Connect
← Return to My Background & Upcoming HoLEP — Would Love Your Insights
Discussion
My Background & Upcoming HoLEP — Would Love Your Insights
Men's Health | Last Active: Aug 17 5:11pm | Replies (47)Comment receiving replies
@wavelight2020
Your prostate was significantly smaller than mine. Actually got my pathology report back today. Prostate size was 72 and they removed 40 g of tissue. All which came back benign. So that’s great news. I’m just hoping this stress incontinence goes away quickly. I did read the Surgeon‘s report that said he did a mucosal sparing early apical release. He also stated that it was visually challenging for him because there was some blood that is consistent with a recent prostate infection. Then continued to say that there was still bleeding from the mucosal surface at the bladder neck was most likely secondary to inflammation of the prostatic tissue and rhe laser apparatus was replaced to get more hemostasis. Both urethral orifices were confirmed and identify well away from the area resection with no residual adenoma identified . I hope that doesn’t increase my risk of incontinence. It’s day four. As soon as I feel the slight urge to urinate, I get up and go. Can’t make it to the bathroom without a tiny dribble coming out before I get there. And the stream at this point is not strong. It’s consistent, steady flow and not a trickle. Maybe I still have tons of inflammation, but I was expecting a really strong stream. I guess time will tell.
Replies to "@wavelight2020 Your prostate was significantly smaller than mine. Actually got my pathology report back today. Prostate..."
Connect
@alfonse Congratulations on the benign pathology, that's great news and one less thing to worry about.
You also had 40 grams removed versus 7 grams in my case, so I think it's important to remember our recoveries may look quite different. My obstruction was almost entirely an intravesical median lobe acting like a ball valve, so I had a much smaller healing cavity.
I also wouldn't read too much into the wording of your operative report. The important points to me are that your surgeon identified and protected both ureteral orifices, achieved good hemostasis, and confirmed there was no residual adenoma. The inflammation and bleeding sound like routine operative findings rather than signs that something went wrong.
As for the stress incontinence, you're only on day 4. From everything I've read and from what my surgeon told me, it often takes time for the sphincter to adapt after the obstruction is removed. I wouldn't draw any conclusions this early.
Regarding the stream, mine was very strong immediately, but I don't think that's the expectation for everyone, especially after removing 40 grams. Swelling and healing can certainly affect flow early on. The fact that you have a steady stream rather than a trickle is encouraging.
I'm now 10 days out, and one thing I've learned is that recovery isn't perfectly linear. I actually had a little more bleeding today after returning to work, which fits with what I've learned about the second week, when the healing tissue (eschar) can begin to slough.