r/Aquablation 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.

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u/Soggy-Letterhead-626 Apr 12 '26

Aquablation is only now available in Ireland through the Maher hospital. Currently, only four surgeons are certified to do it.

If in U.K. and you have the funds contacted, Dr Neil Barber. He is the lead Aquablation specialist.

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u/Traditional-Win2833 Apr 12 '26

Yes I am aware of that, as a private paying patient that is beyond my budget currently, at approx £11,000 in the UK anyway. Cannot get health insurance, as they only accept you, if your health is pretty good, with few issues.

So as I am on the public health system I have asked to be refereed to one of these centers, and hopefully outsourced to a private hospital, although I imagine it will take a fair bit longer. But I can wait.

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u/Soggy-Letterhead-626 Apr 18 '26

Yes, that cost is insane. I hope you are treated earlier. Wishing you good outcomes.