immediately after catheter removal, do I start using pad while in hospital? My hospital does not provide pad nor provide me with any info.
My experience was that I had to say in bed after the catheter was removed. I was given a urinalysis and I had to urinate twice before I was released. When I was told to get dressed I was given some paper underwear. I wish I had brought my own. Got home about 2 hours latter and switched to a depends underwear and a pad stuffed inside of that.
I hope this helps.
Thanks! Of course, all the suggestions I have received from u, Blayneb and Phillip are most helpful to me.
But I am still a bit confused. I seem to remember either hearing from u or Blayneb, immeidately after holep there is no control of urine flow that is the flood gate is opened, whatever goes to the bladder comes right out. That was why got me thinking, when the catheter is removed, a pad will be needed right away.
From ur reply, it seems that my understanding is incorrect. Immediately after catheter removal, There is no imminent danger of urine leakage uncontrollably. The situation is the opposite, the patient has to prove that he can void twice before the hospital will discharge him. So there is plenty of time to put on the pad before leaving the hospital.
Thanks! U didn’t misled me.
The answers from u and Buster are exactly what I am looking for: what do I need to do immeidately after removal of the catheter. And the answer is I need to have pad with me to be ready to put it on immediately. I then will work with the nurse to see how to prove I could void twice with thee pad on.
Thank U both again! I appreciate the answers.
It ets better and you may not have the difficulty that I had. My surgeon removed approximately 90% of my bladder sphincter!!
There is really no misunderstanding instead more detail is added.
From both of ur answers, incontinence starts immeidately after catheter removal and needs to be dealt with.
readers who are about to go for holep are advised to bring about three underwear pads each reinforced with guard with them to the hospital and put one set on immediately after holep unless the nurse has a different arrangement to check for the needed two voids which are required for discharge from the hospital.
And obviously, more pads in the car or hotel for use till they arrive home.
Thank you again Buster and Blayneb.
Free access
Journal of EndourologyVol. 32, No. S1 Lower Urinary Tract EndoscopyFree Access
Holmium Laser Enucleation of the Prostate
Marcelino E. Rivera, James E. Lingeman, Amy E. Krambeck
Published Online:1 May 2018
Introduction: Holmium laser enucleation of the prostate (HoLEP) offers superior voiding outcomes to traditional transurethral resection and less morbidity than open simple prostatectomy. Likewise, HoLEP has been determined to result in excellent outcomes regardless of gland size. We present a step-by-step surgical approach to HoLEP describing both the traditional enucleation technique and a modified “top-down” surgical technique.
Am just over two months post HoLEP, and would like to share my VERY POSITIVE experience with others on this Blog. Short answer is it went fantastic! Process was done by Dr. James Lingeman at Indiana University Health in Indianapolis. Well worth the trip. Special set up to deal with patients coming from out of town. Released from hospital day after surgery (after being able to EASILY pee twice). Flew home second day. First time without a catheter in over two and a half months. Prostate size was 145 ml with an additional 45 ml median lobe. Turned down for other prostate processes.....no cancer.....highly recommended......will post more later.....but, thanks to this blog, we made the correct choice, after a lot of research. GO TO THE BEST! and don't delay!
A couple of questions.
On your initial consultation did you have to submit 5 questions about the surgery before you saw Dr. Lingeman?
How long are you estimated to have incontinence?
Hi Buster; Some background: We sent an email, via his website, requesting an appointment on Saturday the 7th of July and were contacted by phone on Monday, July 9th. I had already had several bladder scans, a cystoscopy, urine cultures, and a TRUS performed by other urologists prior to that, and sent results to his office. That probably covered the 5 questions referred to (and more). I was discharged on August 9th (my birthday!) and have NEVER had any incontinence, urgency or bleeding. Wore DEPENDS for a couple of days for assurance, but never needed them, even on the plane ride back from Indy to Boston. Since the day of discharge: No incontinence, normal peeing, and feeling fantastic! Oh, BTW, after sending lab and procedure results to them, I was called back in less than a week, with two options for the procedure date. Opted for August 8. Flew to Indy on the 6th, met with Dr. L and his staff on Aug 7th, checked into hospital and had procedure done on Aug 8th. Catheter was removed at 0400 on the 9th, successful pees by mid-morning, checked out that afternoon. Returned to hotel and stayed an extra day for safety, and was back home to Boston on Saturday the 11. All completed in a WEEK! No pain meds needed, and off all other prostate specific meds.
Any other questions?
Here is some background on my experience at IU Health. My surgery was January 31, 2018. I went into urinary retention around November 15, 2017. My local urologist is part of the IU network. He simply said that he was sending me to Indianapolis. For a number of reasons I took the first available surgeon, Dr. Krambeck. I received a new patient pacage that included a page where I was directed to ask 5 questions about the surgery. I was given no background on the surgery. Dr. Krambeck answered the questions and said that was the end of the appointment.
She did say I would be incontinent for 6 months. Well it was more like 8 months. Part of that could be due to the fact that I am fairly active for my age. In fact I workout 5 days a week. It could also be due to my age,73 or because she removed 100 grams of prostate tissue.
Did Dr. Lingeman say anything about how much of the bladder sphincter he removed? I assume that you have RE as others have after this surgery.
Ur result surprised me. 145cc was a large prostate and one would expect more complications than a