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

Guest over a year ago

Actually holep doctors are few. There are none in Dallas, TX. I had to drive 140 miles to Temple, TX. The procedure is hard to learn. But it’s the only procedure adequate for a large prostate. Plus it keeps sexual function except for retrograde ejaculation. BTW, as long as no bleeding and your urethra is not too sore, you can have sex with your spouse around the two week time with no issues. We waited until day 17.

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sixty theme over a year ago

I am three months post HoLEP surgery. Everything is fine except I still have incontinence and have to wear a thin pad. I try to remember to do Kegels, but often forget. My bladder was stretched out a lot before the surgery due to urine retention (3 liters of urine was drained in ER two weeks before HoLEP), so I figure that may be why I still suffer leakage. I just wonder if anyone else had this issue extending past three months.

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carefree backbone over a year ago

Hi, I was 72 when I had my surgery. I had a catheter for 5 months prior to my surgery. The bottom line is that I had inconvenience for 6 to 9 months. I am 76 now and have some leaking while I workout. I use a shield during my workout. The Kegels are a must for me. I just make them a part of my routine. The length of incontinence is different for everyone. There are many factors involved, your age, your physical condition and the amount of prostate that was removed. I think you are doing great.

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Guest over a year ago

Thanks, Buster. It’s encouraging to hear that most leakage finally went away except when you work out. I need to be more diligent with Kegels. I am 68 and had a catheter for two weeks before surgery. I can’t imagine the suffering you had with having one for five months. I hope I never have another catheter again, not even in surgery. But only God knows.

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carefree backbone over a year ago

I am sure you will get along well. It is primarily lifting that can cause some leakage. Keep doing the Kegels!

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designed therapist over a year ago

Hi everyone, I'm from the UK but am resident in Japan and am going to go ahead and get the holep surgery here because I'm covered by the insurance. I'll need to go to Tokyo to get this done and my local doctor will refer me to another hospital but has not given me a list of hospitals that will do the procedure or suggested one. So since it appears that the experience of the surgeon is all important I thought I would reach out here to see if anyone reading has experience in Japan.

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Guest over a year ago

I am a 79 yo in excellent physical condition. I had HoLEP surgery performed by Dr Joel Funk of Banner Univ South in Tucson for a 128g prostate at noon on 04/18/2021. I remained in the hospital overnight, catheter removed at 10a on 19th, completed a full bladder discharge at 4p and was released, drove wife and I home (2.5 hours). 95% recovered by day 5 with normal activities excluding physical and sex. Discontinued diaper after 1 week and pads after 2 weeks. Blood in urine gradually subsided until none after 3 weeks.

Had a follow-up visit at 3 weeks. 121g of 128g was removed, biopsy of removed material showed no cancer, cleared to resume sex. Reverse ejaculation to bladder diminishes enjoyment only slightly.
Nightly urinary visits usually once, sometimes none. Stream is like the teenage years. When stream stops, bladder is completely empty. Amazing!!!

Results have been beyond expectations. With HoLEP, it is absolutely critical to have surgery performed by a top surgeon who does a large volume. Do Kegel exercises prior to surgery and drink a lot of water following surgery.

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Guest over a year ago

Man, your doing great. I am 68 and had HoLEP six months and still need a light pad. Now I am getting more serious on the kegels. Still can’t get used to retroactive ejaculation. I notice my climax seems more intense than before, even though nothing comes out. It’s encouraging To see one at 79 still going strong. I have wondered how long I could enjoy sex with My wife before my body stops working-lol.

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carefree backbone over a year ago

Your report is amazing. God bless you and continue your healing.

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zillion draft over a year ago

Just checking in on your HOLEP progress. Me - scheduled for next week in Chicago and getting anxious..70 yrs old - all good except plumbing!!!!

_removed_

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Guest over a year ago

Hello, I just came back from 6 week follow up of HOLEP procedure. everything is great! I must commend Dr. Nicole L. Miller and the entire team at Vanderbilt in Nashville,Tn. Dr. Miller is the best.

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zillion draft over a year ago

2008 - This is one of the longest HOLEP notes I can find.....13 years later - How are you........I just had HOLEP 7/14/2021 by Dr Amy Krambeck who fellowed under Dr. Lingeman....How are you now?

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zillion draft over a year ago

I did HOLEP 7/14/2021 at Northwestern in Chicago with Dr Amy Krambeck - walked out hospital same day with no catheter....231g P then - and Dr removed 177g and removed bladder stones....Day 9 - doing amazingly well.........

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sixty theme over a year ago

That's amazing. I can't imagine going home the same day. I would imagine your urethra is quite tender, It took quite a beating if you think about it. Make sure you take it easy for a while. The insides of your prostate have been removed, so you don't want to push it. Let it heal up. It sounds like quite a success.

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Guest over a year ago

It is amazing Kyle; I think the evolution to Moses 2.0 HoLEP is the game changer; think it has to do w the wattage value that masters the sealing of the vessels; did y do HoLEP n where and how long ago?

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