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HoLEP Log: What did you experience pre and post-op?

Men's Health | Last Active: Jun 3 3:04pm | Replies (33)

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@lamarjimmerson

Your journal of recovering is incredibly useful - thanks for continuing it. I'm about a month behind you. At this point, I have some minor, fading issues with peeing. Mostly some dull pain toward the end of each time I relieve my bladder, and something related to what you've mentioned, in that if I pee when I'm not full up, it tends to be relatively uncomfortable. Also I've had to push at the end to fully clear everything out, which is unusual for me, and I am taking an extra 10-20 seconds to really make sure it's done. But my flow is 5 stars and I consider the surgery a success.

The two post-op issues I wish I'd known more about are sexual and exercise-based. I too feel like my orgasms are at 98%, and I also sometimes think I've ejaculated when I haven't. But there's something right at the end that's missing. I genuinely don't care if semen comes out (my wife is actually thrilled by this development) but it's like I'm missing the last chord in a blues riff or something. Also after orgasm my erection immediately vanishes, which is new for me.

The surveys I read before the operation are way too vague on the subject of sexual satisfaction - they seem to lump in "ejaculation" with "pleasure," rather than explaining what exactly men are dissatisfied about and why that goes away with time. Maybe we'll all get that last 2% back?

The other thing is exercise. I'm not massively athletic, but I do go to the gym four times as week and run three times a week. After surgery, my strength, endurance and focus plummetted. This might have to do with anesthesia, but it's been 2 months now and I'm just finally starting to be able to run more than a mile at a time. Slowly. My strength in the gym is still down 30-40%, and I can't really do many sets. I know that will come back, but it's a little depressing.

Thanks again for your notes.

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Replies to "Your journal of recovering is incredibly useful - thanks for continuing it. I'm about a month..."

I'm 24 days post op and feel very lethargic, sometimes my hands have a slight tremble, my strength is down. I also find myself in a fog, staring out the window or at the wall. I'm 61 years old. Insomnia doesn't help matters, but this was happening before surgery, I attribute it to anxiety. I need to have a blood test for kidney function, glucose and insulin levels. I'm better after a cup of coffee, but after a walk I tire easily. I used to work out in the gym before surgery, 3 to 4 times a week. It's too early to lift weight so I'll do walking. I'm wondering if it's a metabolic kidney issue that's causing all of this, or the residue of Augmentin antibiotics I too before, and after surgery- for 8 days after. This doesn't help the kidneys much.