Has anyone experienced incontinence after HOLEP surgery ?

I am 4 months post HOLEP and my incontinence still persists. It is really bad in the morning when I start moving around after waking up. I walk 3 miles then do my pelvic floor exercises. I then take a shower change my diaper and am mostly good for the rest of the day with that 1 diaper. If I could figure out what is causing all the morning leaks I would be about 90% normal. When sleeping I wake up 2 times to empty my bladder and it works perfectly. Maybe a tablespoon of urine in my diaper. I will continue to walk and do my pelvic floor exercises and hopefully overcome the morning leakage so my wife and I can do some traveling.

I had HOLEP 3 years ago, very happy with the results. My prostate wasn’t causing high PSA scores, it was growing up into my b,adder which if left unchecked, could have caused urine to back up into my kidneys causing additional problems. I had a little incontinence right after the procedure, but it cleared up after about 5 weeks. I don’t have any problems with it today. I do take care to try and make sure all urine is vacated from the penis before walking away from the bathroom. And yes, I still get up 1-2 times a night to urinate. In light of what could have been the result had I chosen a different procedure, I don’t mind getting up to satisfy the urge.

I see several posts mentioning PT (physical therapy, I assume?). What sort of PT do they have you do for prostate surgery. Is it tightening of the pelvic floor / sphincter muscles?
I had aquablation, so a different procedure to HoLep, however I still have mild urinary incontinence, almost 5 months after the procedure. So, wondering if PT would help, hence my question. Thanks.

Yes. Schedule the PT. You have nothing to lose and it could assist in the healing process and hasten it which is better than the leakage. Everyone heals differently but it could quicken the recovery.

I had HOLEP 3 years ago, very happy with the results. My prostate wasn’t causing high PSA scores, it was growing up into my b,adder which if left unchecked, could have caused urine to back up into my kidneys causing additional problems. I had a little incontinence right after the procedure, but it cleared up after about 5 weeks. I don’t have any problems with it today. I do take care to try and make sure all urine is vacated from the penis before walking away from the bathroom. And yes, I still get up 1-2 times a night to urinate. In light of what could have been the result had I chosen a different procedure, I don’t mind getting up to satisfy the urge.

3 months post holep. I have recovery guilt reading all the different effects that it has on other men.
I had no underlying health issues, no pre op damage from years of same. Only one section became a ball valve and completely cut off my ability to urinate. Due to age (51) and current good health , I recovered already. I’m back to where I left off with only memories of my previous life of 6 bathroom visits every night. Full bladder 24/7/365

That is awesome. I am 73yo and couldn’t empty my bladder. Like you I was up 6 to 7 times a night at times. Kidneys backed up and not functioning properly. HOLEP done 3 Dec 2024. So tired of doing pelvic floor exercises. Everything works perfectly (urinating) as long as I am sleeping or sitting and doing nothing. If I am up walking and doing things around the house I have a difficult time urinating. I just completed my antibiotics for my 4th UTI since surgery yesterday. Never had a UTI in my life till I had the HOLEP procedure. Not sure what is causing the UTI and neither does my urologist or PCP. I am very frustrated to say the least. Can’t travel or do anything without having diapers with me in case I need to change. Not exactly what would be going on 5 months after HOLEP. Most people are back to normal, no incontinence within 6 months. The path I am on, I don’t see that happening. So tired of wearing and buying diapers. Frustrated in Arizona.

That is awesome. I am 73yo and couldn’t empty my bladder. Like you I was up 6 to 7 times a night at times. Kidneys backed up and not functioning properly. HOLEP done 3 Dec 2024. So tired of doing pelvic floor exercises. Everything works perfectly (urinating) as long as I am sleeping or sitting and doing nothing. If I am up walking and doing things around the house I have a difficult time urinating. I just completed my antibiotics for my 4th UTI since surgery yesterday. Never had a UTI in my life till I had the HOLEP procedure. Not sure what is causing the UTI and neither does my urologist or PCP. I am very frustrated to say the least. Can’t travel or do anything without having diapers with me in case I need to change. Not exactly what would be going on 5 months after HOLEP. Most people are back to normal, no incontinence within 6 months. The path I am on, I don’t see that happening. So tired of wearing and buying diapers. Frustrated in Arizona.