I had Holep a month ago and it was going good for a few weeks but lately flow and amount of urine has decreased. There's also some sharp pain in the penis and some aching from prostate area, but not too bad. I'm just wondering what kind of ups and downs is normal with flow and pain after holep thank you
Hello,
I don’t Remember a decrease in flow but my surgery was over a year ago. DL has reported issues of this nature. I never had any pain in my penis but I have been told by a surgeon that I have a high pain tolerance. As for my prostate it felt like I had electric shock. I guess a lot of nerve endings had to be healed.
We are all different so not everyone will experience what you are experiencing. If you have not reported the flow issues it my be wise to talk with you surgeon’s office ou your urologist. Good luck.
I don’t Remember a decrease in flow but my surgery was over a year ago. DL has reported issues of this nature. I never had any pain in my penis but I have been told by a surgeon that I have a high pain tolerance. As for my prostate it felt like I had electric shock. I guess a lot of nerve endings had to be healed.
We are all different so not everyone will experience what you are experiencing. If you have not reported the flow issues it my be wise to talk with you surgeon’s office ou your urologist. Good luck.
thanks yes I reported it. I'm just hoping some will say the flow could possibly temporarily reduce from inflammation or whatever and not necessarily stricture complication. seems like a month is not enough time for that, from what i have read here but I dont know.
OK I just checked, voided 200ML in 13.2 secs which is just over 15ML/sec. BTW how I did this is I set my phone on video propped it up, and recorded the flow into my ML urine bottle they gave me at the hospital and voided 200ML. 200/13.2 is 15ML/sec which is above average for my age group.
Ages 4 to 7 -- The average flow rate for both males and females is 10 mL/sec.
Ages 8 to 13 -- The average flow rate for males is 12 mL/sec. The average flow rate for females is 15 mL/sec.
Ages 14 to 45 -- The average flow rate for males is 21 mL/sec. The average flow rate for females is 18 mL/sec.
Ages 46 to 65 -- The average flow rate for males is 12 mL/sec. The average flow rate for females is 18 mL/sec.
Ages 66 to 80 -- The average flow rate for males is 9 mL/sec. The average flow rate for females is 18 mL/sec.
Ages 4 to 7 -- The average flow rate for both males and females is 10 mL/sec.
Ages 8 to 13 -- The average flow rate for males is 12 mL/sec. The average flow rate for females is 15 mL/sec.
Ages 14 to 45 -- The average flow rate for males is 21 mL/sec. The average flow rate for females is 18 mL/sec.
Ages 46 to 65 -- The average flow rate for males is 12 mL/sec. The average flow rate for females is 18 mL/sec.
Ages 66 to 80 -- The average flow rate for males is 9 mL/sec. The average flow rate for females is 18 mL/sec.
Contributor
149 posts
Ralph3: Yes - aching is common. I have also read on this forum that pain in the penis has been reported. Flow rate can vary for assorted reasons. Be sure that you are drinking ample fluids. Blood clots can obstruct flow and need to be flushed out with fluids. Strictures can develop (as previously mentioned) but are not very common. Also excessive exercise and activity that is not kind to the pelvic area can aggravate all three symptoms. Be sure that you are following the guidelines given to you upon discharge. Certain foods can also result in increased inflammation (a list was posted a while back). And don't hesitate to continue to communicate with your HOLEP doctor. They are usually very open to communication and helpful - If not persist.
Dear all,
Stricture, UTI, urosepsis, sepsis, all these words seeems to describe minor complication after a BPH surgery , they sound and look non threadening.
I was nearly killed by these complications and had been hospitalized for 9 days, four of which was int e ICU.
When I recover and have more strength and time, will share experience.
Stricture, UTI, urosepsis, sepsis, all these words seeems to describe minor complication after a BPH surgery , they sound and look non threadening.
I was nearly killed by these complications and had been hospitalized for 9 days, four of which was int e ICU.
When I recover and have more strength and time, will share experience.
Geez DL, all at one time that would certainly not be minor. Wishing you a swift and thorough recovery!
Hi DL,
Sepsis is nothing to mess around with. I am glad to hear that you are out of ICU and are on the mend.
Sepsis is nothing to mess around with. I am glad to hear that you are out of ICU and are on the mend.
Hello DL, so sorry to hear of those severe complications you've suffered. Makes my procedure for the same problem seem like a walk in the park. Very best wishes for a speedy recovery.
NS
NS
NS, Blayneb and Buster,
Thank u all for ur well wishes and support!
—————————————————-
NS,
You were very lucky. U got the stricture removed two days after u found out u got stricture.
