Dr Greenstein Educates about Aquablation

[@Ray-ql2ne]

I had aquablation surgery 5 weeks ago. I am so satisfied. Exceeded my expectations. I’m 60 years old. Dealt with prostate Issues for 20 years. Prostate 5x normal size, and median lobe was pressing into bladder causing a ball valve effect (which makes you not able to pee). Ended up in hospital for a catheter numerous times. (This was the issue that made surgery the only option for me) After surgery i was Out of hospital in 2 days. Catheter was removed 3 days after surgery. Recovery to this point has been steady. First week was uncomfortable, but not to point of needing pain meds. BTW, nothing related to the surgery was even close to the the pain of not being able to pee! Second and 3rd week recovery was better every day. At 5 weeks my quality of life is so much better. Urine flow is no longer an issue. It really is back to what it was when Before any prostate issues started. I am so satisfied. Wanted to share this as i know i really struggled as to what I should do. I decided on aquablation because i like the accuracy and limited risk of issues. For me all My expections are exceeded. I would not hesitate, based on the results I’ve seen in 5 weeks to undergo this procedure. Ray

[@garycortesi8406]

Thanks for sharing! Why did you need a two night stay? Always seen one.

[@Ray-ql2ne]

@@garycortesi8406 Hi Gary My prostate was very large. And the median lobe was well into the bladder. In order to leave the hospital they like to see the bladder clearing up and level of blood in urine decreasing. They irrigate the bladder constantly while you are in the hospital. In my case the doctor wanted on more day as a precaution. I was able to have the catheter removed on schedule. It’s now about 8 weeks since surgery and I could not be happier. Hope all is well with you. If you are dealing with prostate issues that are hurting your quality of life, look into your options. Aquablation worked excellent for me. And don’t put it off. I wish I would have dealt with it sooner.

[@garycortesi8406]

@@Ray-ql2ne thank you for getting back to me. I’m about to turn 70 and have been struggling about 10 years now. About a year and a half ago I tried a PAE procedure but after about 8 months it started to regress. I’m in good shape and want to start doing more traveling so I’d like to get this remedied.

[@kennyl.TheSilverJewelryGuy]

Thanks ray I really needed to hear that I go in tomorrow for Aquablation surgery

[@Ray-ql2ne]

@@kennyl.TheSilverJewelryGuy Go with confidence. It’s been about a year and I am so satisfied with the results. My issues are gone, and they were significant! I should not have waited so long to get This done!

[@kennethgarcia25]

best video on aquablation fundamentals! Great job Dr. Greenstein.

[@dariusmelquiadez2050]

Best and most detailed explanation thus far from all of the presentations about Aquablation I have seen. . Very well done Dr Greenstein. It appears that you are caring and a great educator besides being a skilled physician. Thanks x taking the time to explain the procedure and other details. I am a IM/Geriatrics colleague interested in the procedure .

[@AdvancedUrology]

Hi Darius - thank you for your message. We are happy to hear that Dr. Greenstein's educational videos are making an impact and helping the community. Please feel free to schedule an appointment with Dr. Greenstein at www.advancedurology.com - we hope to see you soon!

[@xdays8806]

Very informative presentation. My Urologist is recommending TURP and I had been leaning towards the Urolift, but the Aquablation Therapy procedure is a lot more appealing to me. My only issue is finding a Urologist who is relatively close to me who does the procedure.

[@ronsuttononpassive4192]

The very best description !

[@q95oldies57]

Very interesting. Good job. Best discussion I've seen.

[@traveler582]

I had Aquablation about 4 years ago and it was fantastic! I stayed overnight and they ran fluids in me all night to clear out the bladder of blood, and by the morning I was urinating clear enough for them to release me and without a catheter! That was one of the best parts that I didn't have to o home with a catheter, I had my procedure done in LI, NYC and am so happy I did!

[@draganzurovac5741]

I ja sam imao pre 4 godine.da li znate obzirom da je prostata ziva i da ce rasti kazu da ovo nije trajno resenje nego posle nekog vremena ona ponovonpocne pravit probleme.Da li sad osecate da bas snaga urina nije kao prve godine.?

[@traveler582]

@@draganzurovac5741 maybe so, but I'm doing fine

[@Mike-ys7rh]

Great job Doc!

[@StevenBanks123]

18 months aga, I had Aquablation at the age of 74. First up: very good results. -an exciting night in the hospital mask I was continuously flushed till bleeding abated. -catheter out second day. -no pain pills needed. -I no longer have to think about sitting through a long movie or auto journey. -flow is good, with easy start and emptying. -a very small amount of leakage sometimes when bladder is full. -some reduction (30%, how does one quantify?) in ejaculation sensation, but the equipment works just fine. I am happy I had it done.

