How to Prepare for AquablationA Practical Pre-Procedure Checklist
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.
Ready to Take the Next Step?
Call Dr. Tallman's office to schedule your consultation, or take the free BPH Symptom Assessment online.
Frequently Asked Questions
How do I prepare for Aquablation surgery?
Stop blood thinners as directed (typically 5–7 days before), fast after midnight the night before, arrange a ride home, pack a small overnight bag, and follow any bowel prep instructions your urologist provides.
What medications should I stop before Aquablation?
Most patients are asked to stop blood thinners (aspirin, clopidogrel, warfarin, apixaban) and NSAIDs for 5–7 days before surgery. Always confirm with your urologist and prescribing doctor.
Can I eat before Aquablation?
No. Aquablation is performed under general anesthesia, so you'll need to fast (no food or drink, including water) starting at midnight the night before — unless your team gives different instructions.
Do I need someone to drive me home after Aquablation?
Yes. You'll have a catheter for 1–2 days and the lingering effects of anesthesia, so you'll need a responsible adult to drive you home.