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Remember that many people with successful HoLEP results don’t use forums. They just move on and don’t look back. People with problems come back for help or to complain. Factor that into your research. I had successful HoLEP surgery just over 1 1/2 years ago at Mayo in Jacksonville with Dr Dora and his team. 69 year old, very active, in shape, sports oriented male. Prior to surgery had BPH being somewhat managed via medication but not great. Not emptying bladder, constant urge to go, interrupting daily activities and trips to constantly find a restroom, wound up with 2 ER trips for Acute Urinary Retention. It was negatively impacting my life. Surgical experience was a breeze (Mayo Jax is impressive). Afternoon surgery, spent the night at complimentary onsite medical hotel and left the next morning/afternoon for the followup visit and to have the catheter removed. I had my wife with me which was an incredible help (I recommend having someone accompany you for surgery and that night after). The next few days were a bit rough. We stayed in Jacksonville for a few days post op just in case. Bloody discharge and a bit painful but expected. General overall discomfort. Wore full Depends diaper for a few days then graduated to a thick pad and after that to a thin shield. Don’t overdo it in terms of getting back to your daily routine. Don’t be a couch potato but slow and steady wins the race. I don’t honestly remember what I did in reference to coffee consumption but if I abstained it was only for a short time (I only have 1 cup in AM anyway). I progressed wonderfully and was feeling back to normal until a setback a month in. Frequent urge to urinate, pain at prostate etc. Doctor said sometimes happens and to stay the course. I did and it resolved itself fairly quickly. So a year and a half later and getting the HoLEP is one of the best decisions I ever made - I have my life back. Good luck with your surgery.

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@medinfo1

It is day 30 for me post Holep on June 19, just over 4 weeks ago. It has been an UNEVENTFUL recovery. Absolutely NO pain from the moment I woke up from anastetic on late afternoon of June 19. Clear urine from the moment catheter removed at 40th hour post Holep. From days 2 to days 18, 100% clear urine. Days 19-22 saw some rusty brown color - expected part of recovery as the inside surface of prostate heals, and shed its scar tissue.

As for bladder incontinence since Holep, 2 x Level 3 Depends from day 2 to day 24. Then I switched to 2 x Level 1 Depends. Been out for a run on day 28. No problem. No urgency to wee during run! Urine is gushing like Niagara Falls. No more blockage!