Aquablation for bph, enlarged median lob, urgency and frequency

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I am a 69 year old male with an enlarged prostate (BPH), median lobe growing into bladder (intravestical prostatic protrusion or IPP), overactive bladder, urinary urgency and frequency.

Is Aquablation the best way to surgically repair this situation while maintaining complete sexual function with normal orgasm and without incontinence?

I live in the NYC, Nassau County area. I would like to hear from men who had their enlarged prostate, with enlarged median lobe (BPH and IPP )treated with Aquablation and their success rate. If you had a successful Aquablation for this problem, in my area who did you use?

I am considering Bilal Chughtai, M.D., Alexis E. Te, M.D. at Cornell or Steven Kaplan, M.D. at Mount Sinai.

I am really frustrated by the urgency, frequency and really want to treat this problem. I had two coronary stent placements in July 2021. In 4 months I can stop my anti platelet medication to have this procedure.

What are the pros and cons? Thanks!

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    Bladder damage from long term blockage can be permenent and keep the bladder from being able to contract. Look up prostate health podcast on spotify by Garret Pohlman. There is one episode on bladder health with Dr. Elizabeth Mobley. #74. I advise everyone to listen to it. Outcomes from procedures may not be as good as hoped because of lack of bladder strength from having to overcompensate for so long. Your bladder and heart are smooth muscles and do not get stronger by pushing into resistance, but actually get weaker and less elastic.

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