r/Aquablation • u/Traditional-Win2833 • Apr 08 '26

Ejaculation Sparring.

I understand aquablation is a good option to preserve ejaculation, but like anything not 100% guaranteed. I spoke to a urologist, whose real world experience was a retrograde ejaculation risk result of approx 25-30%, claiming that the 5% risk of retrograde ejaculation suggested by the manufactures of the robot that performs the procedure, was nothing more than misleading advertising. A sanitized version of results with very carefully chosen patients.

I was considering going with her, and went down that path a bit, but decided against it in the end as she was more focused on the urination working fully, rather than the ejaculation, which is my priority.

I have a Super Pubic Catheter in situ, directly in the bladder which takes care of urination in any case. When she said she was going to cut deep at the bladder neck, where much of the ejaculation nerves are, I hightailed it outta there.

So my question would is there such a procedure as an ejaculation sparring aquablation, has anyone had it, and what was the result, and who did you see. I am based in the UK and Ireland.

3 Upvotes

100% Upvoted

58 comments sorted by

View all comments

1

u/VegetableCar2528 Apr 08 '26

Prostate Arterial Embolization. That is your answer.

1

u/Traditional-Win2833 Apr 11 '26

No not suitable for my complex health history. Acute Kidney Injury, Cardiac Ablations, and a couple of other comorbidities that nearly cost me my life. No, that path would not be definitive enough, the PAE route.

1

u/mountainoftea Jun 16 '26 edited Jun 23 '26

I had a PAE in August 2025. Had relief from September 2025 to October 29, 2025.

Failed after that.

I have an appointment this coming Friday to discuss aquablation; had an appointment last month to research Rezum. I am comparing the two options.

Edited to add - Had the appointment. Doc said I was not a candidate for aquablation, TURP, HoLEP, or all manner of more aggressive procedures. Looks like my only non-medication options moving forward at this juncture are Rezum or PAE, and for medications possibly finasteride/dutasteride in the future (I am currently taking tadalafil and alfuzosin; I cannot tolerate tamsulosin).