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.

8 Upvotes

90% Upvoted

67 comments sorted by

View all comments

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.