incontience after the HoLEP surgery

Posted by apex1111 @apex1111, Jul 20 3:45pm

Completed two weeks of theHoLEP surgery. Many things has improved. No more Bleeding. Less pain in Urinatiom. No more burningpai, The flow seem to have improved,. At night can void 500 ml ofurine in 25 seconds giving average flow of 20 ml/second, after three hours of sleep. However the inconteince continues. Urine in drop or smal flow comes out with minor activitiies like standing up fro the chair ! Use of the adult dipars and pad is mandate. This is new issue after the surgery. Wonder how long this kind of incontience is likey top continue . I have started kegal exercise and light exercise at Gym like strech, elliptical. However they do not always trigger the leakage Trying to find out how long this leakage, use of the pad is likley to continue ? What canI do tomimimizethe leakage and shorten the incontinence? I see the posts of fewindividual dealing with the incontinence even after six months of the surgery

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I am day 34 post Holep on 19 June. Improvement in continence happens slowly but surely. Be patient. The bladder muscles have been working hard against the prostate obstruction. That is gone but the muscles will gradually deprogramm not to work so hard. It doesn’t’happen overnight. It is a very gradual process.

I have kept a record of my improvement. For example days 2-27, I used 2 x Level 3 Depends daily. Then that drop to 2x Level 1 Depends(a big jump). But today, I went back to 2x Level 3 because I have caught a bad cold, and my violent coughing is setting back my privenent. One thing about Holep is the absolute lack of pain! Around day 18-22, expect to see rusty red urine especially at start of stream. This is the phase when the internal surface of prostate capsule shed its scar tissues as the body heals by growing a new layer. It will return to 100% clear urine around day 25

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@health2026 Thank you very much. "d 2 x Level 3" in context to incontinenceis a new term for me. I did not know.I just bought themxixpad andadult daipers from walmarty ( first time in my life).I guess you are refribf to better qaulity of guard or pad like "Tena for Men Level 3 Guard for Men,: https://www.amazon.com/dp/B0C7L7JM1D (0.50 cents per count) vs Tena for Men Level 1 Guard for Men ( 0.14Cents count). I did not know theexistence of "guard for men" and different level. SO I learned something new.
Tiday is 15th day after the surgery. Feel my incontence and pain has reduced. Number of change in Pads and dapersis lower. Need to eatch more to avoid misguding conlusions.

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@health2026 Thank you very much. "d 2 x Level 3" in context to incontinenceis a new term for me. I did not know.I just bought themxixpad andadult daipers from walmarty ( first time in my life).I guess you are refribf to better qaulity of guard or pad like "Tena for Men Level 3 Guard for Men,: https://www.amazon.com/dp/B0C7L7JM1D (0.50 cents per count) vs Tena for Men Level 1 Guard for Men ( 0.14Cents count). I did not know theexistence of "guard for men" and different level. SO I learned something new.
Tiday is 15th day after the surgery. Feel my incontence and pain has reduced. Number of change in Pads and dapersis lower. Need to eatch more to avoid misguding conlusions.

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@apex1111 I have NEVER worn "Depend" before until now! I first learnt of the word on social media when people make "insults and nasty remarks" at people by scoffing at people who wear Depends! AT the hospital after Holep, I was given a Depend pad and a hospital underwear. I had to figure out how to put it together. Now I am an "expert". There are two major brands - Depend and TINA. They make these pads for males and females. I have been buying mine when they are on discount.

Depend and TINA (and all other brands) make them in 2 product forms -

(1) Guards (pads) that you attached to your normal under wear (excludes boxer shorts)
(2) Full underwear/briefs - comes with disposable underwear with built in pads - these cost much more and have level 5 absorption. Too uch for me. Level 3 is more than enough.

On day 8 in my case, during the morning I suddenly had a "BLOCK". It lasted an hour, then it was back to normal - Niagara Falls semi gush. Through googling, I found out why, at day 8 mark, there is this temporary block. The internal surface of the prostate where the overgrown prostate tissue had been "sheared off", it is at maximum inflamation. From there on, the swelling subsides and hence the hollowed space inside prostate capsule is regained (exactly what Holep is supposed to do). Other than that, there has been absolutely NO physical discomfort. Why are you still feeling pain? Do you have to take panadol or aspirin? I took two panadol straight after I woke up from anasthetic on day of Holep. I only took it because I was given; I didn't need it. I refused further offers of panadols! When I woke up after the Holep, I thought they hadn't done anything because I couldn't feel any discomfort!

I think later this week, I am taking a chance and go without any Depend! It might be becoming a security blanket! I will do it when I am out running. That will be a real test!

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