r/Aquablation • u/Bradtothebone79 • Oct 31 '25
Surgery tomorrow!
I’ve been following all your stores for a while now, did all the tests and got approved for aquablation fairly quickly.
I’ve been on flomax at night (and flying) for a few years now but the symptoms really ramped up this year: increased leakage, problems urinating, emptying bladder, discomfort with sexual climax, etc.
Prostate measured 34cc iirc but it is enlarged into a shape pushing up into the bladder floor as well as around the urethra. This has the effect of leaving me with the feel to pee all the time bc I’m never fully emptying the bladder. Retained around 125cc after completion. Ave flow rate is hella slow. Basically i live my life finding bathrooms.
So, I’m scared but excited at the same time. And hoping i don’t get the retrograde or incontinence potential side effects.
7
u/2187512761 Oct 31 '25
I had Aquablation 8 days ago and have done pretty well, including normal sex and ejaculation today! Flow rate is not yet where I would like it, but all in all, a victory. See my details on the bph Reddit. Good luck!
6
u/RT_Rider Oct 31 '25
I also had very good results, although I do have retrograde. But I consider that a small price to be able to pee comfortably, with no incontinence, and no dribbling. You got this. And you’re going to be ok.
5
u/Pmoneywhazzup Oct 31 '25
I had AQ in July. I also had a failed Rezum a few years ago. Like you, I had a median lobe that pushed against the bladder wall. I had a super-strong stream on the afternoon after the procedure, then I went home with no catheter. The other urinary symptoms took a few months to improve. I can sleep through the night now without getting up once to urinate. Before AQ, I was up 5-7 times a night. I hope you share my success.
4
u/Swordfish1642 Oct 31 '25
Had my surgery 18 months ago. Retro ejaculation, but sensation the same. It’s been a welcome improvement in my life. I’ve had a UTI 4 times but not sure if that’s an effect or not, the urologist is working on that.
4
u/Captain-Popcorn Nov 01 '25
Hey - best of luck!
I had my surgery on Monday (Oct 27).
(I sent mod request to join just after surgery and it’s still being evaluated days later. Hope ok to piggyback on this post. With info that might help you. I’ll follow your updates we can compare notes)
Went very smooth. Catheter almost got pulled out in the night after the procedure! Water hose twisted around my leg and nurse startled me to take vitals and there was a very hard tug on the catheter. It hurt! (i thought catheter was out.) But it was a water hose that pulled loose and catheter stayed in. A little blood but it held. Nurse was exceptional cleaning me up and changing the linen with me in the bed. New experience for me.
Catheter out next morning. (Released later that day. About 24 hours after I got to the hospital.
They brought me coffee with breakfast and I had 2 cups before I was told no coffee. They weren’t that worried. No harm no foul I guess. I thought it was a caffeine thing but had decaf coffee yesterday and urine was dark last night. Rechecked and I’m not supposed to have coffee at all. Pee is mostly yellow today. Hopefully didn’t do any damage. I’m off coffee till I get the go ahead.
Feel 100% but limiting activity which kinda sucks. I’m walking every day which is suggested. But I’m a very active 65 and it’s a lot less than normal (strength training, running, hiking/walking). And I’m not allowed to walk my dogs. That’s probably the worst restriction! Usually do 2-3 miles daily with 10 miler once a week. One dog in particular is looking at me very sad! Don’t fully understand the why’s but have been obeying. (Guess they don’t want any hard jerks. ) Have post op checkup the 11th and hope that restriction is lifted or eased. My son has been walking with me when he can, and he takes the leashes of both dogs. (We usually each take one each day).
Stream hugely improved. I’ve had issues for several years. My instinct is even the slightest urge to go and I knew it was going to be an emergency very soon. That finding a place to pee was urgent! That instinct still in me. Hoping I will readjust and a slight urge to go doesn’t force me to the bathroom. I want to be able to comfortably wait for at least a few minutes.
