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Is HoLep recovery worth the procedure?

Men's Health | Last Active: 3 days ago | Replies (51)

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Profile picture for runningold @runningold

I am on day 4 of the HOLEP, took the catheter out on day 2. I had a turn about 18 months ago but recently the Doctor said I was not emptying my bladder. I am not peeing as good as before last Thursday. The doctor said the procedure was successful. I haven’t had a strong stream, maybe 5 times since removing the catheter on Saturday. I don’t have pain or burning. I’m wondering if inflammation is keeping me from emptying my bladder. Should I be concerned or trust the process. I would think it should be stronger. He removed about 3/4 of tissue. I do have diverticulum that grew, a little pocket that holds some urine. Any thoughts?

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Replies to "I am on day 4 of the HOLEP, took the catheter out on day 2. I..."

@runningold
No doubt inflammation is present after your surgery. Give it time. But of course watch for acute retention where urine buildup becomes painful. Go in to er immediately if that happens.

@runningold I'm going on four years post HoLEP. Prior to HoLEP I had a Urolift which from my perspective did not help, my surgeon said I was emptying more volume. About a year later he did Laser Greenlight procedure. It was amazing, I peed a very strong, long stream. I was happy... for about a month and then it reverted, frequencies, urgencies, slow, dribbles, etc. That surgeon referred me to another surgeon to do a robotic procedure. I should mention that over 10 years several urologists told me they never saw a faster growing prostate. The newest surgeon told me I was an excellent candidate for HoLEP, and sent me to that surgeon. She was great, explained it all in graphic detail and we went forward. They kept me overnight for observation and removed catheter that morning. I was peeing like a fire hydrant and aside from a couple of scares from blood clots that were a little stubborn, to be expected, I had no other issues. Life improved greatly. I will say that now if I have a third cup of coffee I may have some urgency/frequencie for a few hours. I'm 69. What does your surgeon say about your stream and inflamation? I suppose it's possible. I hope things improve for you soon.