HoLEP recovery

Posted by patrick78 @patrick78, Dec 10, 2025

Has anyone had the HoLEP procedure?
I would like to discuss the post operation effects as I’m scheduled in one week.

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Thanks for your low down.. Sorry it’s been the shits for you.. Not convienced I made the right decision but I, like you will have to live with it.. my story has yet to be told ..

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Profile picture for rwinpa @rwinpa

Wish I could say the same. My Holep was done in March of 2025 and has been a disaster ever since. None stop leakage ever since. I am now told from these same doctors that I need an artificial urinary sphincter to fix this problem. The same ones that said Holep would be no problem because I am young and healthy. Just remember that whatever you do there is the chance that you cant go back. Everybody has different outcomes.

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@rwinpa can you share where you had the procedure done and who was the surgeon?

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Profile picture for MrDavie @djazcona

@rwinpa can you share where you had the procedure done and who was the surgeon?

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@djazcona it was done in Tucson AZ at Banner Hospital by Dr Tzou

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Profile picture for MrDavie @djazcona

@rwinpa can you share where you had the procedure done and who was the surgeon?

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@djazcona My procedure was done at Penn State Health in Hershey PA. I will leave out the Dr. name although he showed little respect or interest in me after I had problems. When I would call the urology dept. with concerns they always said thats normal or talk to your dr. If I could get a do over I would suggest talking to several drs. about different procedures. Ones that may be done again if your results dont last from the first time. There is no going back. On one visit I mentioned the issues I had with the dept. to the person who took me back to the room, She did not realize I could see her making faces and smerking at me when I told her what went on. I talked to a patient advocate several times also, but they seem powerless to do anything.

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57yo and had Holep procedure 2 weeks ago today. Reduced size from 80 to 25.

Had constipation the first week and didn't have first bowel movement until day 5.

Currently, I have a little blood at the beginning of urination and pain the first 10 seconds or so. Stream is good. Incontinence does not appear to be bad at this point but am wearing man diapers for the time being. I took a home UTI test and it was negative - and no fever, etc. The blood and pain make me nervous, so I hope they resolve soon.

Drinking 100oz of water a day and eating a pretty strict diet in order to avoid constipation (no longer taking stool softener)

I plan to resume a few miles of walking this week. Plan to resume strength training at 4 weeks (hopefully).

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Profile picture for alexdav @alexdav

@elcorbs Sorry to hear that...wondering if they said anything about scarring in the urethra which sometimes happens and they have to expand it(think of a straw that is pinched in middle the diameter isn't the same all the way thru) which would cause straining...I have been taking a stool softener just so that I wont strain during bowel movement which has reduced the bleeding for me, now 10 days post surgery and just some pink at first pee in morning...I usually drink 3 liters over course of day and by mid day its very clear...I do kegels couple times a day and the only times I have leaked is a few drops during morning walks(4 miles) so just some stress leakage...stick with it, everyone is different but for me its been best thing I have done, on par with my hip replacement which was another miracle procedure..good luck..

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@alexdav Went to the ER again last night for another UTI. I got the injection of antibiotics in the thigh. Painful to say the least. Now on Bactrim DS 800-160. I just made an appointment for a phone call to get an appointment at Mayo Phoenix. This has been the most miserable 13 months of my life. Ready to put an end to the constant UTI's. Hopefully they will take me as a patient and get this resolved once and for all. By the way the D-Mannose made no difference in the infection coming back.

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Profile picture for elcorbs @elcorbs

@alexdav Went to the ER again last night for another UTI. I got the injection of antibiotics in the thigh. Painful to say the least. Now on Bactrim DS 800-160. I just made an appointment for a phone call to get an appointment at Mayo Phoenix. This has been the most miserable 13 months of my life. Ready to put an end to the constant UTI's. Hopefully they will take me as a patient and get this resolved once and for all. By the way the D-Mannose made no difference in the infection coming back.

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@elcorbs
So sorry to hear of all the pain and suffering with no resolution.. Hope things work out and your better soon..

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Profile picture for patrick78 @patrick78

Thanks for your low down.. Sorry it’s been the shits for you.. Not convienced I made the right decision but I, like you will have to live with it.. my story has yet to be told ..

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@patrick78 did you have the procedure? How did it go?

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