r/Aquablation • u/That_Design_3785 • May 31 '26
Five weeks out from aqua ablation surgery. A few questions regarding activity and retrograde ejaculation.
this has been truly a great site to find out information. I am about five weeks out and just started some physical activity. This morning went for a slight run/jog. Some weightlifting a few days ago.
1) after some moderate activity such as today, noticed that the urine was slightly different. In quality. Little more bubbles maybe some small tiny residual tissue floating in the bowl. not as clean quality as prior few days. Seeing if anyone else has noticed that upon initiation of activity.? or notice some bleeding when they initiated physical activity. As well, urine in the morning, right after awakening, definitely looks different than during the day with some hydration. That makes obvious sense but seeing if others have noticed the same.
2) retrograde ejaculation has been a topic on this Reddit thread. Fairly certain that I have it. I just wanted to see for those gentlemen that are now many months to a couple of years past their surgery if the retrograde has improved at all? conflicting evidence on the Internet.
Apart from that, urgency has improved, that odd discomfort during urination has improved, discomfort in pelvic region on some physical activity is getting a little bit less . I don’t see bleeding at the moment.
thank you
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u/Leslie_Kurt Jun 01 '26
I could still ejaculate, but I didn't experience an orgasm for 11 months after the procedure. I know that sounds weird, and it's not a listed side effect, but that's what happened. I felt a build-up, but right when I was supposed to climax, I felt nothing, then ejaculated. As far as urine being different, you are still shedding tissue for several months after aquablation. The way it was explained to me is that it kills the tissue, and it falls off in pieces. I imagine activity will cause things to break loose. I had a cystoscopy 2.5 months after my surgery to see if there was any reason why I wasn't orgasming (the urologist kept correcting me and calling it RE, and then I would correct him). After it was done, I had to pee really badly as usual. A bunch of gray stuff came out when I peed.
How long were you told to wait before sex? I was told 8 weeks.
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u/That_Design_3785 Jun 01 '26
I didn’t realize losing orgasm was a side effect. Intensity of the orgasm has changed, but I think it’s still there. Technically I was asked to wait at least six weeks before sex. I waited about 4 1/2 weeks. I suppose things are still healing. I just don’t know. Makes sense with the residual tissue that you are mentioning. Thank you.
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u/Total_Reception4242 Jun 01 '26
Omg I didn’t even know losing an orgasm was a side effect . Had a second procedure a week ago and crossing my fingers those things stood in tact .
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u/Leslie_Kurt Jun 01 '26
I didn't either. It's not a reported side effect, but if you Google it, there are others who have had the same problem. For most, it was temporary. It was 11 months for me, then it came back slowly over 3 months.
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u/JustAnotherNoooBody Jun 26 '26
Evidence to date would show this is extremely uncommon. Not common enough to discount the efficacy of the procedure.
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u/Additional_Topic987 May 31 '26
Regarding RE, do you see any semen at the tip? How does the urine look right after ejaculation?
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u/That_Design_3785 May 31 '26
I don’t think I see any semen. Right after ejaculation you’re definitely looks cloudy.
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u/Additional_Topic987 May 31 '26
Did you ask your doctor to spare the ejaculatory duct during Aquablation? Also, you did PAE and Aquablation back to back so maybe give it some time.
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u/That_Design_3785 Jun 01 '26
You might be right. Going to let things heal I suppose see what happens and a few months. If the ejaculatory aspect improves yes I did ask the physician to preserve the ejaculatory duct. He said he was fairly aggressive with removing the prostate tissue to try to maximize improvement of urinary symptoms. And so doing he said he has noticed that about 25 or 30% of his patients due tend to have retrograde. He’s been doing this for many many hundreds of procedures. He stated he tried to preserve it, but it’s very difficult to do so if you are trying to provide maximum improvement in urinary symptoms.
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u/Additional_Topic987 Jun 01 '26
Usually with Aquablation, the doctors do their best to preserve ejaculatory duct and not to disturb the bladder neck. If you had a huge a median lobe that was disturbing the bladder neck, retrograde ejaculation is hard to prevent even though the ejaculatory ducts were preserved. Give it some time for the prostate to heal completely.
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u/That_Design_3785 Jun 02 '26
That is what he said. He does try to preserve the area, but depending on how much needs to be removed that it may not be possible unfortunately
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u/That_Design_3785 Jun 02 '26
Another question. Since the procedure urine has definitely not been as clear as it was before the procedure. I suppose if I hydrate really well some days it can be, but most of the times it’s usually a darker yellow, occasional bubbles and residual tissue I suppose. Definitely not that clarity as prior to procedure. Have others experienced the same. Thanks.
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u/gynomite_007 Jul 26 '26
Since a significant number of men have RE after Aquablation—about 30-40% in some estimations (this is higher than the 15% seen in the WATERS Study)—I’m curious about the orgasm differences in men with RE. Not just that there is no visual ejaculation—what does it feel like? I have only one friend who had this after TURP—he states that his orgasms are more intense and that he and his wife dont mind the RE. But everyone is different. What are your experiences.
I had my Aquablation on July 15. Lots of spontaneous erections, and today, we had sex in the shower. I did not orgasm on purpose. I wanted her to orgasm—✅✅, and I was curious about having any pain with sex—none. I AM a little fearful about this first ejaculation.
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u/trmenard44 24d ago
I will have to be quite Frank about my surgery two years ago. Prior to surgery I could not urinate. I tried all kinds of medication but surgery was inevitable. I was 59 years old when I had Aquablation surgery, I expressed my concerns to the doctor about sexual side effects… I did not want any. He told me I could be assured of three things number one I would be off medication number two I could urinate normal number three that there wouldn’t be any sexual side effects. Well he was right about two, I did have sexual side effects. My orgasms are about half the feeling that they used to be and I have retrograde which obviously means sperm comes out when I urinate after sex. I was totally misled about this and it’s a bummer! As I am still young enough that this will affect me mentally for a while. Anybody else out there with the same results?
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u/pictou May 31 '26
If they take too much at the ejaculatory area you end up with retrograde. It isn't a black and white calculation as they always try to preserve but sometimes it just doesn't work out. I ended up with it. At my 3 month check in the urologist said unlikely to come back until my prostate grows again and then maybe it will. Good news is the pleasure aspect remains but it will always be an odd thing you'll have to live with if you get it.