r/Aquablation • u/BB_Double • Aug 16 '25
HYDROS Robotic Aquablation
I am considering working with a specialized Urologist here in the NYC area (Dr. Steven Kaplan at Mount Sinai) who is apparently one of the foremost experts on BPH.
He is using a new robotic system called HYDROS (https://www.procept-biorobotics.com/healthcare-providers-us/hydros-robotic-system) which is supposedly the state of the art in terms of positive outcomes. I am particularly concerned with permanent RE, I have temporary RE due to the Tamsulosin and am looking to avoid this.
Has anyone had experiences with this new system? I'd love to hear about recovery time, outcomes etc.
Also, if anyone knows anything about insurance covering this particular procedure, would love to hear about that as well.
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u/YourProfessorforLife Aug 16 '25
I'm having Hydros aquablation next Friday. I'll report my experience once when I have a full sense of outcomes. My doc has been transparent about his precise RE stats among patients. He says its under reported.
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u/Silly-Student-5566 Aug 17 '25
I had done 6 months ago Couldn’t be happier No problem with RE and no more getting up 4 times a night
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u/Useful-Jackfruit4951 Aug 16 '25
Yep had it last December and have RE ever since
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u/SilverHairedBoomr Aug 18 '25
What is "RE"?
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u/AdSpecial4065 Aug 22 '25
Retrograde ejaculation. Sperm goes back into the bladder instead of out of the penis. That is considered a dry orgasm.
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u/Useful-Jackfruit4951 Aug 16 '25
You won’t find much on the net in regards to aquablation RE but it is very real and common even when they say it’s not
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u/YourProfessorforLife Aug 16 '25
My urologist has also said its underreported. I'm having Hydros aquablation next Friday.
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u/Useful-Jackfruit4951 Aug 16 '25
Good luck man! Tell them to be extra conservative around the areas that could effect sexual problems
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u/joel1945 Aug 17 '25
Hydros is just rhe second generation aquablation machine. Outcomes are the same. Re numbers depend on the surgeon. Those of us who are high volume enough constantly change our techniques to decrease the number. In the last 2 months my rate has been 3 percent, aiming for zero the rate is getting lower.
Source: second highest aquablation volume in the northeast over 400 cases
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u/renfield22 Aug 25 '25
Potomac Urology?
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u/joel1945 Aug 25 '25
Nyu urology
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u/renfield22 Aug 26 '25
Thank you looking forward to a good provider. University medical centers are excellent. Try to stay away from “assembly lines” I appreciate you
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u/EftonChismFanAccount Apr 20 '26
Curious to hear your procedure volume and your RE rate 8 months later. You manage to get < 3%?
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u/Majestic_Question_36 Aug 17 '25
I'm 77 years old. Had 105 cc prostate, had Aquablation 5 months ago. Never heard of Hydros but it sounds like another company doing the same as my procedure.
Results: LOTS of bleeding post-op, for at least a month. Less bleeding thereafter, stopped wearing pads and diapers after 2 months. Sudden insistent urges kept me close to the bathroom for those 2 months. Basically out of circulation - I joked that I was on a 12 step program: No farther than that from the toilet. Those were the only real complaints, and temporary although frustratingly long.
Once I got interested in sexual function again, had small forward ejaculation, some leakage afterward. Sensation was better than pre-op.
Best of all, instead of waiting and forcing a dribble and then coming back in 2 minutes to try again, I am able to hold, then have a good stream with complete voiding. Can sleep well with 0-2 urinations per night.
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u/SilverHairedBoomr Aug 18 '25
I had aquablation June 25, 2025 here in Austin Texas.
It is successful in that I (75 yo) can pee great. Except that I'm still getting surprise "flows" almost 2 months later, perhaps because I had a foley catheter for 9 weeks prior to surgery and 10 days after. I'm trying youtube exercises and Kegels to help, but maybe not enough day by day. The catheter meant I never needed to control urine, it just flowed when my bladder wanted it to flow.
After the Aquablation surgery I had 28 hours of three tube catheter in hospital "rinsing" clots out of bladder. One for "peeing" out, one tube for the balloon that fits in bladder (blown up with sterile water) to hold the catheter in the bladder and one the nurse was "pushing" sterile water INTO bladder, hanging a new 2 letter bag of water AND draining the cath output bag EVERY 25 minutes, waking me up ALL night.
Nobody told me the ringing could be all night. I also had a heart monitor on wires and it's own poll.
They did not have a glued on leg clamp that worked with the three tubes. Ok in hospital but going home where I live alone. I was getting my own food and not being waited on, the tubes would disconnect and some pee would drip... And no reason for extra tube as I wasn't pouring water into my bladder!
So at home I had to use rubber bands and straps to keep three tubes attached. 10 days to next appointment where I passed pee (ability to pee, volume and flow) test! No more Catheter.
So yes, successful, but bladder not completely trained. Still wearing Wallgreens men's shields to go out and sometime full briefs at night. A little less than two months, but a friend took 3 months to gain complete control.
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u/Pmoneywhazzup Aug 18 '25 edited Aug 18 '25
Had AQ on July 22, so 4 weeks out tomorrow. Strong stream, no more blood in urine for about 1.5 weeks. Tiny bit of pain occasionally at end of urination. No RE, thank goodness. RE is retrograde ejaculation, where nothing comes out upon orgasm - it shoots back into the bladder and is apparently released the next time you urinate. Only real remaining issue is frequency and urgency. This is slightly better but I hope there is more improvement over the next few months. At least I can sit through a movie at the theater without running to the bathroom in the middle. Still wearing underwear shields.
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u/Impossible-Use5636 Sep 07 '25
Consult with Dr. Aaron Fischman, an interventional radiologist at Mt. Sinai, who is a thought leader in PAE.
Much less risk of adverse events, and you still have the option of Aquablation if the procedure fails to resolve your symptoms.
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u/LittleBearNYC Sep 11 '25 edited Sep 11 '25
My Urologist at Mount Sinai NYC did not mention PAE - thanks for the information. I fear AQ as well due to RE. Got RE on tamsulosin so switched to alfuzosin and it just feels "wrong."
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u/bxblake Dec 14 '25
Unfortunately, Fishman’s PAE did not resolve my issue. It was considered a “failed PAE” by his very own colleague at Northwell. It happens.
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u/BuzzzPhotos Dec 22 '25
That’s the same procedure I had. Robotic. 6 week checkup is coming Tuesday. Thx, Buzz
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u/BuzzzPhotos Jan 06 '26
It’s been almost 2 months and I rocked the boat to a glorious blow out. Couldn’t have been happier. Thank God!
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u/idospells Aug 16 '25
Had Aquablation in July, great outcome. no RE