@oldfiddler
I am 12 months post holep. 67, good health, prostate was about 87. No incontinence problems prior to surgery. I continue to have a disaster of a holep recovery. The dr. at Penn State health Hershey, pa. who did the surgery was uninterested in my problems and referred me to another surgeon for artificial sphincter surgery at the six month follow up. I leaked profusely for the first six months. Quality of life is awful. What I have learned since, this holep procedure is very stressful to your sphincter. The instruments are somewhat large, stretching your sphincter and it takes a long time for a surgeon to get good at it. They go in and out of your sphincter alot during the surgery. So who do they practice on until they get good at it? You. I still do kegels, I went to PT and so on. Tried some acupuncture also. As far as I can see this doctor failed me. I have another test coming up next month but from what I have been told this sphincter thing is a done deal if I want to stop leaking. So good luck and be aware there is no going back. The information I found on the internet does not agree with what they told me prior to surgery. There is a lot of incontinence problems with Holep, some minor some not.