AQUABLATION VS HoLEP

[OMI100]

I am starting a NEW story line here
I have some other older post that detail the back story
TIRED of peeing every 1.5 to 2.5 hrs 24/7.
After some research AQUABLATION looked like the way to go but no one in Alabama is doing it.
I have been to UAB and had a flow test done that confirmed Bladder Outlet Obstruction (BOO) and BPH. UAB does not do aquablation but does due HoLEP.
Last MRI had prostate size at about 165. LARGE!!!
I looked around and Emory University does Aquablation so I called and set up an appointment with Dr. Lorentz a few weeks ago. They did the old ultrascan to see how much urine was still in the bladder AFTER I peed and it was over 200ml. Just had same done by my local URO and it was over 400!
Dr. Loewntz said he needed to do a scan (cystoscopy) to ck out the bladder as there are come situations where Aquablation is not recommended. I go back on 4 March and have that done. If Aquablation is a no go then HoLEP will most likely be the fall back.
Emory does HoLEP also.
More to follow.......

 

[Deleted member 16042]

Wow O, I hope this does it for you, you've been through the wringer. And both the 165ml size and amount of retention, yikes! Best wishes!

 

[OMI100]

UPDATE TIME 3-16-24

After much research I had decided to look into Aquablation. I reached out to the Emory Hospital URO DEPT as they have a Urologist that does Aquablation. I had a consult and was impressed with his openness and frank discussion. We went over all the issues that I have went through and he said it looked like there was 3 options. 1> remove the prostate HMMMMM NO. 2> Aquablation and 3> HoLEP.

He did not do HoLEP but another DR. does and as I had bleeding issues and 2 PAEs he recommended that I consult with him. I did that last week.

I was also impressed with him. He went over all the pluses and minuses of both procedures (he also does Aquablation) and I explained that main reason for looking at Aquablation was time on the table. He explained that due to the current size of my prostate (160) the procedure time would be about the same for either procedure. He also identified Retrograde Ejaculation (RE) where semen make a right turn and ends up in your bladder BUT everything else is the same is one possible negative side. I am waaaaay past wanting to make babies so that was not an issues.
He pointed out that there would be less recovery time and I might even be released same day with no cath and in some cases an over night stay with a cath or trip back next day to remove the cath.

My research indicated a bit more recover and cath time with Aquablation.

Based on that, the answer was clear…. Sign me up Scotty for a HoLep… (Star Trek play on words). I have an appointment on 22 April and have asked to be on a wait list. If I get 2 days’ notice I will be there 4 hour drive one way and hotel time for me, but small price to pay to get this fixed.

 

[Bentonville]

My regular urologist does aquablation. He said that there is more bleeding with that. HoLEP has less bleeding because as laser burns away prostate tissue, it cauterizes the blood vessels to some degree. Ask about morcellation as that is the danger to sphincter in bladder . Also ask about the scarring in urethra due to the stiff tube necessary to insert laser device and morcellator. Those are my concerns anyway. Other than getting a doctor that has done hundreds successfully .

 

[Deleted member 16042]

HOLEP was on deck as my backup, had TULSA-Pro not been available for my case, I would not have hesitated with HOLEP with the caveat of getting someone who's top tier to do it. I am amazed that you still have not had it fixed man. Good vibes and hopefully you will have a new improved life (Urinary anyway)) when it's done. Getting fixed did improve mine beyond just the urinary aspect... better sleep, peace of mind etc.

 

[OMI100]

OLder Emory vid. They have been doing HoLEP from 2019.

 

[OMI100]

WARNING.... MAY BE T.M.I. (TOO MUCH INFORMATION)
My go at this will be NLT 22 April
Click on "watch on youtube" and back up to the start of the vid.