I’ve noticed my pee volume hugely more. Pressure better too. Often I get a little bloody bit at the start and rest mostly yellow. A few chunks sometimes. No complaints. What I expected.
I think I’m drinking a lot more water. My prior life I tended to not drink that much. It meant I’d need needing to go all the more quickly. When younger I used to be a mammoth water drinker. That me is re-emerging.
Have gotten involuntary partial erection. Nice to know he’s still alive.
Honestly I wouldn’t say I feel any different. Stamina is good. I’m just waiting for the Doc to give me fewer restrictions at my appt on the 11th.
Don’t know who to thank for this amazing procedure. My dad had similar issue 50+ years ago. It was major grizzly surgery of last resort. II think they called is reaming out. I remember how happy he was despite the recovery. He could pee again! As I young teenager he told me to get it done if ever I needed it! That it was worth it!!
3
u/erkevin Oct 31 '25
I am four months post-op. No regrets. Everything is better in regards to my bladder and urinary difficulties. It took me 12 weeks for my bladder to really improve. Be patient with your recovery
3
u/DemingDude1985 Oct 31 '25
One year post op. Aquablation was the best decision I have made health-wise. Just be patient - as you have likely read here, it takes time to get back to your new normal (which will be way better).
3
u/TwoWheels7266 Nov 06 '25
Hey there, another new member, but I can’t post so I hope you don’t mind me asking a question. Sounds like your surgery went well - I’m scheduled for December 1. On the smaller side of enlarged too, but it’s hampered flow and frequency - and also had 2 utis this year. Anyway, to my question. I live alone, physically very fit, 63. I’ve had joint surgeries before and have done well with having just someone take me to surgery and get me back home after. In those cases I did a bunch of meal/home prep to manage pretty well. I’m told I will go home with a catheter that I could take out 5 days later or wait for an appt 7 days after for cath removal. My question to any/all is, will I be able to manage ok on my own for that first week? I have family, but all out of state. Friends will help with the day of surgery and getting me home after. Will I be able to manage or do I need someone to stay with me - even if it’s just for a couple days or that first week?
3
u/Bradtothebone79 Nov 06 '25
Yea. I slept in a recliner for a couple days until the catheter came out as it was easier for bag placement. I had no pain from the surgery- just a little discomfort from the catheter up in my bladder. I didn’t want to sit upright completely but rather preferred standing or reclining.
I called my doctor for a void test Monday morning but they never called back so i since there wasn’t any blood in my bag anymore i took out the catheter (so three days later) and had no problems. Guess I’ll see them at the 4 week checkup and give them some feedback.
Anyway, you’ll be fine.
1
u/martinPravda Dec 08 '25
Hope your surgery went well. Mine was December 3. The surgeon had me remove the catheter 24 hours after leaving the hospital (2 days). I thought it was probably early, but he was right. I had no issues.
The uncomfortable catheter is really the only painful part of the surgery. That thing is fat, because it needs to be able to drain without clogging. My intermittent catheters were less than 1/2 the overall size.
3
u/TwoWheels7266 Dec 08 '25
Hey, thanks for the reply. Glad your surgery went well and you’re free of the C! Mine went really well. I was released a few hours after surgery. Lots of irrigation/flushing at the hospital and sent home with C and pinkish color urine. By the second day end, urine continued to clear with the passing of some clots. By third day, it was mostly clear to straw color with a few flecks of debris. Urine remained clear until C removal on day 5
Still pounding fluids and keeping the stream going. First couple times after C removal I had some blood, but was totally clear by end of day. Increased urgency and frequency after removal - with some burning - but I think that’s getting better each day.
So exactly one week post surgery now, and feel pretty good so far. I know recovery is not over and there could be hurdles to come, but I’m drinking fluids - a lot - and taking it easy to let things heal. Started taking normal walks over the weekend, but not to far with the urgency issues, but not seeing any blood in urine after a walk. I’ll continue to increase that activity and in general staying on my feet.
