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My upcoming Aquabation Surgery, Apr 2022

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robbietommie
robbietommie

My Aquablation surgery is in 6 days (Apr 1, 2022)…..Tricare is not covering it…..doc fee is $2500….overnight in hospital is $5500.....anethesia is $600....all out of pocket.....this will be my first Uro procedure.....no voiding problems w my bladder but i do have 68g prostate w median lobe issue.....i have had two episodes of urinary retention (unable to pee) over the past 5 years......pre-op stuff involved prostate ultrasound, EKG, chest xray, labs (blood and urine), and one week of p*****g into a computerized funnel called Stream DX.......it probably measures flow rate, volume, frequency, etc......i am 58yrs old.....will report back after my surgery

1 like, 8 replies

8 Replies

  • hank1953
    hank1953 robbietommie

    Edited

    Just curious, why are you having a costly procedure with no certain outcome, while there are no voiding problems? Hank

    • russ_777
      russ_777 hank1953

      Posted

      Hank, it was a little confusing to read but he said he had no voiding problems with his bladder, but does have a median lobe issue and has been in retention before. I took that to mean his uro told him his bladder is not the problem, his prostate is.

  • ted1960
    ted1960 robbietommie

    Posted

    Good luck with your procedure. Let us know how it goes. I had mine done on March 17th . Insurance didn't cover it and it cost me a total of over $13000 . The procedure is easy and I didn't have any post-op pain or complications. Things are still healing but I have an improvement in voiding so far.

    Ted

    • russ_777
      russ_777 ted1960

      Posted

      If you're having to pay out of pocket up front do not assume you can never recover that cost. I went through a year-long appeal process with my insurance company following my aquablation surgery and ultimately had their denial of coverage overturned. I know others who've had successful appeals. Work with Procept's claims support people. PM me if you'd like to know more.

  • robbietommie
    robbietommie

    Posted

    so I had my Aquablation surgery on Apr 1, 2022.......never felt a thing as I was totally knocked out......woke up 1.5 hours later in recovery and then moved to a private room......3 way catheter was in......they immediately started the irrigation of my bladder etc......that involves large 3 liter bags of clear solution that is fed into the bladder through the catheter ......it washes debris out through another port in the catheter......they did this for 18 hours......lots of ablated prostate debris and blood washes out over these 18 hours.....I had an episode where the fluid was irrigating into the bladder but the drainage port was blocked by prostate debris......this became very uncomfortable because my bladder was becoming way over filled with nothing draining out......nurses came in and used a sizeable syringe filled with clear fluid to shoot thru that clogged drainage port in the catheter they successfully removed the clog thus allowing all that excess fluid to drain out......they ran about 70-80 liters of clear fluid thru my bladder before dailing that down in the morning......I had a good night.....my tailbone felt seriously bruised and it felt like I had a catheter in (which I obviously did) and the balloon inside the catheter was larger than the other two foleys I had over the years......they also applied 'traction' for 8 hours which was a 16 ounce bag filled w fluid attached to a string which was attached to and pulling on my catheter.....this 16 ounce bag hung over the end of the bed pulling on my catheter.....this form of traction supposedly promotes clotting and healing......things were uncomfortable for me but I did not have pain.....they constantly watched my drainage fluid and made sure irrigation was on going.........it eventually became less red and more pink looking - kinda like grapefruit juice...... lighter is better because that means less blood.....since my color was good the doc said they would fill my bladder thru the foley w fluid (250ml) and then remove the catheter to see if I could pee on my own......when they removed the catheter I did not have good control of my urine but it was coming out via a somewhat weak stream.....there is of course swelling in there......they measured how much came out and then used the ultrasound to see what was left in my bladder (PVR).....very little was left.....this was all good......by the way, lots of blood and chunks of bloody crap came out when I was peeing......so obviously the catheter is out now.......I then needed to continue to drink fluids and successfully repeat this 'peeing on my own exercise' two more times with low PVRs in order to be released......I was able to do this but the peeing was certainly painful and bloodly......I also dripped and leaked a lot before and after......so I was discharged with a few standard meds and a laxative......last night at home I found that I was peeing about every 40 minutes......maybe 5-6 ounces......bloody and kinda weak and it did hurt......this went on thru the night every hour with the pain getting mildly better......my tailbone still feels very bruised......am wearing Depends diapers because there is leaking and dripping.....I think this is because the urethea needs to regain its elasticity from being tramatized and stretched by the catheter......I am taking it very easy.....I walk around like I got a cob up my butt......I am able to function.....its certainly an uncomfortable feeling but not painful .......if I had to go to the store or run an errand I could do that.......I am going to take it easy......doc wants to see me in 4 weeks......I would definitely say so far so good

    • ted1960
      ted1960 robbietommie

      Posted

      Glad to hear that the procedure went well. I had mine done on March 17th and they left the Foley in for a week, so I didn't have all that bloody urine. I never had any pain. Good luck with the healing.

      Ted

    • robbietommie
      robbietommie

      Posted

      so i now on Day 6 post-op from my Apr 1, 2022 aquablation surgery......my urinary symptoms (freq, flow rate, volume, etc.) are still very similar to pre-op......peeing just a very small amt of blood at the beginning of each trip.......my tailbone is still quite sore.....feels bruised.....my urethra also is rather sore and ertainly feels firmer than normal......no major set-backs......although i am retired i could not have worked at all over these past 6 days......things are just too uncomfortable in the pelvic area.....i am leaking and dribbling less as each day goes by......am sleeping ok but since i am drinking a good deal of water i am up and peeing every 2 hours....have not used pain meds......sitting in a normal position is just too uncomfortable so i am laying back a lot to keep weight off my tailbone......thats all the news

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