I was just three weeks away from my urethrotomy. Yet Ecoli got me before urethrotomy. How unlucky! The sequence of attack was ：
stricture — UTI from Ecoli —- Ecoli infected kidney —- sepsis —- Ecoli infected other organs.
It was a vicious, full scale, relentless, brutal attack by Ecoli that nealy kiiled me. Ignorance and not knowing the danger of stricture and symptoms of UTI, nealy cost my life. Before HoLEP, I spent a lot of time researching incontinence, wrongly thinking it was the most serious complication. I was dead wrong! If I had known the danger of stricture and on the lookout for symptoms of UTI, I would have saved valuable time and would have avoided this life threatening episode. My son told me that bacteria mulptiply by a factor of 10 in one hour and survivability reduced by a factor of 8 every hour.
And I had waited for a couple days before I knew I was in serious trouble. By then Ecoli had taken over my body and logic thinking.
Thank u all for ur well wishes and support!
—————————————————-
NS,
You were very lucky. U got the stricture removed two days after u found out u got stricture.
I was just three weeks away from my urethrotomy. Yet Ecoli got me before urethrotomy. How unlucky! The sequence of attack was ：
stricture — UTI from Ecoli —- Ecoli infected kidney —- sepsis —- Ecoli infected other organs.
It was a vicious, full scale, relentless, brutal attack by Ecoli that nealy kiiled me. Ignorance and not knowing the danger of stricture and symptoms of UTI, nealy cost my life. Before HoLEP, I spent a lot of time researching incontinence, wrongly thinking it was the most serious complication. I was dead wrong! If I had known the danger of stricture and on the lookout for symptoms of UTI, I would have saved valuable time and would have avoided this life threatening episode. My son told me that bacteria mulptiply by a factor of 10 in one hour and survivability reduced by a factor of 8 every hour.
And I had waited for a couple days before I knew I was in serious trouble. By then Ecoli had taken over my body and logic thinking.
I had also made two grave errors:
1. Wrongly thought that urethral disease was a slow moving disease. But shocked to find out Ecoli attacked with lightning speed. It took over my body in no time.
2. Not so much as an error, but my trouble was the symptoms of stricture masked that of the UTI. So I never knew Ecoli was mounting a vicious attack on my body until it was too late and by then could no longer think coherently. It was my wife who saved me by insisting to drive me to ER.
The attending physician told me that if I had delayed antibiotic treatment by anther day, I would have been dead or would have taken many more week to recover.
1. Wrongly thought that urethral disease was a slow moving disease. But shocked to find out Ecoli attacked with lightning speed. It took over my body in no time.
2. Not so much as an error, but my trouble was the symptoms of stricture masked that of the UTI. So I never knew Ecoli was mounting a vicious attack on my body until it was too late and by then could no longer think coherently. It was my wife who saved me by insisting to drive me to ER.
The attending physician told me that if I had delayed antibiotic treatment by anther day, I would have been dead or would have taken many more week to recover.
So DL, what was the actual source of the Ecoli? The stricture? the UTI? Or was it a progression Stricture to UTI to Ecoli? Just wondering if you know this? In any event so glad it looks like you're recovering.
Hello Blayneb,
UTI is caused by Ecoli (though possible by other bacteria).
It was explained to me by the attending physician this way:
Imagine a urinal that is almost blocked, each time after urination some urine always got left behind. It is not hard to imagine that it creates a good enviroment for bacterial to grow or least a better environment than an unblocked urinal. This is UTI. By then, urine test and blood test will show an evelated white blood cell count (my WBCC was exceedingly high) indicating the body’s T-cells are mounting a defense. Ecoli was found later by several blood cultures and uriine cultures and specific antibiotic that targeted Ecoli was used.
It was a Saturday and My wife actually took me to a local premium emergency urologist. She didn’t and couldn’t do anything as results for Blood test and culture would take days to come back, by then the patient might have been dead. It really needs the resources of ER where blood test and urine test results can be obtained quickly. Once the doctor knows the WBCC and that the bacteria belong to the so called gram negative , the most powerful broad spectrum antibiotics (levaquin and Vancomycin ) are given to the patient to fight the gram negative bacteria.
For me, Later blood culture showed that the bacteria was Ecoli and only levaquin was used.
By the time I reached ER, my blood pressure dropped significantly to 80/40 as the bacteria had gained full control of my body. the physician had to open a central line on a vein on my neck so that medicine that increased my blood pressure could be administered. It works by narrowing the blood vessels thus raising the blood pressure. The blood pressure medicine was there for several days until my body could generate the right pressure.