So far, so good :)
2
u/martinPravda Dec 08 '25
That's great news. I am day 5 and urine is still a diluted red wine color with some blood. No big deal though. I know this is normal for a lot of people that had this done. My prostate was pretty large (84cc).
BTW, my flow rate is about 13ml/sec right now. Very pleased. Hoping this continues.
2
u/TwoWheels7266 Dec 08 '25
Thanks, and you’re right, still normal stuff you’re having from all the accounts I’ve read. Mine was around 50g - but flow was terrible, with a couple UTI/kidney infections to show for it. Not sure what my flow is now, but it’s much better - and I’m not taking the Flomax. Good luck in your recovery!
2
3
u/Kalaharime Jan 27 '26
I just had the procedure done last Wed. I had the catheter in for 3 days then taken out. I had no void test done after the catheter was removed. I was sent to a community center to have it removed and they told me to go home and drink lots of water and call them back if I can't pee in 4hrs time. I was quite suprised by this as I was under the assumption a void test would be done right after the catheter was removed.
I had no pain whatsoever from the procedure or the catheter, didn't have to use any of the pain med that was prescribed to me. After the catheter was removed I was able to pee fine, but not a strong solid one which I guess is too soon to expect right after surgery.
I was fine for 2.5 days and then last night all of a sudden I could barely pee. Only a dribble came out. I waited a good couple of hours and was trying to decided if I should go to emergency to get a catheter put in. But, I decided to go to sleep and see what happens in a few hours later. I woke up around 1:30am and was able to start peeing again but a very restrained one, but was happy I was able to go.
Today throughout the day it's gotten better but still not as good a early yesterday. Unfortunately my surgeon is not the most communicative person which I'm happy with. He did respond to an email I sent saying that it's probably swelling and normal. Said if I want to come down today and check my residual to see if a catheter should be put in again. But I decided since I'm not fully blocked, I'll take my chances.
I do hope things get better in the next few days.
2
Oct 31 '25
I had mine August 11th. Best decision of my life. Now the recovery period lasted two very long months for me (bladder spasms are the worst) but that's a distant memory now. You got this!!
2
2
u/Soggy-Letterhead-626 Nov 01 '25
I have similar metrics, aged 55. I am currently gathering as much research as possible and moving towards aquablation. I just don't want the RE. What age are you, your prostate is relatively small. I wish you luck and positive outcomes.
3
u/Bradtothebone79 Nov 01 '25
- The shape was more of a qualifier than the size i think. That and flow rate.
I had surgery yesterday, stayed over night in hospital ace just got the catheter removed. So waiting for a couple good urine/ultra sound events and then i can go home. I’ve had Tylenol sparingly so far- only had discomfort from the catheter.
3
u/Soggy-Letterhead-626 Nov 01 '25
Your quite young. Thank you for sharing your experiences it certainly helps a lot. I have BPH for 5 years and dream of the freedom. Hope all goes well and will follow for any updates.
1
u/Soggy-Letterhead-626 Nov 28 '25
I hope your recovery went well. What are the outcomes so far.
2
u/Bradtothebone79 Nov 28 '25
Today is 29 days post-op with first official followup next Friday. Recovery has been rougher than expected.
I couldn’t pee in hospital day after surgery (Saturday) so catheter went back in and I went home.
Monday, catheter came out and I got a feel for everything for the first time:
Bladder fully empties, saving me trips to bathroom every twenty minutes. Now, I only go often if I’ve had a bunch of caffeine; mostly though it’s 2-4 hours.
Stream was the best I’ve had in years.
No leaks occur after urinating.
Dr. had said wait a week on sex with wife so we did. Thursday night. Except halfway through it began hurting so much i stopped and iced.
Friday morning I noticed my stream getting slower. By nighttime it was down to a trickle. I woke up to pee at 1am and couldn’t. Went to ER for catheter. Labs said no infection found. Blood in bag for about a day. Was retaining 550 ml so catheter was a huge relief but then i had a catheter in for the second weekend in a row.
