Blayneb,
I'm in my 11TH week now.
I'm still on the pads using 1 a day. I still have a few little squirts/drops that I feel from stress incontinence during the day but it's not enough to change the pad. The squirts/drops happen for no reason at all. The blood has almost completely gone I rarely see any. I use to see it mostly after I took my blood thinner in the AM and PM. My bowel movements are still messed up sometimes I strain and sometimes not. I still see a little blood after straining.
I had a little set back about a week ago. One night I woke up about 3AM and I had pissed all over myself. I don't know if the wetness woke me up or the fact that I had to pee because I went to the bath room and my bladder was still full. So I went back to wearing the diapers at night. So far it has not happened again.
Things have changed a lot since the surgery but the last 2 weeks seem about the same
I hope you keep improving.
I'm in my 11TH week now.
I'm still on the pads using 1 a day. I still have a few little squirts/drops that I feel from stress incontinence during the day but it's not enough to change the pad. The squirts/drops happen for no reason at all. The blood has almost completely gone I rarely see any. I use to see it mostly after I took my blood thinner in the AM and PM. My bowel movements are still messed up sometimes I strain and sometimes not. I still see a little blood after straining.
I had a little set back about a week ago. One night I woke up about 3AM and I had pissed all over myself. I don't know if the wetness woke me up or the fact that I had to pee because I went to the bath room and my bladder was still full. So I went back to wearing the diapers at night. So far it has not happened again.
Things have changed a lot since the surgery but the last 2 weeks seem about the same
I hope you keep improving.
Blayneb that was me Don.1. I forgot to sign in.
Philip
Thank you for your detailed answer of your follow up with Dr. Miller. You are always so helpful with your answers.
I hope your Psa test in November will stay the same or improve.You had a negative biopsy before you had the HoLEP so you should be okey.
I have not had any biopsy since 2003 so I take a chance with there being a 10-15% chance of cancer.according to my previous Psa tests.
O well I will find out after the surgery.
I am 8 days from my surgery, will have it on the 14th of March.
Are you going to use Dr. Miller as your Urologist at your yearly examination?
Dr. Millers office has already scheduled me for the 6-week follow up. I will drive down to nashville on my follow up, it is only 8 hour drive.
Thanks for the kind words guys! Blayne I appreciate your concern, thank you very much. Good luck to you sir!
Well just got back from seeing Dr. Das. He said he knew as he was injecting the bulking agent several weeks ago that he didn't think that it would take. He said when he went in with the scope to do that that everything looks great and clear however not fully healed yet. As the tissue heals its less responsive to absorbing collagen. It was a try.
Basically he wants to give it more time. He indicated my bladder sphincter is working fine, just not sealing up properly upon closure. Kegels Kegels Kegels was his suggestion. His nurse practitioner Darlene came in to discuss how to do the exercises and I will increase my frequency. I will go back in two months and at that point if we need to do something else we will address it then.
I have read some other's accounts on this board about full recovery taking 6 months or so, including incontinence issues. I will work harder at the Kegels and push forward. I am hopeful time will be my friend!
Well just got back from seeing Dr. Das. He said he knew as he was injecting the bulking agent several weeks ago that he didn't think that it would take. He said when he went in with the scope to do that that everything looks great and clear however not fully healed yet. As the tissue heals its less responsive to absorbing collagen. It was a try.
Basically he wants to give it more time. He indicated my bladder sphincter is working fine, just not sealing up properly upon closure. Kegels Kegels Kegels was his suggestion. His nurse practitioner Darlene came in to discuss how to do the exercises and I will increase my frequency. I will go back in two months and at that point if we need to do something else we will address it then.
I have read some other's accounts on this board about full recovery taking 6 months or so, including incontinence issues. I will work harder at the Kegels and push forward. I am hopeful time will be my friend!
This is great news klink. Looks like with more time and kegels, things will turn out fine. Did he mention wether it was your internal or external sphincter? The internal one is the important one as this is the one that is involuntarily closed at the end of urination. I am assuming that is the one he is referring to but when you have an opportunity I'd ask. In any event this should set your mind at ease knowing this just needs more patience. It makes me encouraged as well. All the best and know I'm continuing to pull for you!
BTW klink, if you have a chance to reply, how did Dr Das do this procedure with you? Were you sedated? Just curious how this was done.
Hi Don. Looks like you're making pretty good progress other than that 1 night. Looks like you leaked partially in your sleep and then awoke and emptied. Maybe you're a deep sleeper so the urge was not enough to wake you that particular night. In any event, it looks to be a one time thing. I too still have some stress incontinence, and also dribble sometimes when I am on my feet but that is normally worse when my bladder is getting full. Seeing some progress on the blood front. The last 2 days I have seen little to no blood during urination. I do still see some off and on during bowel movements but again, mostly if I have to strain which I do my best to keep to a minimum by eating high fiber cereal daily. Progress is slow but I am seeing it and remain confident with time things will resolve. I just have to stay patient which is not easy for me. Hoping you continue to make progress. One thing I have learned reading this sight is that this takes a lot of time, but seems to always work out for pretty much everyone. Good luck!
