The Aquablation procedure itself takes less than an hour. Preparing for it well, in the days and hours leading up, is the difference between a smooth experience and unnecessary stress. Here's a simple, practical checklist.
2 Weeks Before
- Complete pre-op labs, EKG, and any imaging requested by your urologist
- Confirm prior authorization is in place
- Review your medication list with the office, especially blood thinners, NSAIDs, and supplements
- Arrange time off work (most men take 1–2 weeks)
1 Week Before
- Stop blood thinners and NSAIDs as directed (usually 5–7 days prior)
- Avoid fish oil, vitamin E, and herbal supplements that can increase bleeding
- Arrange a driver for your discharge
- Stock up on easy meals, plenty of water, and over-the-counter pain medication (acetaminophen, not NSAIDs)
The Day Before
- Follow any bowel prep instructions your office provides
- Eat a light dinner
- No food or drink after midnight (including water), unless instructed otherwise
- Pack a small overnight bag: phone charger, glasses, a change of comfortable loose clothing, insurance card, ID, and a list of medications
The Morning Of
- Shower with the soap your team recommended
- Take only the medications specifically approved (typically a small sip of water with essentials)
- Wear loose, comfortable clothing
- Leave jewelry and valuables at home
- Arrive at the time the hospital requests, with your driver lined up
What to Expect at the Hospital
You'll be checked in, changed into a gown, met by anesthesia, and walked through final consents. The procedure itself usually takes under an hour. You'll wake up in recovery with a catheter in place and typically stay overnight for monitoring.
What to Set Up at Home
- A comfortable spot to rest with easy bathroom access
- Plenty of water within reach
- Acetaminophen for discomfort (avoid NSAIDs unless cleared)
- A stool softener, straining is not your friend in week one
- The phone number for the urology office in case you have questions
Preparation isn't complicated, but it makes a real difference. Follow the checklist, call the office with any questions, and you'll be set up for a smooth procedure and a faster recovery.