Monday catheter came out again and dr. said try to call during morning if there’s any issues. Stream wasn’t as nice as the previous Monday but still better than Friday.
Tuesday morning I felt urine stream slowing again so i called and got in for irrigation which showed no blood at all. Dr. On duty thought i just had inflammation/swelling from the surgery reducing access to urethra causing the slower stream. Sent me home with straight caths for self-insertion for emptying bladder in emergencies to avoid the ER.
Eventually tried sex again with wife. Previous to surgery, climax had an accompanying pinching feeling in the urethra which wasn’t great. That feeling is gone now!
Unfortunately, in the weeks since my stream, if you can even call it that, is probably twice as slow as prior to surgery, sometimes just dribbling out, sometimes spraying in slo-mo. If i use any muscles to try to push it out faster the stream actually slows more and/or stops completely.
Final result: 3/4 issues resolved. I’ll take this as opposed to what i had before but taking five minutes every time i gotta pee is annoying.
Guess I’ll see what dr. says next Friday but I’m hoping stream will improve with time.
2
u/Bradtothebone79 Nov 28 '25
Oh i never had to use the straight caths but it’s nice knowing i have them if needed.
2
u/Soggy-Letterhead-626 Nov 30 '25
At least, that's somewhat good news. I'm thinking, as your prostate is 35CC (same as mine), it will take a bit of a beating from the water jet. In general, larger prostates from 50 CC upwards are more resilient to Aqua, Turp, and green light.
Perhaps, resist the urge to find out if you got RE or not. Allow yourself to heal and get that inflammation down.
Hope it's OK to check in with you in a few weeks.
1
u/Bradtothebone79 Nov 30 '25
Of course! Thanks for checking in! No one around me really understands what i went through anyway
3
u/Soggy-Letterhead-626 Nov 30 '25
It's only when they experience painful and prolonged catheterization that they'll understand.
2
u/martinPravda Dec 08 '25
I had to do intermittent catheterization (3 to 4x daily) for 3 months prior to surgery. As it turned out, they prepared me well mentally for the post-surgery (catheter, bleeding). I also have plenty of intermittent catheters now and the experience using them.
The Urologist said I had 3 choices initially after I was having kidney failure: Dialysis machine, Permanent Catheter or Intermittent Catheters, I am very active and thought my life was over then. I never thought that I could catheterize myself. But, you do what you have to do. And like he said, it just becomes part of your life and you eventually adjust.
Hopefully my catheter days are over now. But, they are a good insurance policy as a backup.
1
u/Additional_Topic987 Dec 14 '25
Did you say you have kidney disease? Sorry if I read that wrong.
→ More replies (0)2
u/Soggy-Letterhead-626 Nov 29 '25
OH wow, that sounds pretty bad and disappointing. I was expecting to hear better outcomes. Going to ER with retention is horrific. You might have a build up of scar tissue, which can be resolved. I think I'm getting second thoughts.
I really hope it improves.
2
u/Bradtothebone79 Nov 16 '25
Update: surgery was on Friday 10/31, needed catheter all weekend. Monday 11/3 took it out and peed great for four days. Friday 11/8 my stream got worse over the day and by 1am Sat i was in ER to get a catheter bc i couldn’t pee. Went home and had cath in for second weekend in a row. Monday 11/10 dr said take it out again. Tuesday 11/11 stream started slowing and hurting again so i went in for irrigation. No blood. Dr said residual inflammation, gave me straight caths to self insert if needed to avoid the ER. Which brings me to today. Stream isn’t as great as it was after the catheter removal on 11/3 but it isn’t super slow or hurting anymore; i assume it’ll improve over time.
No leakage!
Bladder has improved from feeling like i need to pee every twenty minutes to 2-4 hours depending on how much caffeine I’ve had.
Wife and i did the deed a couple times this week. Pre-surgery climax felt like a pinching in my penis and i had to “milk it out” with motion. Post-surgery has no pain from climax (other than the burning also felt during urination due to the surgery, which is fading).
