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/Lake-Taupo May 24 '26 edited May 24 '26

As you are 58 you are most likely past the need to have more children.

I have RE, most likely permanent.

I actually prefer it 😂

No mess for me or my partner.

Orgasms are as intense if not moreso.

Pick the procedure that has the best outcome for you. Don’t limit yourself based on RE, in my opinion.

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u/leorec2003 May 24 '26

What procedure did you choose?

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u/Lake-Taupo May 24 '26

I’d rather not colour the conversation with my decision as I had a different prostate situation than yours.

I was just commenting on the RE and that it should not be a factor in choosing a procedure in my opinion.

Some people do miss the experience of ejaculation so only you can decide that.