← Return to HoLEP Log: What did you experience pre and post-op?

Discussion
nabulldog avatar

HoLEP Log: What did you experience pre and post-op?

Men's Health | Last Active: 2 days ago | Replies (43)

Comment receiving replies
Profile picture for jackflash @jackflash

Hello. Today marks two weeks since my Holep surgery. I am 57 yo. 6'1", 186 lbs, and fit at time of surgery.

Prostate size was ~79, amount removed was 55, and removed tissue was negative for cancer. Catheter removed day after surgery.

First bowel movement 5 days after surgery. Felt like I needed to go day three but couldn't and did not want to strain. Very uncomfortable feeling. Started taking stool softener day 2 and stopped day 6. Bowel movements are now normal. I lost 7lbs first week after surgery!!!

A lot of tightness in my core during the first 7 or 8 days - which I suspect was my bladder - that seems to have resolved.

Typical current diet is high quality eggs and bacon for breakfast, fried or scrambled in ghee. Tuna sandwich and an avacodo for lunch. Cheeseburger with grass-fed beef and blueberries for dinner.

Currently have a bit of blood at beginning of urination. Also have some pain at the start of urinating. I'm not taking anything for the pain, but it is uncomfortable. I completed a UTI test at home and it was negative. No fever, etc. I guess the pain is from inflammation?

Do not appear to have significant incontinence. Stream is much better. I am experiencing some "spraying", and I don't know if that is being caused by some blockage from small scabs, etc.? I don't see anything in my urine. I'm drinking 100oz of water/day. Stop drinking water around 8PM. Go to bed around 1130. Going to restroom every hour or so. Last night I got up three times: hour 2, hour 4, hour 8. The 4 hours was probably longest between urination.

I am not exercising yet. My DR advised I can walk, but not heavy lifting for one month. I have limited walking in fear of slowing recovery - but I'm not sure if that makes a difference. I'm probably going to resume walking a mile or two a day starting this week. Not sure if I should postpone exercise until all blood and pain are gone?

Would welcome any insights.

Jump to this post


Replies to "Hello. Today marks two weeks since my Holep surgery. I am 57 yo. 6'1", 186 lbs,..."

@jackflash I am now 16 days out of Holep at Mayo in Jax..65, 5'7, 160 overall good shape, diet always pescatarian(not that it matters)...first couple days some burning then that was gone...while they told me about incontinence for 3-4 months, the only "leaks" I have had is when coughing or farting and its only a few drops...most of day nothing at all, so using a very thin pad at night just in case and during day nothing..used to take me minute to start a stream and then stop and go never feeling empty, now I start within 3 seconds and p like a racehorse...I started walking 2 miles day 4, and back to 5 miles walking now with no impact at all...doing kegels and crunches(not full sit ups that is to must strain on area) and feel great...walking actually helps recovery, strengthens pelvic muscles and sphincter which controls any leakage...occasional itch in tip but expected with only 16 days out of surgery, but overall best decision I could have made...86 cc down to 29 cc, neg biopsy...I still have some red first pee in morning which is normal since it pools overnight(I get up once a night to go) but after hydration it clears up quickly...spraying usually is from bladder being empty, also had little black scabs mostly gone now but thats good sign of healing...