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Recovery expectations 6 weeks after HoLEP prostate surgery.

Posted by 2longlife @2longlife, Jul 14, 2024

I had the HolEP procedure six weeks ago. All is good except that I have a dull pain in the perineum area when I urinate. Is this because of the long healing time for the urethra? Is this normal? My follow up appointment with my urologist is six weeks away.

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elcorbs | @elcorbs | Aug 21 8:58am
In reply to @diverjer "I am thinking that I will stay on Flowmax! This HoLep doesn't sound good, I had..." + (show)
Profile picture for diverjer @diverjer

I am thinking that I will stay on Flowmax! This HoLep doesn't sound good, I had enough problems with Aquablation that only helped 7 months and prior to that a Urolift that didn't help at all. Seen doctor yesterday and asked why Aquablation only lasted 7 months and not 5 years or possible 10 years like promised, all he said was guess they didn't take out enough tissue, would I like another procedure. Said NO, I getting by on Flowmax. Interesting that you folks are having this leakage, I was told there only a 1 percent chance of that happening.

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I had HOLEP 3 Dec 2024 and still have leakage. I don’t do pelvic floor exercises every day like I did for the first 7 months. I am still using 1 to 2 liners daily. My prostate was 100 grams and the urologist removed 60% of it. I don’t have a forceful stream, but I do empty my bladder. It has been a long journey for me that has yet to end. I started doing pelvic floor exercises again yesterday to hopefully stop more of the leakage.

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rwinpa | @rwinpa | Aug 24 7:12am

Does anyone have experience with a Cunningham clamp. My Dr. suggested this for the incontinence that does not want to go away so far. It literally clamps on your penis to stop the leakage of urine. It looks more like a torture device but if it helps to be able to do more things without changing guards every two hours I might try it. I did Physical therapy and was told I have good strength and control over my kegel muscles and yet the leakage continues five months after surgery. Going anywhere or doing anything for any length of time is a struggle.

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