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Post HOLEP weak stream
Has anyone experienced a very weak stream almost 7 weeks after HOLEP. Seemed like it was getting progressively weaker than all of a sudden it was just pencil thin stream for two days. Now, just a very weak stream with dribbling at the end.I was on oxybutynin for 17 days prior to this but stopped as soon as this started to happen called surgeons office got nurse practitioner. She pushed it off, just bladder irritation over the phone. i’m going to call back. Try to get an appointment with the surgeon which is always almost impossible or see my regular urologist when he comes back from vacation next week.
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I am 5 months from having a HOLEP. I have a bladder neck contraction caused by scar tissue from the surgery. It will and has caused a slower stream. I will need to have a second surgery to repair the bladder neck. Your urologist will need to schedule a cystoscopy to check what maybe causing the issue. Good luck.
I had HOLEP on June 19 this year. So I have just finished exactly 6 weeks rehab, today July 31. y recovery has been text book so far.There has absolutely no pain since I woke up from anasthetic on June 19. Catheter was removed at 40th hour post Holep, and urine has been 100% clear. For the first 4 weeks I used 2 x Level 3 Depends daily, Since then, it has been 1 x "Level 1" Depend each day, with the last 3 days this week, where I did not have to use Depend. The improvement is very gradual. Some days it might get "worse" but the trend is continual improvement towards full bladder control.
As for urine stream, it has been "Niagara Falls" gush by day 2 as soon as catheter was removed. Were you taking medication over a long period, to ease the "plumbing problem" before you had Holep? You must contact the urologist ASAP to find out why your urinary stream is getting weaker. It makes no sense. BE PERSISTENT. Keep ringing back to demand an answer. Do not suffer in silence. Demand a CYSTOCOPY immediately to find out what is going on INSIDE your prostate.
Another question re your medical history before you had Holep. Obviously you had to put up with this "male plumbing problem" for a while before you finally had Holep?
(1) Were you on long term prostate reduction medication?
(2) Have you had to wear a catheter for prolonged periods, due to blockage, before you finally had Holep?
If so, those two "treatments" can complicate your post Holep recovery simply because your muscles were forced to work differently to force urine through an enlarged prostate blockage. Now that Holep has totally removed the prostate blockage, but the muscles have been so used to have to work double time to force urination. It is still doing that (even without the blockage) hence causing an over active bladder. It will take time for the those muscles to re-adjust, relax, and stop being so over active.
I was told to lay off the coffee for a few weeks after Holep. Caffeine is a stimulant for urination. I went back to drinking coffee daily once I finished my 4 weeks. But I drink just a cup daily; not a heavy drinker.