Technology development in healthcare field amazes me so much. I remember my father went through prostrate enlargement resulting in him having a surgery to remove his prostate. Then Transurethral Resection Procedure was introduced installing a passage in the urethra (metal) which almost gave an instant solution to BPH. Later, new technology solution called “Rezum” was introduced where the enlarged prostrate is processed through water evaporates to shrink the prostate enlargement. Now there is a latest procedure introduced 4 years back called Aquablation procedure. Under this method, a cystoscopic view of the prostate is assessed to view the obstruction to urethra due to prostate enlargement. Then the surgeon measures the part of the enlargement during the procedure and uses water jet at 800PSI to remove the tissues obstructing the flow and apply scabs to reduce bleeding. The whole procedure takes only 40 minutes. The surgeon explained this procedure but the huddle to cross is to get the insurance company to approve it. Finally, after pushing back from the surgeon, the insurance company approved it 15 days before the procedure. I went to the hospital on Wednesday, December 14th and the procedure took only less than an hour. After the anesthesiologist woke me up, the surgeon’s staff nurse came to visit me in the hospital. I told him I have enormous pressure in my bladder. Then he explained how catheter is installed. They have a tube with a balloon installed at one end and pump it with water to keep the balloon inside the bladder to prevent the catheter coming out of the urethra. The other side had a bag to collect the urine. They gave me drips to increase the fluid and then drained it out through the catheter. The urine looked red and he explained the bladder will bleed for a few more days and the scabs will all come out eventually when it heals. He said the pressure is because of the balloon touching the nerves that brings the sensation for us to pee. I realized at that point that devil is in the details and no one tells the patient all information at once. Needless to say, I didn’t sleep all night as there is no way to remove the sensation. The next day I was discharged and sent home with the catheter with not much of information about how to manage it. Luckily, the insurance company paid for home health support and a nurse who visited me during those arduous 5 days of hell, explained how to maintain it well with more fluid intakes. Finally, the D-Day arrived to remove the catheter. I visited the surgeon’s office. At that point, the assistant told me that they will be injecting water to fill the bladder before removing the catheter so that they can check whether I am able to pee naturally. They used a term “wake up of the bladder”. It worked well and I came back home a free man with no external object attached to my body. They sent me home with the instruction that the bleeding may continue for a few more days. They fixed two more appointments and they said I should feel good in 15-20 days. Here I am writing this from my bed with the hope that the quality of life will be better in future. No more frequent visits to the restroom in the nights.