I found this fascinating! I had Aquablation in May of ‘24 with excellent results. Thankfully, no Euroclips in me. Watching this before my procedure made me feel totally at ease. I experienced absolutely no pain. There was a lot of discomfort from the catheter at the entry point which was gone the moment the catheter was removed. Spent the night, released the next day with first follow up two days later when the catheter was removed. Resumed normal activity, and I’m a very active 74 year old, when the urine ran clear after being quite red, then pink and lighter and lighter. It’s important to check the semen for bleeding as well. Finally, I loved listening to Dr. Mehan’s play by play commentary. He really is an artist!
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.
Wow! I am a new patient of Dr. Mehan's waiting to get scheduled for aquablation. I have now enlightened myself as to what I will be going through. I am fortunate to have Dr. Mehan. I have confidence that I will be getting the best care available.
I had enlarged prostate 105cc. My IPSS score was 25 (bad symptoms with poor quality of life). In May 2022 I had an aquablation to remove excess. Huge difference. My IPSS is now 4. Back to normal. However, I now have stage 3 chronic kidney disease. The reason is I waited too long to get the surgery. For a couple of months my bladder was not emptying fully. I did not realize this was a danger but more important none of my doctors warned me of the danger. Before surgery my blood test showed dangerously high creatinine level so doctor told me to go to ER and get catheter in to empty bladder. The catheter worked, my bladder emptied and my creatinine level came down but the damage was done. If you have an enlarged prostate that is making it hard to pee you need to tell your doctor/urologist. He can check to see if your bladder is emptying. I highly recommend aquablation for fixing enlarged prostate.
So then the aquablation is like a pressure washer ablating tissue? then you have to follow with the TURP to shave the fluffy tissue smooth. Or at least in this case of 280 grams. But what about patients who are 80 grams or less?
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.
Hello Dr. Mehan. I'm 69 years old. My IPSS score is 32. According to my urologist in Washington State, my prostate is 98 grams and I have a large intravesical protrusion and no median lobe. Due to the size, he told me I am a poor candidate for Urolift or Rezum. I'd like to maintain antegrade ejaculation. Would Auqablation be a good procedure for me? Do you suggest patients bank their own blood due to possibly needing transfusion in case of bleeding? If I come to Mesa for this procedure, how far out are you scheduling? Thanks.
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.
I'm still confused as far as where is the probe in the flushing being done... are you in the urethra and what is the scraping scraping off.... if it's in the urethra why does scraping of the urethra is needed when it's being pushed in by the prostate gland or are you inside the prostate gland scraping or are you outside do urethral I don't get it🙄🙄🙄🙄🙄🙄🙄🙄🙄
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
does the operation with aquabeam preserve all the functions? to what extent? Furthermore, does it make it more difficult later to ascertain any prostate cancer that may have occurred or not? I also heard that the aquabeam procedure makes radiotherapy unfeasible.
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.
Does that orange part include two ejaculatory tissue when mapping? The Aquablation procedures preserve two ejaculatory tissue or only one when contouring?
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.
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 found this fascinating! I had Aquablation in May of ‘24 with excellent results. Thankfully, no Euroclips in me. Watching this before my procedure made me feel totally at ease. I experienced absolutely no pain. There was a lot of discomfort from the catheter at the entry point which was gone the moment the catheter was removed. Spent the night, released the next day with first follow up two days later when the catheter was removed. Resumed normal activity, and I’m a very active 74 year old, when the urine ran clear after being quite red, then pink and lighter and lighter. It’s important to check the semen for bleeding as well. Finally, I loved listening to Dr. Mehan’s play by play commentary. He really is an artist!
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.
Wow! I am a new patient of Dr. Mehan's waiting to get scheduled for aquablation. I have now enlightened myself as to what I will be going through. I am fortunate to have Dr. Mehan. I have confidence that I will be getting the best care available.
Had it in Jan 24. Had a 205gm prostate. Amazing results.....
I had enlarged prostate 105cc. My IPSS score was 25 (bad symptoms with poor quality of life). In May 2022 I had an aquablation to remove excess. Huge difference. My IPSS is now 4. Back to normal.
However, I now have stage 3 chronic kidney disease. The reason is I waited too long to get the surgery. For a couple of months my bladder was not emptying fully. I did not realize this was a danger but more important none of my doctors warned me of the danger. Before surgery my blood test showed dangerously high creatinine level so doctor told me to go to ER and get catheter in to empty bladder. The catheter worked, my bladder emptied and my creatinine level came down but the damage was done.
If you have an enlarged prostate that is making it hard to pee you need to tell your doctor/urologist. He can check to see if your bladder is emptying.
I highly recommend aquablation for fixing enlarged prostate.
Amazing how it works and I've been through that procedure recently in February 2024.
I recently turned down a Urolift recommendation. Patient satisfaction is 2 out of 5 for Urolift. Still checking options.
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
Wow Great video
So then the aquablation is like a pressure washer ablating tissue? then you have to follow with the TURP to shave the fluffy tissue smooth. Or at least in this case of 280 grams. But what about patients who are 80 grams or less?
Didn't the surgeon know that the patient had had a urolift? He acted like he was surprised to see the urolift.
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.
Will they let you take the ultrasound probe home?
Can anyone tell me if aquablation is available in Washington State?
Hello Dr. Mehan. I'm 69 years old. My IPSS score is 32. According to my urologist in Washington State, my prostate is 98 grams and I have a large intravesical protrusion and no median lobe. Due to the size, he told me I am a poor candidate for Urolift or Rezum. I'd like to maintain antegrade ejaculation. Would Auqablation be a good procedure for me? Do you suggest patients bank their own blood due to possibly needing transfusion in case of bleeding? If I come to Mesa for this procedure, how far out are you scheduling? Thanks.
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....
I'm still confused as far as where is the probe in the flushing being done... are you in the urethra and what is the scraping scraping off.... if it's in the urethra why does scraping of the urethra is needed when it's being pushed in by the prostate gland or are you inside the prostate gland scraping or are you outside do urethral I don't get it🙄🙄🙄🙄🙄🙄🙄🙄🙄
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 ... 👍
does the operation with aquabeam preserve all the functions? to what extent? Furthermore, does it make it more difficult later to ascertain any prostate cancer that may have occurred or not? I also heard that the aquabeam procedure makes radiotherapy unfeasible.
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?
How do you remove those pieces of urolift once you remove them?
It is washed out through the scope! The urethral end piece is actually quite small, around 8 mm.
Does it shrink the prostate or carve it out, like a pumpkin?
🎃
Anyone could tell how much does this operation cost?
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.
Estou para ser operado com essa tecnica alguem me pode dizer em questao á vida sexual fica normal?
Does that orange part include two ejaculatory tissue when mapping? The Aquablation procedures preserve two ejaculatory tissue or only one when contouring?
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.
How much money 💵 there in the USA ?
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
I'm confused also 🤔 i thought it's 1 or The other Turp & Aquablation.... Hmmm...
At the end of the Aquablation procedure, I use TURP to remove Urolift implants and for focal bladder cautery to minimize bleeding.
I heard there could be bleeding...😮 1 women on another video said her husband had severe bleeding was rushed to hospital.
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.