Post aquablation & an overactive bladder

Posted by Flipboy59 @bobpuli, Jul 28, 2025

I just had aquablation 4 weeks ago and now I have an overactive bladder. Does anyone had this procedure done and had the same outcome?

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

vtredwolf | @vtredwolf | Apr 14 6:28am

In reply to @elglide "I am at 5 weeks and have urgency and leakage, not happy with this procedure. Wish..." + (show)

@elglide I don't know your specific history including your age, or how long or how severe your bph symptoms were, but it's possible your pelvic floor is very weak which might be corrected by pelvic floor therapy though it's probably too soon for that. Also the longer we delay treatment the more damage we do to our bladder so treatment earlier rather than later is important. I never experience leakage but 5 weeks is pretty early still and everyone's journey is different. In addition to avoiding to much caffeine and carbonated drinks my pelvic floor therapist said to add citrus drinks to the list. There are meds to help with the urgency during recovery. What does your doctor say about your leakage?

wadaman01 | @wadaman01 | Apr 14 8:35am

In reply to @elglide "Thanks for the advice!" + (show)

@elglide in the 2-3 month post aquablation period urgency for me started getting worse. My dr. prescribed a bladder calming medication, hopefully just for a few months. He prescribed mirabegron 50mg. It's been life changing and I haven't noticed any side effects. I went from very significant urgency to feeling like normal and going 3-4 hours between trips to the restroom.

elglide | @elglide | Apr 21 5:51pm

In reply to @wadaman01 "@elglide in the 2-3 month post aquablation period urgency for me started getting worse. My dr...." + (show)

@wadaman01 thanks I will bring that up with him, cut back on coffee and cut out sodas is helping some.

danderson0562 | @danderson0562 | Jun 1 1:27pm

2 weeks post op from aquablation. strong bladder contractions after urination with strong penal and pelvic floor contractions. pretty bad discomfort for a few mins after urination. Also when I get urge to urinate it is quick and urgent. Just started on gemtesa 4 days ago. will see if that helps. so far no help.

elglide | @elglide | Jun 2 8:03am

In reply to @danderson0562 "2 weeks post op from aquablation. strong bladder contractions after urination with strong penal and pelvic..." + (show)

@danderson0562 Took Gemtesa for 2 weeks no help. The urgency is expected but not the bad discomfort, I would get to the doctor over this, I had very little discomfort after surgery.

danderson0562 | @danderson0562 | Jun 2 2:14pm

In reply to @elglide "@danderson0562 Took Gemtesa for 2 weeks no help. The urgency is expected but not the bad..." + (show)

@elglide Thanks for reply, have been in touch with doctor, see them on Thusrday this week

elglide | @elglide | Jun 2 5:48pm

In reply to @danderson0562 "@elglide Thanks for reply, have been in touch with doctor, see them on Thusrday this week" + (show)

@danderson0562 Good luck, it does get better finally after 13 weeks.

brucekn | @brucekn | Jun 3 10:32am

I had prostate aquablation in late 2024, and it fixed my urine retention after two TURP procedures and one UroLift procedure in prior years.

I had urine incontinence after the procedure, initially only when walking or exercising, and decreased over the next two months to the point that it is now gone. As this incontinence decreased over that period, I found that I was having mild incontinence at night while sleeping, and had to wear pads when going to bed. That took several more months to subside, but now I am urine incontinence free, peeing very well and little-to-no retention.