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

Guest over a year ago

Oh man you just gave me a flashback. I started having the morning missiles on day 2 of 4 in the hospital after my HOLEP. Catheter was still in, with scabbing at the urethra around the catheter. I was in agony...thank God I remembered the deep breathing and relaxation exercises to retract that bad boy back to normal.

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sister ferry over a year ago

All the best to you Klink on 11/20. I will be anxiously awaiting your outcome and have full faith all will turn out well for you. Good things happen to good people. I turn 62 on 11/18 and a great gift for me would be a good outcome for you on the 20th (and me in December of course)! ;)

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klink360917 over a year ago

Thanks much for the kind words Blayneb!!!! Enjoy your birthday ( I recently had my 59th LOL ) and am actually counting down the days to the surgery. Tired of carrying catheters with me and using them 5 times a day to void. I will document the whole surgical experience and let you know how things go!

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Guest over a year ago

I have just had a Holep, less that five days ago. I am glad the procedure was a success and it is very encouraging for me to hear it. I am looking for people such as yourself to whom I may be able to ask questions to, particularly about your level of discomfort in the week/s following the procedure, especially in frequency/urgency and any other symptoms you may have felt and what you did to alleviate the symptoms. I'd be grateful for any information you have about this. Angel

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steep forum over a year ago

I believe that you will find that any discomfort disappears quickly. In my case, after having 85+ GM removed from my 120gm prostate, I did experience frequency/urgency issues for a few months. My regular urologist prescribed VESIcare which controlled the issue very well. After a couple of months, I began experimenting with increasing the interval between doses, until I was able to go completely off of it. I'm now 19 months post HoLEP and still think having the procedure was one of the best decisions I have ever made.

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Antoen361830 over a year ago

I had Holep procedure five days ago. I would be happy for any information from anyone who experienced urgency/frequency of urination and nucturia, and how long it took them to recover from these symptoms. Thanks.

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Guest over a year ago

I had the Holep last December,so about 11 months ago, at age 79. I had had several painful urinary retention episodes requiring ER insertion of a catheter. After the Holep, I spent one night in the hospital, then went home. For a week or two I had blood in my urine and some slight burning on urinating, but that ended. I now experience no pain on urination. I wore a pad until a month ago. Really, I no longer needed it after four months or so but psychologically I wasn't ready to do without a pad. Now, perhaps once every few weeks I have a small leak, but it's not much of a problem. I don't sleep straight through the night but that may be due to other causes. I pee easily with a good stream and no pain. My surgeon assured me I would not experience urinary retention any more, which was my objective in having the Holep. I am very happy with the result. I appreciate this website and all the good help it provides.

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Antoen361830 over a year ago

Hi Ramesh. How long did the symptoms of urgency/frequency last after the operation?

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Antoen361830 over a year ago

Hi Fuel59. How long did the feelings of urgency/frequency last for exactly. Did it settle down progressively during those two months, or did it happen fairly quickly at the end of the period. Any advice gratefullt accepted.

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Antoen361830 over a year ago

Any advice gratefully accepted Just me.

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steep forum over a year ago

In total probably 6 months, and it was progressive. The VESIcare made a dramatic and immediate improvement. I probably went a month, maybe two before starting vesicare, and really needed to wear protective pads "just in case". Vesicare gave me control until my body relearned what it was supposed to be doing.

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Antoen361830 over a year ago

Thanks for your reply.

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Guest over a year ago

Update: almost 8 week’s post op, Not doing as well as I hoped at this time, I am still leaking and having trouble controlling my ergency to urinate. I have had a couple of “accidents”, I sometimes simply stand up after sitting and get a burning ergency to urinate, sometimes I can control it sometimes I can’t stop the urge and my bladder just lets go! Some times just dropping my pants and bending to sit I start urinating, usually on myself! Any advice ?
Only good news is (at this point) is NO retro ejaculation which was a surprise since the surgeon assured me that retro ejaculation happens almost all the time with removing that much tissue. I just hope as time passes I can return to a normal life and not worry about finding a rest room in time.

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Contributor

149 posts

Philip over a year ago

Who has used the services of Dr Nicole L. Miller at Vanderbilt Urology/University?? I would like to hear any positive or negative feedback regarding this doctor, as she is one of the doctors at the top of my list for Holep surgery. Thank you

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Guest over a year ago

You should be fine, I too had this for a while but eventually, it gets better. Good news on the retro front though.

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