How do I treat a large prostate without losing sexual function?

Posted by mthomey @mthomey, 1 day ago

I was told I should have aquablation to help me urinate. Does that cause a loss in sexual function

Interested in more discussions like this? Go to the Men's Health Support Group.

Aquablation is an advanced, robotic-assisted surgical procedure that treats an enlarged prostate (BPH) by using a heat-free waterjet to remove excess tissue. It is performed under anesthesia with no incisions, resulting in durable, long-term urinary relief while significantly reducing the risks of sexual dysfunction compared to traditional surgeries.How It WorksDuring the procedure, surgeons use a combination of a cystoscope and real-time ultrasound imaging to map out the exact size and shape of the prostate. A robotically controlled waterjet is then deployed through the urethra to precisely remove the tissue blocking urine flow, a step that usually takes just a few minutes. The heat-free nature of the water stream helps protect the surrounding nerves and anatomy that control sexual function and continence

Don't know if this helps . . .

REPLY

Can I ask whether your doctor also suggested HoLEP surgery?

Understand, I’m not by any means advocating for it; it’s just that I’ve been unsuccessfully dealing with urinary retention for about 2 months now. After a cystoscope, my urologist recommended HoLEP over aquablation, so I was curious whether his preference is common.

REPLY
Profile picture for wrzakers @wrzakers

Aquablation is an advanced, robotic-assisted surgical procedure that treats an enlarged prostate (BPH) by using a heat-free waterjet to remove excess tissue. It is performed under anesthesia with no incisions, resulting in durable, long-term urinary relief while significantly reducing the risks of sexual dysfunction compared to traditional surgeries.How It WorksDuring the procedure, surgeons use a combination of a cystoscope and real-time ultrasound imaging to map out the exact size and shape of the prostate. A robotically controlled waterjet is then deployed through the urethra to precisely remove the tissue blocking urine flow, a step that usually takes just a few minutes. The heat-free nature of the water stream helps protect the surrounding nerves and anatomy that control sexual function and continence

Don't know if this helps . . .

Jump to this post

@wrzakers What a great option! Do you know if Medicare covers any of the cost?

REPLY

My urologist said that the procedure called prostate artery embolization has helped his patients. It is done by interventional radiologists. That is why some urologists will not recommend or even suggest a PAE. If it is not sufficient or regrowth occurs then more aggressive treatment is still acceptable.

REPLY

It is my understanding HOLEP takes longer to get up to skill level. Acquablation can reduce very large prostate.

REPLY
Profile picture for heisenberg34 @heisenberg34

@wrzakers What a great option! Do you know if Medicare covers any of the cost?

Jump to this post

@heisenberg34 yes, medicare does, and if you have a plan g supplement, there should be no cost to you. i am 69 and had an aquablation done 3 months ago and peeing today just as good as the day after the procedure. but, i did get total RE. Still have sex, no diff at all, just no mess.

REPLY

I had the UroLift procedure done 3 1/2 years ago with no sexual side effects. And I'm still peeing like a teenager!!
It was also covered by my Medicare supplemental insurance.

REPLY
Please sign in or register to post a reply.