Does HoLep help excessive urination?

Posted by breckord @breckord, Nov 28, 2021

Does HoLep help excessive urination?

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@johnbishop

Hello @breckord, Welcome to Connect. I believe the purpose of the HoLEP surgery is to help make it easy to empty the bladder and solve the frequent urination problem.

"HoLEP removes the entire portion of the prostate that can block urine flow. It can be an option to treat a severely enlarged prostate. The treatment provides a lasting solution for an enlarged prostate — a condition known as benign prostatic hyperplasia (BPH)." --- Holmium laser prostate surgery - Mayo Clinic: https://www.mayoclinic.org/tests-procedures/holmium-laser-prostate-surgery/about/pac-20384871

Are you considering having HoLEP surgery?

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Could you please enlighten me about pain management after HOLEP surgery? How can someone manage burning sensation when urinating after HOLEP? Some say that acetaminophen is the way to go, but others say Pyridium is best but can cause liver and kidney problems. Ibuprofen too can cause liver and kidneys damage. Others say that you have to take lots of water, which of course will lead to more urination and burning sensation. What is the solution to it?

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@lrp1

Could you please enlighten me about pain management after HOLEP surgery? How can someone manage burning sensation when urinating after HOLEP? Some say that acetaminophen is the way to go, but others say Pyridium is best but can cause liver and kidney problems. Ibuprofen too can cause liver and kidneys damage. Others say that you have to take lots of water, which of course will lead to more urination and burning sensation. What is the solution to it?

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You might want to scan through these 2 related discussions to learn what others have shared.
-- Recovery expectations 6 weeks after HoLEP prostate surgery.
https://connect.mayoclinic.org/discussion/recovery-expectations-6-weeks-after-holep-prostate-surgery/
-- Is HoLep recovery worth the procedure?
https://connect.mayoclinic.org/discussion/is-holep-recovery-worth-the-procedure/

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Thanks a lot, but unfortunately, I didn´t find any strategy I can use to numb my urethra when voiding, after a HOLEP surgery, that don´t meke me feel burning sensation when peeing. If someone has some kind of advice I will be very thankful

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@lrp1

Could you please enlighten me about pain management after HOLEP surgery? How can someone manage burning sensation when urinating after HOLEP? Some say that acetaminophen is the way to go, but others say Pyridium is best but can cause liver and kidney problems. Ibuprofen too can cause liver and kidneys damage. Others say that you have to take lots of water, which of course will lead to more urination and burning sensation. What is the solution to it?

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Did you have any underlying conditions that’s adding to the discomfort and pain? I had my surgery on 31 January so today is 52 or 53 since I left the hospital. The burning sensation for me was handled with ibuprofen. I just didn’t take it all day long because it could only go so far anyway. This thing that you feel burning. Will get shorter and shorter as far as how long it last. Although drinking water does make you go if the holep was successful , you’re gonna pee it all out anyway you’re not gonna go every hour on the hour like you used to go. I’m assuming because that was my experience recently. I went every two hours and as days went by the pain stabilized to just an annoying discomfort, and the burning under the bladder wasn’t really burning anymore, but it felt very awkward and uncomfortable. I stopped taking ibuprofen after five days and would resume after a few days off. I would just deal with the discomfort. I just did not wanna have ibuprofen in my system. 24 hours a day that can’t be good for anybody.

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@lrp1

Thanks a lot, but unfortunately, I didn´t find any strategy I can use to numb my urethra when voiding, after a HOLEP surgery, that don´t meke me feel burning sensation when peeing. If someone has some kind of advice I will be very thankful

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I’m not sure if it’s the case for you but for me as soon as I try drinking anything with sugar or soda that’s when it burned. The least amount of pain came from just drinking water, which I absolutely have always despised and now it’s my new way of life. 30 ounces to 50 ounces a day.

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@lovethealoha

I’m not sure if it’s the case for you but for me as soon as I try drinking anything with sugar or soda that’s when it burned. The least amount of pain came from just drinking water, which I absolutely have always despised and now it’s my new way of life. 30 ounces to 50 ounces a day.

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Thank you very much for your answer. My uro says that at 74, it´s not advisable to me to take ibuprofen as it stops blood flow to kidneys. When you drink water in the first days will you have more bathroom trips, with pain, or as you were using ibuprofen, it was mangeable? Someone said to me to apply a cold pack in perineum so the urethra will soothe and you can urinate without much discomfort. Have you heard someting about it?

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@lrp1

Thank you very much for your answer. My uro says that at 74, it´s not advisable to me to take ibuprofen as it stops blood flow to kidneys. When you drink water in the first days will you have more bathroom trips, with pain, or as you were using ibuprofen, it was mangeable? Someone said to me to apply a cold pack in perineum so the urethra will soothe and you can urinate without much discomfort. Have you heard someting about it?

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Well, if I could be detailed when they took out the catheter, it did not hurt. I thought it would, but it slipped right out and I didn’t even know he did it. When I went on my own, the stinging was the strongest it ever was the first time. I stopped bleeding into the bag within eight hours. I had occasional blood spots after and the pain remained more of a burning and a sting at the tip. Due to your age, I’m 20 years younger. I think maybe does play a big role in recovery. Thankfully, my kidneys and bladder although we’re under attack for five years before I got this. To date has no damage, but that’s not to say in the future. It will be the same because I got a lot of infections for a very long time. My urethra was 100% blocked. Nothing was coming out. It was then immediate action had to be taken.

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@lrp1

Thank you very much for your answer. My uro says that at 74, it´s not advisable to me to take ibuprofen as it stops blood flow to kidneys. When you drink water in the first days will you have more bathroom trips, with pain, or as you were using ibuprofen, it was mangeable? Someone said to me to apply a cold pack in perineum so the urethra will soothe and you can urinate without much discomfort. Have you heard someting about it?

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I did buy an ice pack, but I have not used it yet. I don’t know if you’re allowed, but I’ve been taking yoga and doing pelvic exercises. It’s been extraordinarily helpful.

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@lovethealoha

Well, if I could be detailed when they took out the catheter, it did not hurt. I thought it would, but it slipped right out and I didn’t even know he did it. When I went on my own, the stinging was the strongest it ever was the first time. I stopped bleeding into the bag within eight hours. I had occasional blood spots after and the pain remained more of a burning and a sting at the tip. Due to your age, I’m 20 years younger. I think maybe does play a big role in recovery. Thankfully, my kidneys and bladder although we’re under attack for five years before I got this. To date has no damage, but that’s not to say in the future. It will be the same because I got a lot of infections for a very long time. My urethra was 100% blocked. Nothing was coming out. It was then immediate action had to be taken.

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Excuse me, but you said that your first void was very painful or the stinging was because the catheter slipped out? How was your first void after the surgery? The pain was manageable by you without problems? Some people said that doctors put lidocaine inside the bladder to avoid pain, but I don´t know if this is true.

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@lrp1

Excuse me, but you said that your first void was very painful or the stinging was because the catheter slipped out? How was your first void after the surgery? The pain was manageable by you without problems? Some people said that doctors put lidocaine inside the bladder to avoid pain, but I don´t know if this is true.

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Well, my doctor as kind and gentle as he was. I don’t think I had any of that Lanacane except for the cystoscope the day before surgery When I voided for the first time, it was a Stinging sensation that went all the way up to my brain yes. But it wasn’t a scream out loud pain. Just very annoying and unexpected. I can’t speak for your body, but I know that my body reacted well to everything no blood loss no UTIs just recovery, discomfort and burning sensation that dissipated with time.

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