Experiences with Holmium Laser Enucleation of the Prostate, HoLEP, Laser Surgery

fiercest birdbath over a year ago

I forgot that this site does not like the “less than” sign. So my post was truncated. Rewrite my post below.

This is the first time that someone posted the size of the medium lobe. If it protruded into the bladder, it would acted like a ball valve blocking urine flow. This is also the first post that showed that HoLEP could successfully enucleat such large medium labe and could produce such excellent result. After reading ur post I am relieved as I too have medium lobe and soon will be operated on.

Just curious how was the size of the medium lobe determined.

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sister ferry over a year ago

DL, I think his post says 145 ml plus a 45 ml median lobe. Per Google, 145 MLs = 145 CCs. Mine was 150 CCs so I am also really shocked that there was no incontinence. BHN6868 is very fortunate (I'm jealous!!)!

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fiercest birdbath over a year ago

Hi Blayneb,

ml=cc. I believe that iprobability is working in his favor. After holep, the chance of incontinence is about 17%. He is the other 83%. But with such a large prostate, one would expect he should have at least several days of incontinence.

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sister ferry over a year ago

Yes, my thought too DL. Plus the odd shape, long length of mine I am sure was a factor. Good for him!

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prudish mimosa over a year ago

Sorry to hear about this problem. I am 72, very healthy except for the prostate problem I wrote about (thank God that is over), and normal things for a man my age (glaucoma eye drops, and pills to control high blood pressure and high cholesterol. Dr. L said he removed over 95 grams of my prostate, but he did not mention anything about the bladder sphincter. Guess from the results, not much, if any.

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prudish mimosa over a year ago

Yeah, I was told that the median lobe was doing the flapper thing in addition to the main prostate clamping shut around my urethra tube. Size of my prostate was determined a couple of times by normal bladder scans (ultrasounds). Median Lobe was first discovered with my first, of two, cystoscopies. Final measurements of both main prostate and median lobe were determined via a TRUS (Trans Rectal Ultra Sound) done at Johns Hopkins Urology in Baltimore.

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prudish mimosa over a year ago

After reading all the blogs this summer, with recent updates....I agree......I was definitely on the correct side of all the positive statistics!

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prudish mimosa over a year ago

One more item this morning. My PSA prior to HoLEP was 14. Post Op 2 month check up PSA was 0.5! Ultrasound of what was left of my prostate at that time showed a volume of about 35 ml.

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fiercest birdbath over a year ago

Thanks.

Blood in urine is anohter common complication after holep. Just wondering if u had this problem. If yes, for how long?

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fiercest birdbath over a year ago

Also wondering after holep, did u have to drink excessive amount of water for a period of time to flash the baldder?

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carefree backbone over a year ago

I am inclined to agree with DL that the way your prostate grew has a lot to do with the lack of incontinence. I have survived and I am in good shape now.

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prudish mimosa over a year ago

Had some blood in urine for abt 2 days, then went to clear. One reoccurrence after abt two weeks, reported it to RN Watkins...said was normal....could just be sloughing off healing tissue....never any great amount, or for long (Lucky again).

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prudish mimosa over a year ago

DL:
Prior to checking out of hospital, I was told to return to drinking normal amounts of water. After the procedure however, the catheter that was in was two way.....fluids going in to flush the bladder and one other way for the fluids to come out. Hope this helps

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prudish mimosa over a year ago

Actually learned that I had a VERY large prostate way back around 2011. Routine annual exam revealed PSA had increased to around 7. GP recommended a biopsy. Went home to Maryland and got appointment with head of Urology at Johns Hopkins in Baltimore. He performed biopsy.....no cancer. Had another one done a year later, same negative result. Was told Prostate was very large. Did not put me on medication, and got no real warning at that time wrt what might happen in the future, when, or how severe. Had normal digital rectal exams every couple of years till the last incident this May. Glad to hear you are in good shape! Me too!

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carefree backbone over a year ago

Yes, I had several biopsies. They were never any fun. I have been advised to have an annual PAS test and a DRE. My first PSA was .042 and I passed my DRE without issues.

Occasionally if I twist and sit up such as getting out of bed I will have a drop or two leak but nothing significant. I can also drink sweet with out agrivating my bladder.

For sometime I would have a feeling of electricity in my prostate followed by a need to urinate for the first couple of months. Did you experience anything like that?

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