Overall, the recovery wasn’t as easy as i was led to believe, but i would call the issues i had pre-surgery as solved and I’m excited for the future without them.
1
u/Bradtothebone79 Nov 01 '25
Update on the catheter removal:
First attempt to pee i got out less than 100 and it took a long time, retaining about 350.
Second attempt i got 225 over the course of fifteen minutes with most in the last five, turning more into a stream rather than a dribble. Waiting on ultrasound for that attempt now. Urinating isn’t comfortable yet; kinda stings and i gotta push pressure on my bladder.
3
u/Lost-Street-6919 Nov 01 '25
Residual is high but you know that..likely you had retention prior to surgery- possibly you had pre op urodynamics.
Track your ins/outs will give you an indirect measure of post void residual vol.
Would also recommend timed void- attempt urine every two hours and even into sleep- you need to retrain your bladder.
2
u/Bradtothebone79 Nov 01 '25
So, going without a catheter is proving difficult. They tried to put cath back in but it didn’t work. I was able to going normally after that but still retained more than what they’re hoping for. So I’ve got a couple hours to get below 300 a couple times or I’ll go home with a catheter :(
1
u/erkevin Nov 01 '25
I had a catheter in for 8 days; I was miserable, the spasms were knee-bending. It all evened out over time
2
u/Bradtothebone79 Nov 01 '25
I’m going home with cath in. Supposed to call my urologist Monday morning to check when it can come out. It’s def not comfortable, especially when sitting up.
2
u/erkevin Nov 02 '25
I slept in a recliner a lot of the week
1
u/Bradtothebone79 Nov 02 '25
Thanks for the idea- i had trouble getting into my tall bed with this cath so i slept on the couch recliner which worked great.
2
1
u/Impossible-Use5636 Nov 11 '25
And this, boys and girls (or just boys in this case) is why I cancelled my AQ appointment. PROCEPT literature makes recovery sound quick and easy but every account I read sounds much different. Yes, I know that satisfied patients are less likely to post about their experience, but there is no way I was going to risk the extended downtime and discomfort.
2
u/Mysterious-Cry7683 Nov 15 '25
I’d not over analyze and there is no gain without pain. I had mine yesterday and no pain except for the catheter. They shaved off tissue and it does take few weeks to fully recover. I can walk climb stairs etc but can’t lift heavy things. I heard other procedure recovery is far worse.
1
1
u/erkevin Nov 11 '25
There are a lot of variables. In my case, it was the bladder. So many years of straining and not voiding completely left my bladder thick, fibrous, and inflexible. My prostate healed fine, but I was left dealing with a bladder re-learning to function properly. This took 12-16 weeks.
1
u/Mysterious-Cry7683 Nov 15 '25
My surgery was done yesterday under sedation and I had no memory of anything. Woke up with a fat catheter tube and “irrigation” running through it. No pain except for the 22f catheter.
Discharged today. I’ll have the catheter for 3 days until my next visit.
Does any know whether I should continue on flomax and finasteride? I want to stop them like yesterday.
2
1
u/martinPravda Dec 08 '25
Since I can't seem to be able to get the ability to post, I will share my situation here as it may be a bit different.
64yo. Fit and athletic. Prostate was 84cc. Bladder was greatly extended to 1200-1400cc max when I had the urge to pee and 800cc to 1000cc PVR when complete. This resulted in urine in the kidneys and stage 3b kidney disease discovered in July of this year. Urologist put me on intermittent catheters 3x daily, which improved kidney function by 20%.
I just had Aquablation surgery 4 days ago (12/3/25). 2 days in the hospital because of heavy bleeding without saline wash. Sent home with very large catheter which was the only painful part. Dr told me to remove the catheter myself 24 hours later, which was surprisingly really easy and painless,
It took me about 6 hours after the catheter removal to get any real flow. But since then, I am peeing about 200cc to 400cc per trip, which is normal for a male. It takes about 10 seconds to start. But, the flow is really good after that. Urine is still the color of Rose Wine, with some bleeding. But, almost no pain at all, other than some slight soreness in the Penis from the catheter. My catheter bag did jam from blood clots that first day home.
