I checked into the hospital on April 16, had the aquablation done that afternoon, stayed the night and had the catheter removed then next morning and drove myself home. It did burn a little for a few days, but I had some meds to help with that, along with about 3 days of antibiotics. By the end of the first week, no more blood in urine and I was peeing like I was 18 again! I don't measure the amount I pee, but I do pee completely empty. If I pee before I go to bed I no longer get up at night. I used to get up 6 or so times a night. Other than RE, I am more than satisfied with this procedure. I had a TURP 10 years ago, and a PAE 1.5 years ago. This has given the best results for it's intended purpose.

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albiet | @albiet | 3 hours ago
In reply to @fireman123 "@albiet My experience has been very good. I checked into the hospital on April 16, had..." + (show)
Profile picture for fireman123 @fireman123

@albiet My experience has been very good. I checked into the hospital on April 16, had the aquablation done that afternoon, stayed the night and had the catheter removed then next morning and drove myself home. It did burn a little for a few days, but I had some meds to help with that, along with about 3 days of antibiotics. By the end of the first week, no more blood in urine and I was peeing like I was 18 again! I don't measure the amount I pee, but I do pee completely empty. If I pee before I go to bed I no longer get up at night. I used to get up 6 or so times a night. Other than RE, I am more than satisfied with this procedure. I had a TURP 10 years ago, and a PAE 1.5 years ago. This has given the best results for it's intended purpose.

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@fireman123 great to hear that its working great. do you still feel urgency at times?

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