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HoLEP and Morcellation

Posted by rfherald @rfherald, Oct 13, 2024

I plan to have HoLEP done in a couple of months. I was sent a description of the procedure and it included the mention of morcellation. Is this standard practice? There is some concern about the use of morcellation which could spread cancer cells in the area to the blood system and the rest of the body. Does anyone have any knowledge of this? If you have had the HoLEP procedure done, was morcellation used?

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Profile picture for vernscw
vernscw | @vernscw | Jul 1 11:22pm

My prostate was 201, HoLEP removed three quarters of it. I spent one night in hospital because I live alone. I had no pain at all. I had the procedure Jan. 21, 2025. Had a few days of incontinence but only at night. Get a good doctor. LOL I get up one to two times a night. I'm doing the Kegels each time I urinate. I had my procedure done at the Phoenix Mayo. Well worth it.

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soby | @soby | Sep 6 10:48am
In reply to @lovethealoha "Had neck preserved HOLEP 1/31. I too had 100 percent blockage causing urine to sit or..." + (show)
Profile picture for lovethealoha @lovethealoha

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.

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Hi, who did your HoLEP?

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soby | @soby | Sep 6 10:53am
In reply to @vernscw "My prostate was 201, HoLEP removed three quarters of it. I spent one night in hospital..." + (show)
Profile picture for vernscw @vernscw

My prostate was 201, HoLEP removed three quarters of it. I spent one night in hospital because I live alone. I had no pain at all. I had the procedure Jan. 21, 2025. Had a few days of incontinence but only at night. Get a good doctor. LOL I get up one to two times a night. I'm doing the Kegels each time I urinate. I had my procedure done at the Phoenix Mayo. Well worth it.

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Hi, Whar Dr. did your HoLEP?

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vernscw | @vernscw | Sep 6 11:30pm

Dr. Scott M. Cheney But I think he has someone he is training who may have done the actual procedure. His name is Dr. Balentine. Regardless, all went well. It has been 8 months and I am very satisfied with the results.

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wally920 | @wally920 | Sep 7 2:27pm

Hi, I had HoLep done at Phoenix Mayo in May, 2025. They did the morcellation. Dr. Cheney supervised with Dr. Cava doing the procedure. Had incontinence for awhile, but is 95% resolved now 3.5 months later. No pain, no issues with peeing. Have the procedure, it is worth it to get your life back.
Must do your keegles, and I used a pelvic floor physical therapist as well. She was in dispensable. Good luck!

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