Contributor
149 posts
Sunshine:
I would like to have Dr. Miller as my urologist (despite the distance) since I do not have much faith in my hometown urologist. However, I don't know if she will take me on regarding non-surgical issues.
Since I am now familiar with the process at Vanderbilt, feel free to contact me anytime before, during, or after your hospital stay if you have questions. I will try to stay on top of my email around that date.
Best of luck to you,
I would like to have Dr. Miller as my urologist (despite the distance) since I do not have much faith in my hometown urologist. However, I don't know if she will take me on regarding non-surgical issues.
Since I am now familiar with the process at Vanderbilt, feel free to contact me anytime before, during, or after your hospital stay if you have questions. I will try to stay on top of my email around that date.
Best of luck to you,
I am a 73 year old that is scheduled for HoLEP on Jan. 31, 2018 in Indianapolis at IU Methodist hospital. My surgeon is Dr. Amy Krambeck. My prostate is about 240 g. Yes, I have put this off as long as I could. I went into unitary retention on Nov 20, 2017. I have been researching HoLEP and Dr. Krambeck. Both are outstanding. Dr. Krambeck has excellent reviews. She practiced at Mayo Clinic before she moved to IU health to work in the urology group that is headed up by Dr. James Lingeman.
On the 31st. Dr. Krambeck sent a male student in to talk to me about the surgery. Well the surgery went well I was in surgery for 1 1/2 hours(actual surgical time was 1hour), the predicted time was 2 1/2 hours to 3 hours. I was moved to a patient room about 1:00 PM They put a catheter in me that allowed fluid to enter my bladder and then drain out into a bag. It was large and uncomfortable. About 8:30 pm I found a position where I was comfortable. I sure didn’t get much sleep. In addition I had to have an antibiotic via IV. That took four hours of drip. It was repeated in the early morning.
Check out day! About 4:00 AM the nurse removed my catheter, what a relief. I was able to urinate and I was cleared to go home. My wife drove me home. I was unpacked and settled in by 1:30 pm. After being tied down for a couple of days I wanted to get out so I drove church to get our mail, a friend held it for us. Then to the drug store to pick up supplies. While there I became a little light headed, guess I had lost a lot of blood or maybe it a side effect of the anesthesia. By bed time I had gone through four or five heavy duty pads. In addition I made a change during the night. I noted that on occasion when I used the toilet I had a strong stream. I did pass some clots but Dr. Krambeck's nurse said that was normal.
By the second day home I was doing better. Whenever I sit down I know that I have had surgery. I can’t say it is painful but I felt tender in the perineum. By that evening it was much less sensitive to sit down. The next Dr. Krambeck’s nurse call and reported that my pathology report showed negative for cancer. That was a blessing since I just went through a colectomy to remove colon cancer. I used a total of four pads including the overnight one that was not very damp.
By about Feb. 5 my bleeding had stopped. By Feb. 28 I am down to about two pads; one during the day and a lighter pad for overnight. I found that because I had lost 30 pounds since October 2017 so I downsized my undershorts so the pad is held snugly to my body. The exception to the two pads is when I have extra activity. I will be returning to the gym soon. This will be another challenge.
It is still unsettling to be dripping when walking or just standing even though I am doing the Kegel exercises.
It is about 5 weeks since my surgery. I have returned to the gym. I don’t drink much before I go to the gym. I make sure to empty my bladder before I leave for the gym and when just before I start exercising. Since I have been out of the gym for 3 months the workouts a very light. They are usually 20 minutes of cardio and one or two machines. I am staying away from free weights and standing exercises that would put excessive pressure on my body. I will add to the workout routine slowly.
The incontinence seems to be the same for the last three weeks, two pads; one during the day and one at night. I do use a third one for the gym but I may be able to use that as my day pad.
On the 31st. Dr. Krambeck sent a male student in to talk to me about the surgery. Well the surgery went well I was in surgery for 1 1/2 hours(actual surgical time was 1hour), the predicted time was 2 1/2 hours to 3 hours. I was moved to a patient room about 1:00 PM They put a catheter in me that allowed fluid to enter my bladder and then drain out into a bag. It was large and uncomfortable. About 8:30 pm I found a position where I was comfortable. I sure didn’t get much sleep. In addition I had to have an antibiotic via IV. That took four hours of drip. It was repeated in the early morning.
