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Has anyone experienced incontinence after HOLEP surgery?

Men's Health | Last Active: Nov 14 2:36pm | Replies (112)

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Profile picture for rwinpa @rwinpa

Any updates on your experience with Holep? I am six months past surgery and still have leakage when on my feet. The doctor seems troubled and is not very helpful at this point. I did about six weeks of P.T. , but not much changed. Considering looking into a urology specialty hospital for some guidance or input. My doctors lack of answers concerns me. Basically dry at night then leak all day, more so with the amount of fluid I drink. Any help out there?

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Replies to "Any updates on your experience with Holep? I am six months past surgery and still have..."

I am 8.5 months past my HOLEP. Physical therapy has been greatly helpful but you need to do about a half a dozen exercises plus kegels to see benefits. I'm down to one pad a day. Time and continuous therapy will pay dividends.

@rwinpa I had the exact same symptoms for 3 months, I was going thru 6 pad during the day and then not leaking a night but had to get up and pee at least 3 times during the night.
The problem was that a crust from bladder stone crystals had formed in my prostate valve opening and wouldn’t let the valve fully close with the extra pressure while standing and walking around. My surgeon suggested that I take Stone Stopper and 1/4 teaspoon of baking soda 3 times a day to dissolve the crust. I test my urine PH with PhTest strips and try to keep it at close to 7 as possible. Taking the alkalizers made the burning sensation I was having since the surgery go away. After about a week of taking alkalizers the crust broke free and I began healing using 1 less pad every week. It took 6 weeks to fully heal to the point where I wasn’t leaking anymore. Then I started on retraining my bladder to hold more fluid before having to pee. 5.5 months post surgery now and I’m sleeping thru most nights without
getting up and the volume is steadily increasing. I peed 500ml this morning when I got up, that’s over 16oz, I haven’t done that since I was in my 40s, I’m 70 now.