Recovery expectations 6 weeks after HoLEP prostate surgery.

I think it's normal. If you search for "HoLep log what was your pre and post-op experience". This is where I starred and posted my holep experience

To this day 5 months later, I still get shooting pains like a shock every once in awhile from my rectum to the tip of my penis. I just had my check up last week. He said everything look good. Did not express any concern about the shooting pains. Also whenever I go to number two. If I push too hard it's like I'm missing something for my muscle to push against. I have actually pulled a muscle down there..

I am also about 6 weeks Potts-op for HOLEP and am having a similar sensation, although not all of the time. It can persist for a few minutes after urinating. I think this is not an unexpected symptom and will get better and lessen over time.

@2longlife, see this list of HOLEP related discussions: https://connect.mayoclinic.org/group/mens-health-1/?search=holep&index=discussions

How are you doing?

It is always interesting to see the varied post op experiences. I am one year out from HoLEP and doing well. The nerves that innervate the voiding response pass posterior (behind) the prostate and during the process of coring out the gland nerves can become exposed or irritated. Over time the inflammation around the nerves should decrease and nerve irritation lessened. There's a lot going on "down there".

I had HoLEP four months ago and have had a very positive outcome - I've had to restrain myself from wanting to show off how well I pee : )
I haven't had the pains mentioned above, but I wanted to throw this in: I had Long Covid from 3/20 to 12/23. All the symptoms got knocked out by Paxlovid (YMMV). I was convinced that urinating was worse with LC, but there doesn't seem to be much solid literature about it affecting the prostate gland. Anyway, I got Covid again 3 weeks ago, and my LC symptoms have flared up, and...my peeing is measurably worse. It's not terrible - just harder to completely empty, and I have to take multiple attempts to know I can get out of the house for the afternoon.

So I am almost 8 weeks out after the HOLEP procedure and all of the pains/concerns that I had have resolved favorably. The discomfort that I was having behind the prostate when voiding has stopped. All good!

Healing was going great and seemingly back to normal except for some minor incontinence. Approx. 4 weeks post op there was a big change. I developed pain upon urination which also included short bursts of sharp pain in prostate itself. The urge to urinate increased dramatically as did the frequency of needing go. At times I can barely make it to the bathroom. Stream is now not always strong and I no longer feel like I am emptying my bladder. Had a Urine culture done to rule out a UTI and it was negative. I'm now 7 weeks post op and hoping for improvement as the healing continues. Every surgery is different and every recovery is different as well. Hoping for the best.

In my 7 year experience with a similar problem to yours my suggestion is ask your Dr for 7 days of a typical urinary tract antibiotic. If your symptoms reduce it's telling you that you have an infection.
Standard MSU tests are outdated and not reliable.

Thank you for your reply. I’ll discuss with Doctor at follow up appointment.

I am 4.5 weeks after my HoLep and having similar problems. After 3 weeks I developed a UTI and was given antibiotics for 10 days. During the last couple of days of taking the antibiotics I started passing the scabs and my urine flow decreased dramatically. Less than a week later back to the emergency room and once again diagnosed with UTI. I am now 3 days into antibiotics and the burn is still there along with very little flow. My urologist is out of town for the next 2 to 3 weeks and just trying to get by till that time. I also don’t feel like I am emptying my bladder. I drink water all day long hoping to clear this UTI.