Aquablation is a modern treatment option for benign prostatic hyperplasia (BPH), a condition where the prostate gland enlarges and can cause bothersome urinary symptoms. Individuals considering this procedure often have concerns about its effects on sexual function. Understanding these potential impacts and navigating post-procedure intimacy is an important part of recovery. This article provides information on what to expect regarding sexual activity after Aquablation.
Understanding the Impact on Sexual Function
Aquablation treats BPH by using a high-pressure water jet to remove excess prostate tissue. This precise, robotic-assisted technique aims to preserve surrounding structures. Unlike some other prostate procedures, Aquablation is a heat-free method, which helps reduce the risk of thermal damage to nearby nerves and tissues that control sexual function.
The removal of prostate tissue can alter the internal anatomy, particularly the bladder neck area. This anatomical change can affect the path semen takes during ejaculation. While the procedure is precise, any intervention in this region can influence ejaculatory function.
Resuming Intimacy and Anticipated Changes
After Aquablation, most patients resume light activities within a few days, returning to normal routines within three to four weeks. The specific timeline for resuming sexual activity should always be discussed with your surgeon, as individual recovery rates vary. Following your doctor’s post-procedure instructions is important for optimal healing.
One of the most common changes after Aquablation, as with other prostate procedures, is retrograde ejaculation. This occurs when semen travels backward into the bladder during orgasm instead of exiting through the urethra. While it is a significant change in ejaculatory experience, it does not affect the sensation of orgasm itself. Studies indicate a very low rate of irreversible complications related to sexual function, including erectile dysfunction, after Aquablation.
Temporary discomfort or mild burning during urination may occur for a couple of weeks post-procedure, manageable with prescribed pain medication. Erectile function is preserved after Aquablation, with many men maintaining their erections and libido. This is due to the procedure’s precision and heat-free nature, which protects the neurovascular bundles responsible for erections.
Navigating Post-Procedure Intimacy
Adjusting to sexual life after Aquablation involves patience and open communication between partners. Understanding that changes, particularly retrograde ejaculation, may occur can help set realistic expectations. Focusing on intimacy beyond penetrative sex can also be beneficial during recovery or as an ongoing adjustment.
If you experience persistent concerns about sexual function, unexpected pain, or other issues, consult your healthcare provider. They can offer guidance, address any complications, and provide reassurance or further treatment if needed. Continued dialogue with your medical team ensures a smooth and informed recovery process.