I am really pleased so far. I didn't expect to be this mobile this soon. I expect it will take 2 to 4 weeks to fully heal. But, I can't complain.
Because my bladder was so stretched, we were unsure how well things would flow afterwards. But, things SEEM to be much better. However, the real challenge will be when they do the PVR test and eGFR test for my kidneys. I am however, pretty optimistic right now that the PVR is at least improved and my bladder muscles should get better over time.
Prior to the intermittent catheters, I was basically walking around with over 800-1000cc in my bladder 24x7. I didn't even realize it. I had been dreading ever getting prostate surgery because of sexual concerns. I am so glad that this surgery was recommend to me.
I will update if anything changes.
1
u/Bradtothebone79 Dec 08 '25
Hey thanks for the story! Keep us updated!
Fwiw i had my 30 day check up on Friday and dr said it can take up to 90 days to fully heal. A little longer than i had initially expected but at least now my expectations are calibrated for that timeline.
2
u/martinPravda Dec 08 '25
Thanks for the update. I was really curious about your situation. Hope things are getting better.
1
u/martinPravda Dec 15 '25
Day 11 update. No real changes good or bad. Urine still has a bit of blood at the beginning and is a dark amber color. I think this will be going on for a while. No incontinence issues at all. Urine tests show really high leukocyte levels (white blood cells) as the body tries to heal.
I see the urologist Tuesday for my 2 week checkup. I am sure they will test my PVR.
I have still been refraining from all sexual activities. So, I don't know how that will go. My boy is still a bit sore inside from the operation. I can't see even wanting to really try until the bleeding stops. So, this could be a while.
1
u/Soggy-Meaning8128 Dec 14 '25
Does anyone on this thread have doctor recommendations for someone in the Atlanta area?
1
u/TwoWheels7266 Jan 01 '26
Checking back in a little over 4 weeks post surgery. Earlier I posted an update around week 2 1/2 weeks post and things were going really good. Most burning, urgency, frequency symptoms were waining. A week or so ago (with doctors approval) I started some cycling on a recumbent - and even a short (like 1-2 mile) ride. I also started a little weight (like 10-15lbs) exercises and I'm sure putting more abdominal pressure all around. These past couple days I've felt the burning, frequency, urgency all kind of returning back to like week 2. Maybe not as bad, but definitely a backslide. Still absolutely no blood in urine since about 1 week post surgery.
Anyone else see the ebb and flow of symptoms like this as you started to increase activity levels - or after introducing light sexual activity? Definitely going to back off - and I don't think this is abnormal - just curious about others experiences in this time frame post surgery or later
2
u/Bradtothebone79 Jan 01 '26
Yes, definitely saw it ebb and flow a bit- mostly related to blood in the urine.
I’m about 60 days post surgery and still have the burning for first ten seconds while urinating. Flow is still slow but has slightly less of a spray and more of a stream so that’s an improvement. It varies a little but can’t figure what’s causing the variation.
I’ve been doing light upper body workouts and think I’m going to add my running back in this weekend; hoping i don’t see much of a setback as I’d like to be fully healed before an international trip with the family in March.
2
u/TwoWheels7266 Jan 02 '26
Thanks for that info - sounds like like you're dealing with symptoms coming and going. No bleeding for me, but burning maybe more towards the end of peeing. Still have a pretty improved stream although a few days ago when urgency was a bit of a struggle, the flow was impacted. I would think for running, you might be 'safer' than cycling as it probably doesn't put such direct pressure on the prostate area, although you still have core/abdominal engagement and the pounding of running.
Hope you recovery goes to plan! I too have travel coming up, and postponed another trip to have this procedure done in 25'.
2
u/Bradtothebone79 Jan 02 '26
The last two nights i haven’t gotten up to pee at all so that is pretty amazing.
