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Prostate and Bladder Issues: What to do?

Men's Health | Last Active: Mar 8 12:51pm | Replies (163)

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@jetjock

Part 3

I live more than 1,000 miles from Rochester, MN. I flew there on Jan 3, had a required Covid PCR test on Jan 4 and then reported at 5:45am on Jan 5 for surgery. All of the Mayo Clinic doctors, nurses and staff that I encountered were excellent. They are all so professional and pleasant. They really are a fantastic organization. The surgery went well, pretty much as planned. The doctor had estimated before hand it would take about an hour and a half. He told me after the surgery that it actually took 2 hours because my prostate was "larger than advertised". The TRUS had estimated it at 90ml back in October, but the surgeon said he actually pulled out 120grams of material which took a little longer than estimated. I had a catheter in after surgery. This catheter had an additional tube that allows them to irrigate your bladder. It slowly inputs sterile solution to your bladder to flush out any residual prostate material, blood clots, etc. I had no real pain to speak of after the surgery, just a bit of a dull ache in that area. I was in the hospital over night and in that time I was given a 500mg acetaminophen two different times which handle the discomfort just fine. I could see that there was quite a bit of red (blood) in my urine which they told me was normal and expected. The urology department sent somebody to my room every two hours it seemed to examine the output in the catheter collector. They told me each time that it looked fine. A nurse removed the catheter about 9:00 the next morning and told me that as soon as I was able to pee on my own, that I could be discharged. About 30 minutes later I pee'd the best pee I had pee'd in a long, long time! I was amazed and very pleased! To be clear, my urine was quite red still at that point, but they explained to me that "red" was okay as long as it is "clear". In other words, as long as you can see through it and there aren't lots of clots or particles blocking the view through the urine. They also said it should improve slowly over time and that it could take up to two weeks for it to be completely gone. There was a little bit of a burning when I started and stopped urinating, but it was very tolerable and subsided in a few days. Other than feeling tired, I felt good when I left the hospital. I went back to my hotel less than 3 blocks from the hospital and rested and recuperated for the rest of that day and then all day the next day, before flying back home 3 days after the surgery. It has now been about 6 weeks since I had the surgery and I am feeling great, totally back to normal... and better than I have felt in many years with regard to urinating.

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Part 4

kayak had a list of questions in his earlier post. I will answer them in regard to my experience noting that my surgery was BipolEP versus HoLEP.

Q: How long were you in the hospital following HOLEP?
A: About 24 hours

Q: How long did you have to have a catheter in for?
A: Just under 24 hours

Q: Was recovery painful?
A: Not at all. Surprisingly little pain with this procedure.

Q: Did you experience incontinence!
A: No. Just a little red ooze especially in the first week. I used Depend for Men light shields in briefs for the flight home and that handled it well. That subsided within 2 weeks and I don't use the shields any longer.

Q: Was there significant improvement in urination?
A: OMG YES! <big smile!>

Q: Was it difficult to get out and about within the first three months?
A: No problem at all. I am 6 weeks post surgery and completely back to normal activities.

Q: Did you lose the ability to have an erection?
A: No. All good in that department. <another big smile>

Q: Did you lose the ability to ejaculate?
A: Yes. Well, as paul55 stated in an earlier post, I have retrograde ejaculations. The semen does not exit your penis as it normally would. My doctor advised me of this before the surgery. On this point... at this early stage after the surgery, I feel like it does slightly diminish some of the physical satisfaction of sex. I do feel the pleasure of the orgasm, but it's kind of difficult to explain. I guess it is sort of like when you feel like you are going to sneeze but then you don't, if that makes sense. I would like to hear other men's opinions on this point. Please post them in this thread.

Whew! Sorry this got so long. I hope I didn't put you all to sleep. I typed it in a word document and then copy/pasted it in here. Apparently it was too big for one post so I broke it up into smaller parts. If anything I wrote spurred a question, please feel free to ask. If anyone with medical expertise finds anything I wrote to be wrong, please correct me!

did you have any incontinence