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Dr. Mehan completed my Aquablation procedure on July 11th. I had the exact same experience that you had no blood on day 9, no pain other than the annoyance of the catheter. Went to the Hollywood bowl last night and peed once. 68 years old and it is a whole new world.

Have you made any positive progress?

@@Bonesmcgreeny 50/50 Going to the restroom got better but I sometimes stop urinating out of no wear. Blood clots get stuck sometimes if they are too large.

This is covered by Medicare and most insurance plans.

@@doctormehan7218 Thank God for that because it isn't cheap. However, it is worth every penny.

I try not to give medical advise through RUclips comments. In general, Aquablation is a great option for men with large intravesical protrusions from BPH. This is the best resective procedure for men with a larger prostate who want to minimize their risk of having retrograde ejaculation. In my series, this risk is around 7%. Bleeding is also a risk, but in my series, the risk is very low, less then 1%. I do not have patients bank blood before as this is not needed. I see patients from all over the US and beyond. I'm booked for surgery this year, but could see you in January if you are willing to travel. Please call my office at 480-219-1010. I wish you well with whatever you decide.

@@doctormehan7218 Thanks for the quick reply. My insurance will be changing in January and will cover your practice at that time. I'll call your office tomorrow.

Hello James, I am also 69 years old with a enlarged prostate (don't have a measurement as of yet, seeing a urologist soon). I was wondering if you had the procedure aquablation and how it worked out for you, as I am going to ask about it when I see my urologist. I am also in Washington State and was told Overlake has the machines for this proceedure so hopefully would not have to go out of state.

@@jamesdavis2284 do it James. You will be pleased with the results. I know I am....

My urologist first made sure my urethra diameter was sufficient for the robotic instrument itself and the post-surgery catheter. He stuck a scope in there in an office visit to check that out and examine the prostate and bladder neck. I am not particulary well-endowed but the surgery was very effective. Wed afternoon - surgey Thur afternoon - release from hospital with catheter Fri morning - catheter removed in doctor's office. Drank a lot of water for the next week to flush things out. No pain. That was on Nov 1st. I feel terrific. I'm 71.

@@yaneznayu9997 Thanks for the Feedback, I have another Appointment to go over my Blood work up and see what's what. My PSA went up from 1.9 to 2.05 on this yearly Physical exam. I'am just not sure of any Issues with any Cancer at this point. And, If the GreenLight Laser treatment is performed, will it Interfere with Prostate Surgery down the road? Thanks again. I'll be 70 this Feb 2024.

Good luck. That PSA sounds super low, though as I underrstand it, it's not widely seen as a relaible marker for cancer. Mine was 3.5 and went to 7 once due to a UTI. if I ever get prostate cancer, I'm just going to have the hollowed-out little fellow removed. The doc asked me if I cared about ejaculation. I didn't give a crap as long as erections and orgasms weren't affected and told him to bring his biggest apple corer. He said he could remove more tissue this way and at my age I wouldn't have to worry about regrowth.

@@yaneznayu9997 With all these Newer Technologies that are available now day's It just amazes me that the System don't want to just do what's right? "IE" do the PSMA / PET scan, get the best Information available and let the patient do what's right for them with the Doctors guidance? I think at our ages, the Insurance companies just want us DEAD. I don't think they even care often times. I been Paying Into this system since I was 15 years old, that's 55 Years of TAXES and such, I feel I deserve the Care! And they should just give us the treatment that we paid for all this time we were working and Paying into the "System"! Hopefully if things go right, we will be around for a while longer. Ya never know. I had a Heart Attack 3 Years ago with No Symptoms at all until BAM, It hit and I was Lucky to have the good doctors that Helped Keep me around for my Grandchildren !

I had this 3 weeks ago. Medicare covers it and my Plan F medigap covered the final 20%. Peeing easily and normally after 9 years of flowmax. I'm 71. No side effects, trace blood i urine for 2 week. Easy peasy.

yes its covered by medicare i just had it

I understand that a very small percentage can have that.

@@americanazheck Less than one in ten get it...

I had urolift done 18 months ago and I am already deciding on which treatment I want to do next. The urolift is not very effective

It is washed out through the scope! The urethral end piece is actually quite small, around 8 mm.

In their FDA trial, the risk of urinary incontinence and erectile dysfunction afterwards is 0%. There is a small risk of permanent retrograde ejacualtion at 7%.

I recommend Aquablation to men with prostate cancer who desire radiation treatement, but are now suffering from bothersome lower urinary tract systems. It is important to open the prostate up before radiation is given.

@@doctormehan7218 Doc, what if the cancer patient has had radiation already? could patient benefit from the Aquabalation surgery?

At the end of the Aquablation procedure, I use TURP to remove Urolift implants and for focal bladder cautery to minimize bleeding.

I have treated a large number of men from outside the United States. The rate is determined by the hospital. Please contact my office and we can discuss further if you are interested

Bleeding is common afterwards, but this will resolve with time. Severe bleeding is rare. We published a paper that showed our transfusion rate was less then 1%.

After my aquablation I was kept overnight and my bladder was flushed out with lots of saline until the fluid was mostly clear of blood and clots. I went through 81 liters of saline. Poor nurse was changing a 3 liter bag about every 45 minutes. Flushing helps prevent clogging. I went home day after surgery. Catheter was removed 3 days after surgery. Very little blood in my pee. Pee was all clear after about a week.

I was surprised! I large number of my patients travel to Arizona for surgery with myself. This patient failed to inform before had that he had the Urolift procedure in the past. It worked out just fine.

🎃

No pun intended?

@@davidjaeger492 lol

I’ll work on making a video to best answer your question. This procedure totally obliterates the urethra in the prostate. The body will form a new urethra in the resected channel of the prostate afterwards

​@@doctormehan7218 Very interesting. Thanks ... 👍

maybe it goes a bit left and also to the right of the VM, having this the 29th - but mine is only like 65g

@@a2b3c Can you tell the users directly, the Aquablation procedure preserves two ejaculatory ducts or only one?

​@@glongshotit does

I've been doing alot of research they say this is the best procedure. Here in IDIOT Canada only 2 place do it Ontario & Montreal not covered by our shit medical 1 place wants $ 22k 😡 the other if not a mistake $ 6,500. But pretty booked up 😮. I'm starting to look at the Philippines.

Rezum I think is very similar but use hot steam can damage nerves but Aquablation uses cold water spraying the Prostate tissue away like blasting water into a sand hill.

Thank you for your kind words. I genuinely love having you in my practice!

@@doctormehan7218 And I you, dear and beloved Dr. Mehan. May God richly bless you and your family. We keep you in our prayers. We love you.