I also had to do CAT scan, MRI ultrasound, echo cardiogram , etc to access damages done by Ecoli.
Oxygen intake test also showed that I didn’t produced enough oxygen. The normal range is 95-100% and I was 85%. It was found that my lung was immersed in liquid.
My son told me that during bacteria attack, the blood vessels will become leaky so that the T-cells can leak out from the vessels to the body to fight the bacteria. But unfortunately, liquid also can leak out flooding the region between the lung sac and the lung. And as a result, the lung has less place to expand. I had to to have this liquid drained to regain the oxygen intake level.
All these resources plus around the clock physician and nurse services are not available to an urologist office , going to which would have wasted life saving time.
UTI is caused by Ecoli (though possible by other bacteria).
It was explained to me by the attending physician this way:
Imagine a urinal that is almost blocked, each time after urination some urine always got left behind. It is not hard to imagine that it creates a good enviroment for bacterial to grow or least a better environment than an unblocked urinal. This is UTI. By then, urine test and blood test will show an evelated white blood cell count (my WBCC was exceedingly high) indicating the body’s T-cells are mounting a defense. Ecoli was found later by several blood cultures and uriine cultures and specific antibiotic that targeted Ecoli was used.
It was a Saturday and My wife actually took me to a local premium emergency urologist. She didn’t and couldn’t do anything as results for Blood test and culture would take days to come back, by then the patient might have been dead. It really needs the resources of ER where blood test and urine test results can be obtained quickly. Once the doctor knows the WBCC and that the bacteria belong to the so called gram negative , the most powerful broad spectrum antibiotics (levaquin and Vancomycin ) are given to the patient to fight the gram negative bacteria.
For me, Later blood culture showed that the bacteria was Ecoli and only levaquin was used.
By the time I reached ER, my blood pressure dropped significantly to 80/40 as the bacteria had gained full control of my body. the physician had to open a central line on a vein on my neck so that medicine that increased my blood pressure could be administered. It works by narrowing the blood vessels thus raising the blood pressure. The blood pressure medicine was there for several days until my body could generate the right pressure.
I also had to do CAT scan, MRI ultrasound, echo cardiogram , etc to access damages done by Ecoli.
Oxygen intake test also showed that I didn’t produced enough oxygen. The normal range is 95-100% and I was 85%. It was found that my lung was immersed in liquid.
My son told me that during bacteria attack, the blood vessels will become leaky so that the T-cells can leak out from the vessels to the body to fight the bacteria. But unfortunately, liquid also can leak out flooding the region between the lung sac and the lung. And as a result, the lung has less place to expand. I had to to have this liquid drained to regain the oxygen intake level.
All these resources plus around the clock physician and nurse services are not available to an urologist office , going to which would have wasted life saving time.
my gosh dl, hoping for your full recovery as you address this. hope there is no lasting damage from the e-coli attack. whats the game plan going forward? assuming the stricture which IIRC is at the bladder neck(?), will be fixed as soon as the abx cleared the infection fully?
Thanks Ralph.
I am having the urethral stricture and /or baldder neck stenosis removed this coming Monday.
I don’t know if the Ecoli attack has caused lasting damage. My body will need more time to find out.
Not sure what IIRC is.
Yes, when stricture/stenosis are removed, chance of future UTI will be greatly reduced for reason I explained before.
I saw ur post about reduced flow after HoLEP. Something is wrong. Within the first 3 months of HoLEP, Qmax, the peak urine flow should increase linearly to about 20 to 30 cc/sec. if insurance is not an issue, I would go back to my HoLEP Surgeon and ask him to do a cystoscopy. There is no other way to find out.
Like I said before, the chance of scar formation after HoLEP is 5%. Scar formation is many time more dangerous than incontience.
I am having the urethral stricture and /or baldder neck stenosis removed this coming Monday.
I don’t know if the Ecoli attack has caused lasting damage. My body will need more time to find out.
Not sure what IIRC is.
Yes, when stricture/stenosis are removed, chance of future UTI will be greatly reduced for reason I explained before.
I saw ur post about reduced flow after HoLEP. Something is wrong. Within the first 3 months of HoLEP, Qmax, the peak urine flow should increase linearly to about 20 to 30 cc/sec. if insurance is not an issue, I would go back to my HoLEP Surgeon and ask him to do a cystoscopy. There is no other way to find out.
Like I said before, the chance of scar formation after HoLEP is 5%. Scar formation is many time more dangerous than incontience.