Is HoLep recovery worth the procedure?

Posted by lovethealoha @lovethealoha, Feb 9, 2025

I had Holep with a Dr. in Boise-Urologist Austen Slade. Today makes 10 days post surgery. I’m 51 in general good health, no allergies or underlying issues. My BPH was at its max , complete blockage. Prostate and Median Lobe. I could not no. 1 and a catheter was being recommended indefinitely. A cystoscope exam with my surgeon showed I was one of few patients with this condition that can be treated with possibly preserving all / most sexual functions. That being said. Here is my experience ( so far)
My outcome doesn’t represent all outcomes as different patients have different experiences and health risks. Post procedure, my catheter was removed in less than 14 hours, with the ability to use the restroom after a supervised test run by 5 am the next morning.
Since I showed no signs of distress, coherent, no fever , or pain (slight discomfort ,yes) it started off really good. After several drs discussed my progress I was released.
Follow up calls were daily for a few days.
Day 2-4 surprisingly , urine remained clear. Also most bathroom trips , occasional light blood and a sting that subsides quickly especially with ibuprofen.
Today is day 5 , some blood today in the evening , dismal sting , but zero pain since after surgery. Completely mobile.
Day 10 only thing left is a numb feeling in the area treated. My bathroom health is 100 percent restored. If there’s any irrepressible symptoms or damage. It’s too soon to know.
It appears to function but I’m avoiding any excitement for 4 weeks.

As of now, Not straining or lifting anything heavy. Drinking loads of Water for first week to keep flushing. Resting is also important.
Wishing you all future patients a speedy recovery and may your pathology test be negative as well.

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Profile picture for runningold @runningold

I am on day 4 of the HOLEP, took the catheter out on day 2. I had a turn about 18 months ago but recently the Doctor said I was not emptying my bladder. I am not peeing as good as before last Thursday. The doctor said the procedure was successful. I haven’t had a strong stream, maybe 5 times since removing the catheter on Saturday. I don’t have pain or burning. I’m wondering if inflammation is keeping me from emptying my bladder. Should I be concerned or trust the process. I would think it should be stronger. He removed about 3/4 of tissue. I do have diverticulum that grew, a little pocket that holds some urine. Any thoughts?

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@runningold I'm going on four years post HoLEP. Prior to HoLEP I had a Urolift which from my perspective did not help, my surgeon said I was emptying more volume. About a year later he did Laser Greenlight procedure. It was amazing, I peed a very strong, long stream. I was happy... for about a month and then it reverted, frequencies, urgencies, slow, dribbles, etc. That surgeon referred me to another surgeon to do a robotic procedure. I should mention that over 10 years several urologists told me they never saw a faster growing prostate. The newest surgeon told me I was an excellent candidate for HoLEP, and sent me to that surgeon. She was great, explained it all in graphic detail and we went forward. They kept me overnight for observation and removed catheter that morning. I was peeing like a fire hydrant and aside from a couple of scares from blood clots that were a little stubborn, to be expected, I had no other issues. Life improved greatly. I will say that now if I have a third cup of coffee I may have some urgency/frequencie for a few hours. I'm 69. What does your surgeon say about your stream and inflamation? I suppose it's possible. I hope things improve for you soon.

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