Aquablation for BPH

Hi Glyn,

Congratulations on a successful aquablation! Could you please give us a little more of your history, such as age, any prior bph treatments (drugs, etc), post void residual and IPSS score (it's a very short test you can google). Also, did you end up with retro orgasm (dry orgasm) or a diminished ejaculate after the procedure. Thanks.

Jim

Good morning Glyn.  I'm so happy that you are having a good out come so far.  Aquablation is just another way of doing a TURP but it is better because of the mapping.  It does look promising but I know men are looking for a relief from BPH but they don't want any sexual side effect.  Like Jim I would like to know if you tried it out yet and did you end up with retro.  Take care ken   

that's great news glyn... that's 2 great outcomes, both you and InbutOut ! So promising.

Hi Glyn- 

Thanks again for posting. 

1] Would love to know how long you were cathetered post-surgery? 

2] How long was it before you could urinate "just okay" after surgery?

3] And then how much time passed to be able to urinate the way you can

now, which I assume is very well?

4] Do you know your Qmax peak flow number? [From what I have read the Aquablation has an average post-surgery Qmax peak flow rate of about 21 mils/second.] Was yours near that ?

Thanks so much for your help! ~ Jay

 

Wonderful news. We are anxiously awaiting FDA approval of this to begin offering it to our patients!

Dear Dr. Jersey- when do you expect to be able to offer the Aquablation to your patients? Thanks! J

 It is still in testing and only academic centers are trialing it now.

We are hoping that it is approved soon and we will be among the first to be offering it once it is

Hi may I ask a question, I had the aquablation op ten days ago still have a weak flow and only voiding around 100mps each time does anyone know is this improves in time? I certainly hope so as I'm getting worried now. Clive

 With this procedure ( which is still experimental), results should be almost immediate. 

 I would go to your urologist and have a uroflow and post void residual testing do you quantify it.

Did you have a baseline urodynamics test? Were you in retention?

Definitely see your urologist ASAP

I did not have a urodynamics test and was not in retention but had a weak flow and had flow tests before the procedure and checked for retention of urine after the. Operation I will contact him Thankyou.

Clive, Thanks for sharing your post operation experience to date. I hope things improve for you soon.  Would you continue to keep us informed of your progress please? Do you know the size of your prostate prior to the procedure? I ask as I am considering aquablation in the uk as a possible treatment for my own bph. Any advice would be appreciated. Thanks.

Hi Clive,

What other symptons did you have besides "weak flow". Personally, I don't think

weak flow alone is a problem that needs to be solved as long as you aren't retaining urine, and your kidney function is OK. 

Jim

I agree with you Jim  Weak flow is not a reason to have a procedure done.  Cline did your doctor tell you anything else  ken 

67grms retaining about 200ml before the procedure I hope they don't suggest another operation! If only i could turn the clock back!

I think we all would like to go back to our younger years..  God bless   Ken

I had the aquablation surgery 11 months ago and also had a weak flow and minimal voiding ( 100mps or less) for maybe the first 8-9 (?) days following.   I was a little concerned as well.  However, it just started to improve after that.   Not sure if it just took some time for inflammation to subside or what.  Everybody has their own unique issues and recovers at there own pace.  So stay hopeful. 

InButOut   Thank you for giving clive your feed back it will help him and many other men that have      some type of prostate Procedure.  In any type of surgery things do get better once the inflammation goes down.  Thanks again   Ken  PS.  Sometimes doctors forget to tell men everything 

That is very good to know. This is such a new procedure, that you are truly a pioneer! We are looking forward to offering it here in the states once it gets approved!

I would probably get seen just to assess that you are emptying your bladder. This is such a new procedure, that it is hard to tell you exactly what to expect each day post-operatively.

Thanks for the update I'm a bit late replying because of the time difference, there is of course so little information about this procedure after effects etc I should have asked the dr more! I will keep everyone updated on my progress. Clive.

Hi Dave,  I had the procedure done, last Sept 20th.  (Water Ablation).  After the operation, I experienced the most pain ever.  My urologist said, the pain was from spasm's, and that it was normal.  I've never had so much pain in my life.  I wish I would have known it was going to be so painful.  Make sure if  you the procedure , you ask as many questions as possible.  On a side note-  I tried to ejaculate today and nothing came out.  I had what you would call an internal orgasum.  It was not a good day.

Hi InButOut,

Are your orgasms after Aquablation normal or dry where nothing comes out?

Jim

Hi Felix,

Sorry about the "internal orgasm". Sound like what is termed retrograde orgasm, and unfortunately seems prevalent with Aquablation. Are you on any medications that might cause the retro like Tamsolusin (Flomax)? If not, then it's probably the Aquablation.

Jim

Correction -- medical term is retrograde ejaculation, not "retrograde orgasm". 

Jim

I was afraid of this.  Jim remember in the trail they were very vague on retro.  It does not look good.  It's looks like it a TURP with water  Ken

I believe they stated something like one third the chance of retro compared to TURP. That still puts it around a 20% chance. That said, the real world data will be more telling, as they appeared to use questionnaires to cull these numbers and depending on how the questionnaires are worded, and without proper follow up, the numbers can be misleading. 

Jim

Jim

No. I have not experienced retrograde ejaculation.   It is no different than before the surgery.  I am thankful for that.   I was under the impression that this was to be expected, but maybe that is not the case. 

I think you were one of the lucky ones.  One false move with the jet and your done with  Ken

Yes i think you are right, lucky i had no pain, flow is now better so one good thing dont know about retro yet i think ill give it a few weeks! the day before surgery i had the choice of urolift or this i hope i made the right choice!.

Yes wait a few weeks for what is left of your prostate to heal before you try anything.  Giving a choice I would have taking no cutting to cutting.  Good luck  Ken

Hi to everyone just an update, from me a very painless operation and now it seems no dreaded R E so quiet pleased hope this helps anyone with a decision. Clive.

I understand Aquablation is under study in the US.  It is already available in other countries?  Anybody can chime in.  

It is under trial in the UK

Thanks Clive.