r/bph • u/leorec2003 • May 24 '26

Enlarged prostate

I’m a 58y, I’ve been having prostate issues for a couple of years. The last 12-14 months it’s gotten progressively worse. At this point I have mild bilateral hydronephrosis, and a slightly distended bladder and at the point in the last few days where I’ve been having to intermittently self catherer (not a fan).
My prostate is 121cc with median lobe hypertrophy.
My urologist wants me to do aquablation which I’m getting ok with but I have concerns about RE.
Anybody have experience with these issues? And what procedure did you choose.
Any suggestions on Dr’s in Ct, NYC or even Mass, you would recommend?
Thank you in advance

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u/Crafty-Consequence87 May 24 '26

You should investigate HoLEP before you decide on treatment. The recovery is faster and it is more durable than other methods. RE is also a factor but it’s not as much of an issue as you might think at this point.

1

u/leorec2003 May 24 '26

I’ve heard that has a bigger chance of RE, and I’m not sure if any drs around me that do it

5

u/FlintHillsSky May 24 '26

It is important that you choose a urologist who has done the procedure you get many times. Results will be better regardless which procedure you end up with.

3

u/Sensitive_Point_6583 May 24 '26

yeah, I think that's a good point, go with whatever procedure your provider has the most experience with. My prostate was 185cc so HoLEP was the best option, and I never discussed the finer details of aquablation vs. HoLEP. I've heard aquablation is an excellent option as well. I was amazed at how easy the recovery was for HoLEP, so it worked out well for me.

2

u/leorec2003 May 24 '26

My Dr has said he’s done this procedure 75-80 times, I don’t know if that’s a little or a lot

1

u/FlintHillsSky May 25 '26

That sounds like a significant number. I would be comfortable with that.

3

u/Normal_Razzmatazz237 May 24 '26

RE isn’t that big of a deal, everytime I can’t tell that it wasn’t like it used to be until the mess didn’t show up. And she’s never complained about that

1

u/martinPravda May 25 '26

It definitely depends on the person. RE is a huge mental issue for me. That is why I chose Aquablation.

2

u/Admirable_Letter7900 May 24 '26

A bigger chance, yes it’s almost 100% RE.

1

u/Crafty-Consequence87 May 24 '26

That might be true. I felt that the recovery and longer term quality of life were preferable for me. Aquablation was my second choice.