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Is HoLep recovery worth the procedure?

Men's Health | Last Active: 3 hours ago | Replies (42)

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Profile picture for rcoe126 @rcoe126

Had HoLep at the end of September 2024. 69 years old, symptoms of BPH with 55 cc prostate large median lobe. Surgery went well no pain and catheter out by 7am the next morning. No problems urinating strong stream no pain went home at 1pm. Over the next few days some blood and stinging when urinating but it cleared up fast. No incontinence at all. At about 2 months out I noticed that I had to use the bathroom more frequently and urine stream got much weaker. At the 3 month check up the uroflow exam showed a problem and ultrasound sound showed over 300 ml urine retention. Last week an in office cystoscopy showed a bladder neck contraction. Now scheduled for another surgery to resect the contracture on March 7th. The possibility of this type of complication was never discussed with me prior to surgery and at this point I don’t know that I would recommend HoLep.

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Replies to "Had HoLep at the end of September 2024. 69 years old, symptoms of BPH with 55..."

First glad you had some relief before the setback. I’m in the glory stage. Everything that’s been tested is back to complete normal accompanied by occasional mild burning and perennial numbness. I’m keeping my eyes open for post infection, relapse or blockage. I’ve been fortunate thus far. Hope you heal quickly

@rcoe126 I had an extremely large prostrate. 212cc size. I had HoLep at Mayo Clinic in Rochester, Mn. Next morning catheter was removed and I was sent home 2 hours later. It was a 3 1/2 hour surgery. I had zero discomfort, zero pain. My Surgeon Kevin Wymer told me because my prostrate was so large I would probably have temporary incontinence for at least 3 months, and he told me I would just have to be real patient. I had almost no leakage right from the start. 1 1/2 weeks later zero. My was almost 2 years ago. I have had zero complications. I would recommend the procedure to anyone. I'm 69 and now I pee like a teenager. The follow up nurse/pa that did the uroflow test said I empty my bladder better than a teenager. 1,000,000% happy with HoLep procedure.