In no particular order: The following relates to the aquablation of my prostate 17 days ago.
1) My aunt, a retired nurse who worked for a top urologist for the final 40% of her glorious career, scolded me for not informing her of the procedure ahead of time. I simply didn't want to bother her.
2) Don't chase the pain with your meds; take 'em on schedule -which means ahead of pain onset. She told me not to even think about addiction. What made her so certain, I do not know. I've taken my opioid prescriptions -for this procedure and a hip replacement 2 years ago- and never even thought of wanting more....so I guess Auntie was right again!
Obviously, this is a thorny topic with many possible variables.
3) I had no cancer. Aquablation is cutting away tissue using high pressure water. A hollow rod, sealed at the end, has a small hole pointing straight down at the 'working end". The jet of water is rocked side-to-side, forming a fan-shaped blade of water.
They cauterize to halt some of the bleeding.
I forgot to ask my urologist what percentage of my prostate was removed.
I intend to and if it's some important number, I'll get back to you.
However, when I asked if he was going to remove it all he answered that wasn't what anybody in my position needs or wants due to the complications mentioned above (incontinence + erectile).
4) My procedure was ~8:00AM and a Foley catheter -a tube within a tube- was used to flush 3l bags of electrolyte (water) through me post op. They easily sent 12 of those 3 liter bags of water through my bladder.
The bags emptied through my bladder and collected in a large vinyl bag which was constantly being emptied by the nurses.
I was told to rest but the nursing staff did encourage me to walk a bit on the recovery floor. They were satisfied that I had good balance and the absence of crippling pain. I really did just want to rest.
5) 6:30 AM the next day the Foley was removed. It was easily 2 feet long and as big as a heron's leg. A younger doctor pulled it out in one quick shot....the 'Band-aid method', I suppose; quick and done.
I was released noon-ish that very day....basically 30 hours in the building. I spent the last 4 of those hours learning to predict my urges to urinate while downing bottle-after-bottle of water.
True to BITOG form, I took the two 3l transfer jugs (see #4) home with me.
Ha, I was a little bold in going down to the street for my pick-up. I told Mrs. Kira to move the passenger seat forward and that I'd climb in the back seat.
At the midway point I had an urge....and these urges are essentially uncontrollable. I had my handy urinal and no drama ensued.
6) A patient is well served by carrying a cheap, plastic urinal around wherever he goes. They're translucent plastic which allow the patient to observe scabs and the like in his urine. I must say, the first 2 hours of urination episodes carried said clots and scabs through my urethra. There was a bit of discomfort throughout the ensuing 2 weeks.
It took all of 2 weeks for any traces of blood to be absent.
Only for the past several days has passing urine become occasionally completely easy/thoughtless/painless.
7) Timeline: Aquablation has been around for 15 years in New Zealand. I was told the procedure came to the US 7 years ago.
The feds OKed it 5 years ago and insurance companies have been including it over the past 4 years.
Essentially every guy I mention aquablation to has not heard of it.
8) A pal who had cancer did have his entirely removed via robot, and only mentioned having to relearn how to urinate. He went home with a catheter and had it for 4-6 weeks as he had part of his urethra removed.
My catheter wasn't in 24 hours, so I got off really easily.
Read books while recovering. Do not watch BS on TV as it's designed to upset and inflame the mind. You will need to rest.
Hmmm...Auntie is in Dallas!
Best of luck with your procedure and recovery, George
edit, personal: Trips to various doctors started with a hernia mesh 63 months ago. Then I had a hip replacement, cataract surgery in both eyes featuring corrective lenses to address astigmatism and this aquablation.
At every turn I'm told I'm in great shape and should recover easily. The hip surgeon told me I was 'prime candidate' for same day release. I must say, having educated cheerleaders telling me how fit I am is encouraging beyond words.
I also must tell you that in all the waiting rooms for pre-op physicals and blood work, I'm the best looking guy there. I'm also frequently the youngest and that rare bird who is younger than me always looks pekid and weak.
Eat right, ease way up on the alcohol and exercise. You want to do aerobics as it makes your heart and lungs work too.
I've benefitted immensely from doing hot yoga. I do the Bikram 105*, 29 pose yoga.....and you should too.
Cut the BS....health maintenance requires involvement and effort.