HoLEP and Morcellation

The tissue is remved as one piece while pushing
It back into the bladder. The morcellation process is used to break up and suck out the tissue. It's a standard procedure with holep. Most of the tissue will be gone/ evacuated from the bladder once the procedure is completed.

After giving it some thought, I believe that the morcellation pieces of the prostate will be contained within the walls of the prostate and there will be no crossover from the cancer in the duodenum into the prostate or bladder. Thanks for your response.

Have you already done HOLEP surgery? Could you post your post-operative experiences, particularly about burning urination pain? Are there some strategies to reduce the pain?

I had HoLEP procedure in Fall 2020 or 2021. It was an absolute success for me, with little or no complications, other than retrograde ejaculation which I have learned to live with since I still experience an orgasm. I think the reason things have gone well for me is some luck, of course, but mostly that I had the best or one of the best surgeons in this area, Dr. Amy Krambeck in Chicago. She has literally done thousands of this procedure.
Regarding morcellation, that definitely is part of the procedure. That is the way they get the stuff they cut away out of your body. BUT, BUT, BUT!!! THEY HAVE TO BE SURE YOU DO NOT HAVE PROSTATE CANCER AT THE TIME, BECAUSE THERE IS A DANGER THE PROCEDURE/MORCELLATION COULD HELP IT SPREAD TO OTHER PARTS OF YOUR BODY. Due to my long term enlarged prostate and high PSA, I had had many digital exams, biopsies, and prostate MRI's that were all negative for prostate cancer, so they were fairly confident I did not have that. I suppose you can never be absolutely sure since it can be so hard to find, but they need to be as sure as possible. I am certain they would have not considered me a candidate for HoLEP if there was any chance I had prostate cancer. Also, I had no choice but to have this done because my prostate had gotten so enlarged I could not urinate at all and the urine backed up into my kidneys causing damage. Luckily that was caught in time but I am left with chronic kidney disease. So if you have troubling urinating insist that your urologist or doctor do a simple ultrasound test on a regular basis to make sure you are emptying your bladder--very important!

Had neck preserved HOLEP
1/31. I too had 100 percent blockage causing urine to sit or back up. Tests after surgery concluded no cancer and no permanent damage to kidney or bladder (I live like this for five years or more) but in 2024 I had 100% blockage nothing was coming out. This week makes two months since HOLEP ,everything is fine no retrograde or ED.

You said you have chronic disease. Give a try to a probiotic formula called Renadyl. I use it with a proper diet and this make my EGFR numbers improve. As for your HOLEP surgery did you have burning sensation when peeing? How do you manage the pain?

Thanks, I’ll look into that. No pain when peeing, luckily.

Oh my. You was very blessed.

Six days ago I had the HoLEP surgery. Everything went amazingly well. I have had very little blood/urine spotting on my Depends after a full day. The pain is not to be ignored. It will bring you to your knees. It did me, but I was being a believer that "I can handle the pain!" But, I'll admit to my mistake. I did not take take the Pyridium. A big mistake. The second trip to the biffy was painful, but manageable. The pain has reduced every day since then and is now discomfort as opposed to pain.