Orgasms after Aquablation

Posted by mike5450 @mike5450, Jul 28, 2023

I had an aquablation procedure two weeks ago. I have had some urine flow issues but my doc says that all went well and I am recovering properly. There was one topic on which he was entirely unclear, however, and the internet thus far has failed to provide useful information. Similarly, my email to the aquablation developer has gone unanswered.

This seems like information that should be available readily but it is not, so I will ask here: how soon after aquablation is it safe to have an orgasm? I already am having erections, so I would like to know what I can do with them.

I previously had a laser prostate procedure. At its conclusion, the urologist was quite clear: no orgasms for 45-60 days or risk damaging my internal organs. I haven't had similar warnings this time, so I wonder if the risks are the same or less significant with the more modern procedure.

I appreciate any information you can provide.

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

Hello @mike5450, Welcome to Connect. I've thought about having the procedure but at age 80, I'm not sure I want to have it done yet. Members on Connect are patients like yourself and can't provide medical advice but can share our experiences. While you wait for others to respond with experience, I thought I would share these research articles I found using Google Scholar (https://scholar.google.com/) which is useful for finding medical research articles and references.

--- Patients' Perspectives on Attributes While Choosing Minimally Invasive Surgery for Benign Prostatic Hyperplasia Procedures: Experience from Men Undergoing Water Vapor Thermal Therapy:
https://www.liebertpub.com/doi/full/10.1089/end.2022.0607
--- Ejaculations and Benign Prostatic Hyperplasia: An Impossible Compromise? A Comprehensive Review:
https://www.mdpi.com/2077-0383/10/24/5788.

Sometimes emails can get lost in transit or the recipient doesn't check it often. Are you able to call the doctor or developer who performed the aquablation procedure?

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@johnbishop

Hello @mike5450, Welcome to Connect. I've thought about having the procedure but at age 80, I'm not sure I want to have it done yet. Members on Connect are patients like yourself and can't provide medical advice but can share our experiences. While you wait for others to respond with experience, I thought I would share these research articles I found using Google Scholar (https://scholar.google.com/) which is useful for finding medical research articles and references.

--- Patients' Perspectives on Attributes While Choosing Minimally Invasive Surgery for Benign Prostatic Hyperplasia Procedures: Experience from Men Undergoing Water Vapor Thermal Therapy:
https://www.liebertpub.com/doi/full/10.1089/end.2022.0607
--- Ejaculations and Benign Prostatic Hyperplasia: An Impossible Compromise? A Comprehensive Review:
https://www.mdpi.com/2077-0383/10/24/5788.

Sometimes emails can get lost in transit or the recipient doesn't check it often. Are you able to call the doctor or developer who performed the aquablation procedure?

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@johnbishop, thank you for the response.

I looked at the two study reports that you provided. They generally are consistent with what I have read about the sexual side effects from prostate procedures generally, but neither addresses the specific question that I raise: at what point can sexual activity be resumed, assuming that, as the many studies lead one to expect, the patient is one of the vast majority who is sexually functional after the procedure.

I cannot call the developer of the procedure, but have left a telephone message for my doctor, whose previous advice regarding sexuality omitted any caveats or mentions of timing expectations. Unfortunately, my doctor isn't usually one to respond to phone inquiries; instead, his staff prefers to schedule office visits, which I am trying to avoid for reasons of expense and convenience.

As the question seems like one that many, many patients must have confronted as they recover from this specific procedure, I am quite astonished that best practices aren't available, data hasn't been generated, and the internet doesn't address a patient's reasonable expectations.

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I just had Aquablation Sept 26th. I had a Foley catheter in for 6 months. I got covid during the 2nd week of recovery. It hasn't been an easy road but as of today I'm feeling much much better.
Like you Mike I have the same concern and haven't been able to find data on when I can resume intimacy with my wife. Any information or experience from anyone that has had Aquablation would be appreciated.
Good luck Mike and hope your doing well.
Mike

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Mike, I resumed activity after about five weeks. I don't think I have the same functionality as before, but I can live with my current capabilities.

I am sorry you had such a rough time recovering but am confident that better days already are here for you. Best of luck to you.

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Exactly two weeks out from aquablation today. Doctor sent me home the same day but with a Foley. No pain at all, which was surprising, although the cath was slightly uncomfortable with movement. Six days after procedure, doctor removed cathether, but that day had trouble peeing so he had me return to his office. Unfortunately, he re-installed the Foley for one more week (yesterday). So yesterday I was sweating a bit about whether or not I could urinate, but he did a test where he inserted fluid through the catheter, then removed the catheter and asked me to urinate in a container. Happily all went well. No pain, just a joyous sense of relief. Since yesterday I have been peeing well, no blood or discoloration, and this morning I peed all the way across the shower stall. WooHoo!!!!
To your question, my doctor said I'm okay for the hot tub but he wants me to wait on orgasm two more weeks. Mainly so as not to irritate the urethra through the activity leading to orgasm, not the orgasm itself. Erections are strong. Hang in there.

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@dragnet12

Exactly two weeks out from aquablation today. Doctor sent me home the same day but with a Foley. No pain at all, which was surprising, although the cath was slightly uncomfortable with movement. Six days after procedure, doctor removed cathether, but that day had trouble peeing so he had me return to his office. Unfortunately, he re-installed the Foley for one more week (yesterday). So yesterday I was sweating a bit about whether or not I could urinate, but he did a test where he inserted fluid through the catheter, then removed the catheter and asked me to urinate in a container. Happily all went well. No pain, just a joyous sense of relief. Since yesterday I have been peeing well, no blood or discoloration, and this morning I peed all the way across the shower stall. WooHoo!!!!
To your question, my doctor said I'm okay for the hot tub but he wants me to wait on orgasm two more weeks. Mainly so as not to irritate the urethra through the activity leading to orgasm, not the orgasm itself. Erections are strong. Hang in there.

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Thanks Dragnet12. I had the procedure nine days ago and the docs instructed me to refrain from orgasms for four weeks. 12,960 minutes down with 27,360 to go (not that I'm counting).

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Okay, I'm now 4 weeks out, and last night EVERYTHING is working great (BIG relief!!!) Also, peeing the porcelain off the commode. Interestly, urine is clear but I'm still showing trace blood on a UA dipstick, but doc says this is normal.

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@dragnet12

Okay, I'm now 4 weeks out, and last night EVERYTHING is working great (BIG relief!!!) Also, peeing the porcelain off the commode. Interestly, urine is clear but I'm still showing trace blood on a UA dipstick, but doc says this is normal.

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I'm smiling at your characterization of improved urine flow. I described it as "peeing like a teenager". Can't wait to be released from purgatory.

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