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Hospital-Indiana Methodist: Approximately $20,000 Dr. Lingeman: Approximately $5,000 Anesthesiologist: Approximately: $1,300 Plus Misc. Pathologist

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I am the same boat. If you find info I will apreciate you sharing it with me. I will do the same. Why do you prefer HoLEP over others? Thanks Alvaro
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Just read and review this site and the overwhelming anecdotal evidence supports HoLep over any other procedure.

I think the medical studies do as well-depending on which ones you read.

Quicker recovery, less blood, long term durability is good.

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I just had the HoLep procedure by Dr Humphreys at Mayo in Phoenix.  Four days later and my urine is clear.  They let the catherter in for a week as I had other kidney issues.  The only pain is from the catheter.  Feels good so far, I will let you know.

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can anybody give me an approx. indication of how much HOLeP will cost (without insurance)? Mayo or the Indianapolis doc. is fine. thanks in advnace.

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I asked this question several months ago and someone came up with a figure of about $20,000 to cover all costs involved.
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thanks a lot for the quick response. much appreciated.
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It has been three weeks andeach day there is improvement in volumn and size of stream. I am waiting to get the bill and when I do I will let you know costs.
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Please see my prior post: Dr. Lingeman: about $5,000; Indiana Hospital: about $20,000; Anesthesiologist: about $1,300; plus misc. like labwork. Total is about $27,000.

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WOW, seriously big bucks !!!!!!

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You could try England where costs are less but not rock bottom like INdia.

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The $27,000 was worth it--fortunately I fought with my health insurance and they paid the bill under favorable terms. I was prepared to pay for I cash if necessary. Dr. Lingeman was worth it!

I feel fortunate with the outstanding results. I am now  5 months post holep surgery and feeling great.

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My surgery at the Mayo Clinic with Dr. Humphrey was about $22,000.00.  I had the surgery two months ago and it has changed my life for the better.  

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46goat, Been reading all the posts here and the replies by Barry and others. I have had both the TUMT and the newest 180 watt XPS GL laser and only got about 6 months of good performance from each of them. I was told by my uro that he removed 70g. of a 120 g. prostate during the 70 minute procedure. What he didn't remove was a 40g. 2 inch x 1- 7/8" x 1-1/2" cube of prostate lobe that pushes almost 2 inches into my bladder. On the ultrasound it looks like it takes up 15% to 20% of my bladder. It's possible this lobe is causing irriitative bladder symptoms, although my uro said after looking at my bladder a couple of months ago with the cystoscope, that it was not interfering. It's been 12 months since my GL and I had a very painful 8 weeks of recovery, followed by 6 months of trouble free urination, followed by a return to BPH symptoms of a restricted flow, low output, frequency and occasional urgency. If it wasn't for the fact I pee every 2 hours or so around the clock instead of every 45 minutes, and I haven't had a complete retention as i was having dail before the GL, I would have considered the procedure a complete failure. As is, I'd call it maybe 30% successfiul. In fact, as you observed, my symptoms 8 months after the GL sound a lot like Barry's. To wit, I still pee 12 to 15 times a day, including 2 to 4 times during the night.. I have occasional urgency that makes me run to the bathroom to keep from peeing my pants. But what sounds most like Barry's symptoms is that I have a very good stream ..... that lasts about 4 seconds. Then I feel a burning pressure on my bladder and so I stand there, hop from foot to foot, lean over to the left and right, and get either a weak stream or a dribble for the next minute or two until I feel relatively empty and the payoff as measured in a disposable uriinal at night, was about 100 ml. of urine. Once every couple of weeks I catheterize myself to check my post void residual and it can be anywhere from 10 to 200 ml, with most of the readings at around 50 to 70 ml. The GL had a partial effect on my frequency, my pvr and stream. But as you said, I still have a lot of the symptoms of bph. In fact my results are probably as bad or worse than what would cause many to seek a procedure. I am back on flomax and take a thiazide diuretic for BP, and it seems to keep up a reasonable if weak flow. If anyone can live with their symptoms I would recommend they do so. And I'm not sure that a holep would have been better than a GL. No one here on any of these boards has reported long term results from a holep. I was very happy 8 months out, then it all sank fast. I rolled the dice hoping for the best, and went from full retention nightly to a perpetual ritual of a couple of seconds of good flow followed by minute or more of a weak stream when I'm lucky, and a fast drip when I'm not. Did I have a choice? No. Do I have much faith that any of these BPH procedures will relieve all of the bph symptoms? Not really.

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Interesting post--one of my earlier posts asks about the 5-7 years for no Holep reoccurrence per Mayo Clinic.
There is a study that involved Dr. Linigeman and it discussed 10 years with very few (1%) recurrence (from my memory-I would have to check).
The long term reoccurrence also concerns me-I am 7 months post Holep with great recovery. No pads, very little blood, and am back to normal (absolutly no issues except retrograde). I also had a bladder neck obstruction that was enucliated by Dr. Lingeman.
Long term durability is an issue.
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