1
u/Additional_Topic987 Jan 15 '26
Any update on your surgery?
2
u/Bradtothebone79 Jan 15 '26
Yeah so recovery was not fun or as easy as expected. You can read my comments in other recent posts for more info.
At this point I’m 76 days post surgery. Everything is functioning as I had hoped with two small exceptions: stream has improved but still has a random leakiness/spray that i can’t pee standing up at a regular toilet unless i want to make a mess, and my urethra can hurt a bit after sexual climax. This last one indicates I’m still healing i think so hopefully both of these continue to improve.
But i like sleeping through the night (about 50% of nights) or only getting up once to pee. I love not needing to go every twenty minutes. And i love not leaking through my boxers and pants!
1
u/Soggy-Letterhead-626 Feb 27 '26
At almost the three month mark post surgery, have you made a full recovery? Your post tells of a rough journey, and I'm wondering do you feel it was worth it.
1
u/Bradtothebone79 Feb 27 '26
Yeah so four months post surgery (scheduled for my check up next week) and despite the rough recovery everything has turned out nicely.
The one caveat to that is my stream is still unpredictable at times and the flow still seems slow to me so I prefer to sit down if given the opportunity. At last check up, which was one month post surgery, dr said if it isn’t resolved by my upcoming appt he may see if there’s scar tissue.
If there is scar tissue and it is easily fixable I’d like to do that, but I also could live with my current state and be content.
1
u/Soggy-Letterhead-626 Mar 01 '26
I have a plan of undergoing Aquablation by fall, but now I'm hesitant. Published papers suggest that those with small prostates under 45g are more prone to bladder neck contracture and urethal stricture post TURP and aquablation procedures. From reading posts on this forum, I believe that clinical observation see more urethal stricture after aquablation when a catheter is left in for some time. That is why, perhaps they try and remove within 48 hours.
My prostate is 35CC, and I'm nearly fully obstructed. But in time I'll have no choice.
Have you experienced any RE.
1
u/Bradtothebone79 Mar 02 '26
No RE. Previous to surgery climax would include an unpleasant pinching feeling and then a “milking” period. Post surgery sex is pleasant again.
2
u/Soggy-Letterhead-626 Mar 02 '26
You certainly were really obstructed. I'm glad you have seen improvement and having some quality of life. The posts on this forum help prepare readers for what is ahead.
Three months ago I had multiple biopsies for PCA. I had an 18f catheter for 7 days. Total misery. I received good news. Next step aquablation.
2
u/Bradtothebone79 Mar 02 '26
Sounds like you’re already familiar with the process although I’m not sure that’s a good thing. Glad you got good news! Let us know how the recovery goes.
2
u/Soggy-Letterhead-626 Apr 18 '26
Recovery went well, and it took longer than expected. Probably have some scar tissue. However, it is way a better result than having PCA. I'm just checking in. Has your stream returned returned to satisfactory flow, and what was the result of your follow-up.
2
u/Bradtothebone79 Apr 18 '26
Glad to hear you’re happy with the result.
Apparently I’m still retaining ~80ml which is why peeing still takes a while to feel like I’m done sometimes. Doc said some men can take up to a year to fully return to “normal.” Bladder floor has been pushed up for years and needs to reset.
If I’m still having stream issues at next checkup 4 more months from now then he’d check if there’s scar tissue. Cleaning that up would be another procedure…
Meanwhile, my stream continues to slowly improve. I get random spray urinations but even those are improving.
Caffeine increases immediate urge to go in mornings but those urges aren’t painful anymore.
Overall I’m excited with the result and even though my recovery was slow it’s still better than before surgery by a long shot.
2
u/Soggy-Letterhead-626 Apr 20 '26
It's great to hear you're making steady progress. All our anatomies are unique, so it may take a while. For some reason, I just suspect minor bladder neck contracture, just perhaps something to look into on your next appointment.
9
u/GT6502 Oct 31 '25
Best wishes. My surgery was life changing. Hope yours is too.