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HoLEP procedure experiences?

Posted by southgeorgia @southgeorgia, Aug 6, 2023

Background: 62 yo in good health, no meds or other conditions other than 3,3 Gleason and 4.8 PSA. Had my first visit to Mayo (Jacksonville) and was blown away by their efficiency, courtesy, and knowledge. Had blood test, MRI, and Uriflow exams. I am currently on active surveillance with an enlarged prostate causing retention and flow issues, risking damage to my bladder which shows some distention. I have a tele-health appointment this week to discuss having a HoLEP procedure (Holmium Laser Enucleation of the Prostate) and would love to hear from you if you have had this done in regard to your experience, what to expect, what to ask the surgeon, etc. Thank you!

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southgeorgia | @southgeorgia | Jan 24 9:05pm
In reply to @1bikerchuck "I'd like to know too. Have similar symptoms with delayed response to urinating and poor flow...." + (show)
@1bikerchuck

I'd like to know too. Have similar symptoms with delayed response to urinating and poor flow. Gleason of 3+3. on active surveillance post biopsy, so PSA is over 9. Avid road cyclist

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1bikerchuck - you have already had radiation?

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jmurp6762 | @jmurp6762 | Apr 9 2:31pm

I was diagnosed with Prostate cancer in summer of 2023 and decided to go with radiation therapy rather than surgery. I complete 18 sessions in December 2023. The radiation got rid of the cancer. In Jan. of this year 2025 I had some blood in my urine went to a urologist and he prescribed and antibiotic for an UI. I spent the month of Feb. in fl. and started to urinate blood and clots. I went to the Sarasota Memorial ER in Venice, Fl. After being admitted they inserted a catheter and scheduled for surgery the next day. they cleaned away the blood, clots and took out some of the prostate to send to the lab so a partial Turp. The bleeding has stopped but I still have an enlarged prostate. It is 123 or twice the size of a 73 year old prostate. I'm evaluating the Holep procedure the newer gold standard for size reduction vs. turp the 40-year-old gold standard used by most urologists. I would love to receive input to help me make this decision. My concern is incontinence as a result of either approach or procedure.

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Moderator
Colleen Young, Connect Director | @colleenyoung | Apr 9 5:28pm
In reply to @jmurp6762 "I was diagnosed with Prostate cancer in summer of 2023 and decided to go with radiation..." + (show)
@jmurp6762

I was diagnosed with Prostate cancer in summer of 2023 and decided to go with radiation therapy rather than surgery. I complete 18 sessions in December 2023. The radiation got rid of the cancer. In Jan. of this year 2025 I had some blood in my urine went to a urologist and he prescribed and antibiotic for an UI. I spent the month of Feb. in fl. and started to urinate blood and clots. I went to the Sarasota Memorial ER in Venice, Fl. After being admitted they inserted a catheter and scheduled for surgery the next day. they cleaned away the blood, clots and took out some of the prostate to send to the lab so a partial Turp. The bleeding has stopped but I still have an enlarged prostate. It is 123 or twice the size of a 73 year old prostate. I'm evaluating the Holep procedure the newer gold standard for size reduction vs. turp the 40-year-old gold standard used by most urologists. I would love to receive input to help me make this decision. My concern is incontinence as a result of either approach or procedure.

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Welcome, @jmurp6762. I moved your question about incontinence and the HoLEP procedure to this existing discussion:
- HoLEP procedure experiences? https://connect.mayoclinic.org/discussion/holep-procedure-experiences/

I did this so you can read past posts and connect with other members more easily.

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