[@rfmlets6713]

I left hospital last week with good flow and voiding 300ml, now it has slowed down, and only get 100ml feel not emptying, disappointing. Maybe I need more time to recover, although still feel there is a blockage.

[@48Allie]

You made up my mind. Aquablation. thank you

[@williamolenchenko5772]

Hope you have better luck than me.

[@48Allie]

@@williamolenchenko5772 Aquablation worked well. Had a catheter for seven months...feel reborn.

[@garycortesi8406]

Had consultation. Going in for some tests January 4. Hopefully have it in early February.

[@not2old4watts]

Is there someone in Southern California who is trained to do this procedure?

[@AtomAdvisorJohnHarmon]

Thank you for sharing.

[@yaneznayu9997]

I had aquablation this week. Holy crap, it changed my life. 42 hours total from admission to hospital to discharge to removal of catheter in the doctor's offices. Peeing like a kid again.

[@rfmlets6713]

I got my aquablation one week ago,When I left the hospital my flow was very strong, and voided 250-300. Now my flow has slowed down and can only void about 100-150, and feel I've not emptied. Is this normal or is it a blockage? Did you have this problem?. My urine looks clear no red bits or clots, but maybe the clots are in the bladder neck. Peeing is sore, and still a bit of hesitancy at beginning.

[@ronrobbins2737]

Very cool, Dr. Marc! I recently had general anesthesia for a minor out-patient surgery on my elbow. Seems the anesthesia really zapped my bladder which ended up getting very distended leading to a bloody UTI and having emergency catheter. I already had previous BPH symptoms very gradually growing from age 60-70, but now this new bladder issue has really caused a nightmare of constant retention, nocturia, and my urologist urging TURP procedure soon. My median lobe is apparently "blocking the dam" presently. I'm very reluctant now about invasive BPH especially after what general anesthesia and catheters did to me! Is aquablation or another, appropriate for me with this median-lobe and bladder issue also?

[@alavab1]

I had a urolift on 12, 2022. Now I had 3 days ago the squablation. I’m bleeding a lot into the catheter bag also the clips from the urolift surgery can be removed?

[@dennisjacobson5182]

Very well done .thanks 😂❤

[@donaldappelhof2059]

I wish they did this in the Pacific North West.

[@ythkn]

overlake hospital in Bellevue, WA

[@zenglider2145]

My prostate is 67cm volume. I am considering Rezum or Aquablation, but do not understand how a smaller prostate (below 90cc) undergoing aquablation increases risk of TUR syndrome more than a larger one undergoing aquablation. Wouldn't the extent of scraping in a smaller prostate be less than in a larger one, reducing the amount of irrigation and thus the risk of desalinization?

[@docmarcg]

Sorry for the delay in response. TUR syndrome occurs when the fluid used to look inside the bladder absorbs into the veins of the prostate. The longer the patent is the OR the more fluid gets absorbed. The smaller the gland, the less scraping. The larger the gland, the scraping and the more fluid absorbs. Hope this answers your question.

[@donaldappelhof2059]

I had the Rezum procedure done and wish I could get my money back. I would have tried something different.

[@janetw9430]

So my understanding that you can save ejaculation function?

[@DanielCasaburi]

Does Medicare, United Healthcare, etc., cover aquablation?

[@jaylally541]

Yes

[@garycortesi8406]

Is the catheter ever needed less than 48 hours?

[@lesbrown8099]

Thank you…:)

[@mill11546]

Where are you located?

[@AdvancedUrology]

Hello @mill11546 - Dr. Greenstein practices with Advanced Urology at our Sandy Springs location. Feel free to schedule an appointment with him at advancedurology.com

[@alexramirez7555]

Can I pay cash for aquablation??

[@WilliamMartinez-lm1sk]

Hello, I don't like the negative side effects of drugs. 🎉❤🎉❤🎉.

[@brianknecht3216]

Is this procedure covered by Medicare in 2021?

[@katazack]

Yes

[@targetguy777]

I am glad he explained the sexual part of this surgery good news.

[@universaldonor3100]

why turn comments on if you are not going to answer any questions..

[@dennisdawson1046]

b bhul

[@WilliamMartinez-lm1sk]

Hello, Thank you for the information. Cortisol, Estrogen and Insulin. I love Aquabation.🤑🤑🤑🤑🤑. I'm thinking about getting Aquabation. 🎉❤🎉❤🎉.

[@janetw9430]

Some of those medications may cause an aggressive prostate cancer!

[@lesbrown8099]

Thank you… :)

[@AdvancedUrology]

Our pleasure! Thank you for viewing!