Check out day! About 4:00 AM the nurse removed my catheter, what a relief. I was able to urinate and I was cleared to go home. My wife drove me home. I was unpacked and settled in by 1:30 pm. After being tied down for a couple of days I wanted to get out so I drove church to get our mail, a friend held it for us. Then to the drug store to pick up supplies. While there I became a little light headed, guess I had lost a lot of blood or maybe it a side effect of the anesthesia. By bed time I had gone through four or five heavy duty pads. In addition I made a change during the night. I noted that on occasion when I used the toilet I had a strong stream. I did pass some clots but Dr. Krambeck's nurse said that was normal.
By the second day home I was doing better. Whenever I sit down I know that I have had surgery. I can’t say it is painful but I felt tender in the perineum. By that evening it was much less sensitive to sit down. The next Dr. Krambeck’s nurse call and reported that my pathology report showed negative for cancer. That was a blessing since I just went through a colectomy to remove colon cancer. I used a total of four pads including the overnight one that was not very damp.
By about Feb. 5 my bleeding had stopped. By Feb. 28 I am down to about two pads; one during the day and a lighter pad for overnight. I found that because I had lost 30 pounds since October 2017 so I downsized my undershorts so the pad is held snugly to my body. The exception to the two pads is when I have extra activity. I will be returning to the gym soon. This will be another challenge.
It is still unsettling to be dripping when walking or just standing even though I am doing the Kegel exercises.
It is about 5 weeks since my surgery. I have returned to the gym. I don’t drink much before I go to the gym. I make sure to empty my bladder before I leave for the gym and when just before I start exercising. Since I have been out of the gym for 3 months the workouts a very light. They are usually 20 minutes of cardio and one or two machines. I am staying away from free weights and standing exercises that would put excessive pressure on my body. I will add to the workout routine slowly.
The incontinence seems to be the same for the last three weeks, two pads; one during the day and one at night. I do use a third one for the gym but I may be able to use that as my day pad.
Thanks Philip
I am flying out to Nashville tomorrow. I have read that many people had constipation after the HoLEP surgery. Does the hospital give you things for constipation? Or should I bring that with me?
I am flying out to Nashville tomorrow. I have read that many people had constipation after the HoLEP surgery. Does the hospital give you things for constipation? Or should I bring that with me?
Definitely take stool softeners and take a few the night before surgery. Pushing after the surgery is a no-no. They will give you something I am sure but a preemptive strike before you report won't hurt. I'm in my 3rd month post-op and I still bleed if a push too hard during a bowel movement so I still take them at times, and eat bran cereal daily. Good luck!
Contributor
149 posts
Sunshine:
No worries. Dr Miller will have you covered. She will give you Senekot the evening after surgery.
That said, if you tend to have problems along that line then have some of your own available (we did - but I did not need it).
Also, be sure to drink enough fluids --- especially after the catheter comes out.
Good luck and don't worry. They are remarkably well organized (and that is from a critical care nurse).
No worries. Dr Miller will have you covered. She will give you Senekot the evening after surgery.
That said, if you tend to have problems along that line then have some of your own available (we did - but I did not need it).
Also, be sure to drink enough fluids --- especially after the catheter comes out.
Good luck and don't worry. They are remarkably well organized (and that is from a critical care nurse).
Contributor
149 posts
Sunshine:
I thought of one other thing. I suggest you carry your prescriptions (if you have any) with you when you go to the hospital. I was very surprised that they did not prescribe my usual home medications for me while I was in the hospital. Perhaps it was just a one time oversight. However, I was glad that I had my own supply to take on my own schedule.
I thought of one other thing. I suggest you carry your prescriptions (if you have any) with you when you go to the hospital. I was very surprised that they did not prescribe my usual home medications for me while I was in the hospital. Perhaps it was just a one time oversight. However, I was glad that I had my own supply to take on my own schedule.
Hej Philip,
I had my Holep surgery, everything went great. No pain at all. Was able to urinate as soon they took off the catheter. The first day, I had leakage. Today has been very little leakage, it has improved since yesterday.
I am very happy with the Holep surgery and with Dr. Miller. She is a great surgeron.
I am planning for booking ticket for my 6 week checkup. How long time does the follow up visit take?
I plan to fly in and out the same day.
Sunshine
I had my Holep surgery, everything went great. No pain at all. Was able to urinate as soon they took off the catheter. The first day, I had leakage. Today has been very little leakage, it has improved since yesterday.
I am very happy with the Holep surgery and with Dr. Miller. She is a great surgeron.
I am planning for booking ticket for my 6 week checkup. How long time does the follow up visit take?
I plan to fly in and out the same day.
Sunshine
Hej Philip and everyone else on this website,
Today is one week since having HoLEP surgery at Vandebilt in Nashville. I am extreamly happy with the result. I have no pain, no incontinence. I have no blood in the urine any longer, I have been drinking at least 3 quarts of water every day, I think that helped with cleaning up blood from the urine.
To anybody thinking about having a HoLEP surgery, I would recomend Dr. Miller at Vanderbilt.
I also got my pathology report back, no cancer, so I am quite happy right now , and also happy about being able to pee like a young man.