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Is HoLep recovery worth the procedure?
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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I too had a HoLEP with a Dr. in Boise-Urologist Austen Slade one month ago. I am 74 years old and had BPH symptoms for about 25 years. Getting up at 4-5 times a night, urinating 20-25 a day. Had UroLift procedure 7 years ago which helped some for about 4 years. Most recently developed a large bladder stone and had nights of being up 13 times. My local doctor wanted to do a TURP. I researched and found out about HoLEP. Only a few doctors in my state could do this. Reached out to Dr. Slade, we had a Boise trip planned in two weeks to visit family there. He called me and arranged an office visit when we arrived on a Friday, performed the surgery the following Wednesday. Took the catheter out the next morning, had some minor irritation and bleeding for a week, took a week off from build Habitat homes and then back my same schedule. This procedure was way less painful than the UroLift, quicker recovery and much improved results. Now I often sleep through the night and no more frequency and urgency issues. I highly recommend this procedure, and the very professional team Dr. Slade has. For me they were an answer to my prayers!
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1 Reaction@sittingdeer I believe it can be worth it with experienced surgeons. Unfortunately I rushed into it with an inexperienced surgeon and after 9 months are headed for permanent leakage. The practice is dismissive with little support other than referring for more iffy procedures like AUS. It is a miserable quality of life. Beware of the hype and check out your surgeon.