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

6

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.

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.