Resuming Sexual Intercourse After Prostate Aquablation

Evidence-Based Timeline

Sexual activity requires 3-5 METs of physical exertion, similar to climbing two flights of stairs, and can be resumed 1-2 weeks after uncomplicated Aquablation if mild to moderate physical activity can be performed without symptoms 1
For uncomplicated minimally invasive procedures, such as Aquablation, sexual activity is reasonable when the patient can perform mild to moderate physical activity without symptoms, as recommended by the European Society of Cardiology 1

Only 6% of patients experience retrograde ejaculation with Aquablation, compared to 23% with TURP (p=0.002), according to the American Urological Association 2
Fewer patients report worsening sexual function with Aquablation compared to TURP (33% vs. 56%, p=0.03), as reported by the American Urological Association 2

Patients can engage in low-energy intimate activities, such as hugging, kissing, and fondling, as a bridge to intercourse 1-2 weeks post-procedure, as recommended by the European Society of Cardiology 1
Emptying the bladder before sexual activity can minimize climacturia (orgasm-associated incontinence), as suggested by the American Urological Association 3
Regular exercise, as recommended by the patient's physician, can enhance recovery and improve tolerance for sexual activity, decreasing associated risks, according to the European Society of Cardiology 1
Resume intercourse if the patient can perform mild to moderate physical activity without significant pain or discomfort, as recommended by the American Urological Association 1
Consider using a semi-reclining or bottom position initially to decrease physical effort, as suggested by the European Society of Cardiology 1