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HoLep vs TURP
My husband is scheduled for prostate surgery early Nov. The doctor has agreed to do his cystoscopy under full anesthesia right before surgery… this is because the first time my husband had a cystoscopy he was fully awake, and it was very painful for him. However, the doctor stated that he would have to decide at that time whether he would perform the TURP or HoLep. Can someone advise the differences between the two and benefits/cons also between the two? What determines which procedure the doctor will go with?
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Tomorrow makes 12 days since my holep. No side effects but haven’t take The bike out for a ride yet my catheter was removed in 12 hours maybe less. I had no pre underlying conditions and my surgery focused on the lobe. Pants n free. I only go a few times a day and once at night.
Could you please post if you experience burning urination sensation after HOLEP? Is there a way you can manage to reduce it? Thank you
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1 ReactionAs a Moderator could you please explain to me if there´s a strategy to stop or at least diminish burning urination sensation after HOLEP? From what I have read including using ChatGpt there´s no way to do it, cause other options are risky for kidneys and liver (Pyridium for example)
If you are allowed ibuprofen, that helped reduce it for me. It only lasted a few minutes then followed by an awkward uncomfortable feeling just below and borderline to my bladder. I wish I could say more but I was damn lucky as a patient to not suffered real pain post op ,at all. Once I was out of bed the next day, it was a near lightning quick recovery. I’m at day 52-53 and I can say the numb feeling that followed my first week,is still there a lot but I’m used to it so I almost don’t feel it per se. Bedroom has zero complications
Everything from beginning to end is like before if not better. Continued speedy recovery pray your days of discomfort are behind you as expeditiously as possible.
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I had HoLep done two years ago and highly recommend it! It is way less invasive and effective! I had some trouble with catheters getting plugged after about 6 weeks in...wearing pads or diapers for several weeks is something you will need to do. My issue became bad after about the 6 week mark when I was not able to get the urine out due to loosed tissue still being expelled from the surgery and it plugged me up. I was visiting my mother in the hospital and went to the emergency room where they installed a catheter, which was a huge pressure reliever. I wore it for a day until even the entry port on the catheter became plugged and urine was spraying AROUND the tube and wetting my pants! I went back to the ER and they pulled it out, saw the plug and installed a bigger one, which ALSO plugged up. We were on out way home by then (out of state) and I just pulled it out - it was plugged! I went back to using the diapers and everything was fine.
I told you this long story just for you to be aware of possible issues - but it wouldn't prevent me from having HoLep done again! I would still do it over TURP, which my brother-in-law had done and is fully impotent!
@vernscw agree! One should ALWAYS speak with their urologist before deciding - but it's also prudent to due some information gathering prior to speaking to him/her! You will have a much better discussion by knowing many terms and facts about both types of surgery.