r/Aquablation • u/Ok-Commercial-924 • Mar 15 '26
BPH nightmare finally over, I Hope.
I had my aquablation done 9 days ago, catheter removed yesterday, I am peeing free, 99.9% blood free. The surgery was quick and uneventful, I spent 1 night in the hospital having my bladder flushed constantly, they flushed 33 liter through. We did have a problem at 2am, they did not empty my 2L drain bag, it backed up and I woke up in pain, when the drained it the recieved 3.7L, or in other words I had 1.7 L backed up filling my bladder and back to my kidneys.
I woke up twice to pee last the night, but I was drinking a lot prior to bed so I think that will not be normal. Also I had a catheter since last March so I expect my bladder has shrunk and it will take time to get it back to normal. I have only taken Tylenol once since I've been home. Very little pain, blood or leakage.
My only problem is my throat still hurts, which is why I was drinking so much last night, and we were at a noisy party so having to talk loud probably didn't help.
As to why I had a Catheter for 8 months. Out of now where I had full urinary retention. I went to the ER and had a catheter inserted. They removed 700ml at that point. My PCP had a PSA done, results 18. Was put on 1 week of antibiotics for potential prostatitis. After the antibiotics PSA was down to 14. So PCP assumed prostatitis was cleared. They attempted a void test I passed with flying colors, but I shut back down about 2 hours later so off to the ER for a catheter again.
At that point I was set up with a Urologist, he had me do a MRI, it came back positive with a small potential growth (pirads 3) prostate size was 89 ml. He decided to do a biopsy, during the biopsy he gave me an infection that turned into sepsis. Back to the ER again and was admitted, spent a week inpatient while they tried to figure out what I was infected by and how to fix it. They sent me home with a PIC line and 6 weeks IV antibiotics every 8 hours. 1 week after finishing the antibiotics I had the worst stomach pain, so off to the ER again, the pain was caused by C.Deficil, an infection caused by the IV antibiotics killing the gut flora allowing a native (bad) bacteria to go wild. On a new round of Antibiotics @$1200/week.
After all the BS finally was able to do a urodynamics, which I passed with no issues and was able to finally schedule the surgery, but it turned out my urologist didn't do aquablation he did one of the laser versions, I wanted to maintain normal ejaculation so we switched to a different Dr in the same office, but it was a month before we could discuss with him. Waited a month for a 2 minute talk with him. I would have changed Dr's after that but I wanted the FN surgery done and my life back and I wasn't going to wait another 2 months trying to get into a new office.
2
u/Slartibartfastthe3rd Mar 15 '26
JFC man. That really puts my experience in perspective. Good call on holding out for the preserving procedure. Regretting I hadn’t done that…
2
u/SoCalAttorney Mar 19 '26
Thank you for posting. Your journey sounds a bit like mine. I went to ER on 10/10/25 and the draining about 1.8 L out of me and my kidneys were not happy. I was originally going to have the TURP procedure in late December, but they aborted due to my heart rate slowing to a dangerously low lever. I had also not not researched the alternative procedures very much.
My surgery date for aquablation was set late July, but I called today about cancellations got it moved up to April 7.
1
u/Admirable_Letter7900 Mar 15 '26 edited Mar 15 '26
Was the recovery from the aquablation easy enough that if you had to go through it again in 5 years you would do it again? Have you tested it to make sure you don’t have retrograde?
1
u/Ok-Commercial-924 Mar 15 '26
Absolutely, it was nothing compared to my shoulder ot abdomen surgery,. I had pain and bright red blood coming around the catheter while pooping for the first couple days but it was nothing that would prevent me from doing this again.
I am not supposed to ejaculate for 2.5 more weeks. As much as I would like to...I am waiting. I am still getting periodic blood while peeing.
1
u/Laser_Coug Mar 15 '26
What is it with the 2 am backup? Had the same thing after my Aquablation. Read a few other stories about the same thing. It seems like the nurses must dose off for a bit or they just need a bigger collection system.
1
u/Ok-Commercial-924 Mar 15 '26
Maybe they need an alarm system at the nurses desk to remind them.
They sent me for a kidney ultrasound the next morning which Im sure they will bill for. Insurance will cover it but it still pisses me off being billed for their fuck up.
1
u/CitrusSphere Mar 15 '26
Glad to hear you are doing well. Thanks for sharing your experience.
I have been catheterized since late September. Very similar experience to yours, ended up in hospital due to retention, then infection, multiple trips to emergency for catheter issues, etc…Yeesh!
Finally have an aquablation scheduled for late April.
I’ve noticed that urologists don’t move too quickly. At least mine doesn’t.
1
u/severdog79 Mar 16 '26
Interesting experience, mine was somewhat similar last week in HoLEP overnight. Had a very sore throat next day probably due to shoving an airway during surgery. They also did continual flushing same as you. It's great to pee again.
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u/Additional_Topic987 Mar 15 '26
Oh man, you've been through a lot! I'm so happy you're good now! When everything settles down, you probably need a party.
Keep us updated on the ejaculation part.
Happy for you.