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Post HOLEP clots

Posted by rjh18 @rjh18, Jun 28 12:52pm

I had holep in Nov 2023. The surgery went well and I hardly noticed any bleeding in the first 3-4 month after. However now 8 months later I am noticing periodic clots in my urine. Wondering if this is delayed healing and if anyone else had a similar experience.

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jenatsky | @jenatsky | Jun 30 12:08pm

Eight months post operatively and now having clots periodically is a little odd. You’ve got a periodic bleed somewhere I’m guessing. Can you try to increase your intake of water when you see this? I’m also wondering when you see these clots are they related to decreased fluid intake? Be more specific on how often this happens.

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1 reply
rjh18 | @rjh18 | Jul 1 9:18am
In reply to @jenatsky "Eight months post operatively and now having clots periodically is a little odd. You’ve got a..." + (show)
@jenatsky

Eight months post operatively and now having clots periodically is a little odd. You’ve got a periodic bleed somewhere I’m guessing. Can you try to increase your intake of water when you see this? I’m also wondering when you see these clots are they related to decreased fluid intake? Be more specific on how often this happens.

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My water intake was about 30 oz a day. I was seeing a small clot approximately every 3 weeks. I recently increased my water intake to around 50 oz a day and so far urine is clear. But wondering how lacking water intake would cause small clots. Another factor was during holep the doctor found several stones which he removed.

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1 reply
nabulldog | @nabulldog | Jul 4 8:05am

Holium enucleation of the prostate (HOLEP)

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rjh18 | @rjh18 | Sep 16 12:49pm
In reply to @rjh18 "My water intake was about 30 oz a day. I was seeing a small clot approximately..." + (show)
@rjh18

My water intake was about 30 oz a day. I was seeing a small clot approximately every 3 weeks. I recently increased my water intake to around 50 oz a day and so far urine is clear. But wondering how lacking water intake would cause small clots. Another factor was during holep the doctor found several stones which he removed.

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Still seeing this 10 months post-op. Went to the doc in July and reported it. He thinks its normal sloughing off of clots but I am concerned that its going on for so long. Seems to happen every 4-6 week.s

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1 reply
2longlife | @2longlife | Sep 17 12:17pm
In reply to @rjh18 "Still seeing this 10 months post-op. Went to the doc in July and reported it. He..." + (show)
@rjh18

Still seeing this 10 months post-op. Went to the doc in July and reported it. He thinks its normal sloughing off of clots but I am concerned that its going on for so long. Seems to happen every 4-6 week.s

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I am 90 days out and not seeing clots. Clots after 10 months would concern me too.

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1 reply
rjh18 | @rjh18 | Sep 17 2:21pm
In reply to @2longlife "I am 90 days out and not seeing clots. Clots after 10 months would concern me..." + (show)
@2longlife

I am 90 days out and not seeing clots. Clots after 10 months would concern me too.

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I also didnt see any 90 days out. Didnt start till 120. Doc feels it’s delayed healing and said its not unusual up to a year

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2longlife | @2longlife | Sep 17 5:57pm

Good to know that. I won't be totally shocked if it happens to me. I will ask about it in my next follow up in about 2 1/2 months.

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