Aquablation Recovery: What to Expect After Surgery

Recovery after Aquablation varies from person to person. The procedure is normally performed as a day case, although some patients may need to remain in hospital overnight depending on their individual circumstances.

More precise recovery instructions can be given once the operation has been completed. Your surgeon will advise you based on how the procedure went and your individual progress. In general, most patients should allow approximately two to three weeks for recovery before gradually returning to their normal activities.

What happens immediately after Aquablation?

At the end of the procedure, a urinary catheter is usually inserted to drain the bladder and allow the treated area to begin healing.

Depending on your recovery, local hospital practice and how the operation went, the catheter may be removed before you leave hospital. Some patients may instead go home with the catheter in place for a few days. If this happens, the clinical team will explain how to manage it and arrange its removal.

Before discharge, your surgeon or nursing team will provide instructions about medication, activity, catheter care if required and symptoms that should prompt you to seek medical advice.

Going home after Aquablation

Aquablation is commonly performed as a day-case procedure, but an overnight hospital stay may occasionally be recommended. This depends on factors such as your general health, prostate size, bleeding, ability to pass urine and your recovery from the anaesthetic.

You should arrange for someone to take you home and follow the instructions provided by your hospital. Recovery advice may differ between patients, so the guidance given by your surgical team should take priority over general information found online.

The first few days

It is normal to feel tired after an operation and anaesthetic. Gentle movement and short walks are usually encouraged, while strenuous exercise and heavy lifting should be avoided until your surgeon advises that it is safe to resume them.

Some patients experience temporary urinary symptoms, including:

• Burning or stinging when passing urine

• Increased urinary frequency or urgency

• Small amounts of blood in the urine

• Mild pelvic discomfort

• Passing small pieces of tissue or debris in the urine

These symptoms usually improve as the prostate and urinary tract heal. Drinking an appropriate amount of water may help, unless you have been advised to restrict fluids for another medical reason.

The first two to three weeks

Most patients should allow approximately two to three weeks for their initial recovery. During this period, activities can usually be increased gradually according to comfort and the individual instructions provided after surgery.

The time needed before returning to work depends on the type of work you do. Someone with a desk-based role may be able to return sooner than someone whose work involves heavy lifting, prolonged physical activity or driving.

Your surgeon will advise you when it is appropriate to resume exercise, sexual activity and driving. Do not drive while taking medication that affects your alertness or until you feel able to perform an emergency stop safely and comfortably.

Blood in the urine after Aquablation

A small amount of blood in the urine can occur during recovery and may continue intermittently for several weeks. The urine may become clearer and then appear blood-stained again, particularly after increased physical activity.

Follow the hydration and activity advice given by your clinical team. Contact the hospital or your surgeon if bleeding becomes heavy, you pass significant blood clots or you have difficulty passing urine.

When will urinary symptoms improve?

Some patients notice an improvement in their urinary stream relatively early. However, urgency, frequency and discomfort may take longer to settle because the urinary tract needs time to recover.

Improvement is not always immediate or linear. Symptoms can fluctuate during the first few weeks. The full benefit of the procedure may become clearer over the following weeks or months.

When should I seek medical advice?

Contact your clinical team, hospital or an appropriate urgent medical service if you experience:

• Inability to pass urine

• Heavy or persistent bleeding

• Large blood clots in the urine

• Fever, chills or feeling significantly unwell

• Increasing pain that is not controlled by the recommended medication

• Problems with a urinary catheter, including failure to drain

• Any other symptoms that concern you

You should receive contact details and specific instructions before leaving hospital. Follow those instructions if they differ from the general guidance above.

Your recovery plan is individual

Every operation and every patient is different. Factors such as prostate size, general health, medications and what happens during the procedure can affect recovery.

For this reason, the most accurate recovery plan will be decided by your surgeon after the operation has been completed. Before leaving hospital, make sure you understand what activities you should avoid, how to manage any catheter and when follow-up will take place.

Considering Aquablation?

Aquablation is a minimally invasive treatment for urinary symptoms caused by benign prostate enlargement. It uses real-time imaging, robotic guidance and a heat-free waterjet to remove prostate tissue obstructing urinary flow.

Dr Carlo Bravi offers private consultations in Northampton and London for men considering Aquablation and other treatments for an enlarged prostate.

Learn more about Aquablation surgery or contact Dr Bravi to arrange a consultation.

This article provides general information and does not replace individual medical advice from your surgeon or clinical team.