Exercise after HoLEP Surgery

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After my HoLEP Surgery I called the doctors office to see when I could hit the weights for upper body and elliptical for cardio. I was told 2 weeks so I went to the weight room and did a lot of reps with substantial weights. I was doing good with my HoLEP till then. My question is how long should I have waited? Controlling urine flow has been a big problem since that  exercise session. 

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  • Posted

    When to resume exercise should have been included with your discharge instructions. When I had a bladder tumor removed, the doctor said I could resume exercise a week after the last sign of blood in my urine. That turned out to be a little over 2 weeks. Sounds like you overdid it.
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    • Posted

      I did not get exercise info in my discharge papers and I went to the gym two weeks after surgery. That was a  big mistake on the MD's part. Bleeding immediately started after the workout. I was doing great until I went to the gym.

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  • Posted

    I had another procedure (not HoLEP).  I took a spinning class 4 weeks after my surgery (less invasive than HoLEP).  My plan was to do 30 min of the hour class.  I left after 30 minutes and barely got back to the locker room before I started urinating into the first thing I could grab - towel.  OK, that 's the bad news.  It got better from there.  Take it easy for a week.  Walk.  Then if things are improving, try to do a few minutes of weights and or elliptical rather than your normal routines.  It's been over a year since the surgery and I don't have any major problems on the control front.  Good luck.

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  • Posted

    Lewis.  Just read a article on the HOLEP surgery.  They said that with any prostate surgery you should give your body from 4 to 6 weeks because they consider that major surgery.  Give your self some time to heal.  Good Luck Ken 
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    • Posted

      Ken, would you choose a Holep over a Button Turp, assuming the surgeon is equally competent in both procedures?

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    • Posted

      Phil....First of all I would not have either or any procedure that cut's away at the prostate.  That is why I had a UROLIFT over 3 years ago and my prostate is still wide open.  My prostate was the size of a large lemon.  My urologist could not get the scope through my prostate.  He does all kinds of procedure but he is not only a Urologist he is also a fertility doctor.  He like to start with the lease evasive procedure.  He just started doing UROLIIFT and he told me about it.  I told him that I was not a fan of retro and would not have anything that would cause it.  I was his 20 patient and mine has done well  I had 4 clips put in and off med and no side effects.  Him and his partner have done hundreds and only had to redo a few.  Just added a couple of more clips.  That is what I picked.  Every man has to make his own choice and has to deal with any side effects that come up.  I hope you guys that have picked other procedure have made the right choice for you.  Take it easy and don't rush into anything  Ken     

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    • Posted

      Phil I forgot to say that my Urologist do not do many TURP's They feel it is the last resort.  My doctor only did 3 last year.  After trying something else  Ken 

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    • Posted

      After a cystoscopy I was told due the size and median lobe I’m not a candidate for Urolift. 

      Also I have 6 bladder stones. 

      Based on this information, which would you choose between Holep, GL or Button Turp?

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  • Posted

    I too routinely go the gym and that’s a concern of mine since I will have Holep June 6. 

    I’m counting on a 2 week rest then slowly going back. 

    How are you doing?

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    • Posted

      Thanks Phil, I don't consider myself to be doing very good due to going back to the gym too soon.

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    • Posted

      Phil,

      Please do no go back to the gym after two week because that is what messed me up. Take at least four if not six weeks. Every one is different and we heal at different rates.  Here is a link to some information on pelvic floor, or kegel, exercises for HoLEP. I wish someone had provided me with the link before the surgery.. If you do these exercises as advised, the risk or urinary incontinence after surgery is low, and if it does occur it normally resolves completely within a few months (often within a few days).   SEE   http://www.oklahomaholep.com/kegel-exercises/  on how to do the exercise.

       

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    • Posted

      Based on Lewis' experience, I would recommend you discuss your exercise routines with the doctor and write down his response (or have your wife/partner listen also.)  Depending on the anesthesia used, you may not remember what he tells you in recovery.  Good luck.

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    • Posted

      I’m sorry to hear. 

      Are you still bleeding ? 

      Four days after the Holep were you able to see a movie or go to a friends house?

      I hope you feel better asap. 

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    • Posted

      Thanks Phil, No bleeding today 5 weeks and 3 days since surgery and non since I exercised.  That stopped the first week but at the end of two weeks when I went to the gym it started up again but quickly stopped. I was able to go the movies the second week. My main problem is having to void way to often and an almost constant need to go with the exception of night time when I sleep with the aid of Benadryl. This was not a real problem two weeks after surgery. Sometimes there is almost no control but it is getting slightly better I think. There are  meds which help some people but I don't  tolerate them very well. I am getting on the elliptical for cardio but no heavy lifting as of today.

      Look up the Kegal Exercise for prostate surgery. It is to be used before and after surgery and people who practice it seem to do better concerning frequency.

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    • Posted

      Lewis, knowing what you do now, would you choose another procedure?

      Button Turp, GL, ?

      My prostate is ~70 grams and have 6 small bladder stones. 

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    • Posted

      My understanding there is a higher chance of incontinence with Holep vs GL or BT. 

      Supposedly there is less chance of needing another procedure with Holep. 

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    • Posted

      Phil  Is you doctor forcing you to have one of them procedure.  You do know you don't have to have any procedure just have the stones removed.  And after if you need anything have the UROLIFT to open you up.  That is all the other procedure are going to do make a tunnel.  UROLIFT does it with out cutting and no side effects.  Remember you are the one that will have to deal with them Not the doctor he just moves on to the next patient  Ken

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    • Posted

      No urologist is putting any pressure to undergo any procedure. 

      I had an 18mm bladder stone 2.5 years ago and now have 6 small ones as per mri. 

      One urologist (after a cystoscopy) said I’m not a candidate for a Urolift due to a 70 gram prostate and median lobe. 

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    • Posted

      Phil   I don't know what your doctor is telling you but there is a chance with incontinence and other things with any procedure that cut away at the prostate.  Remember the prostate is a plug that holds the urine in.  Once that's gone you have to train your bladder.  There have been men on here in the last few month that have had GL and he drip all the time.  He can't go anywhere with out a diaper. And he can't get a erection good enough for sex.  It does work sometimes but do you want to take that chance.  My doctor does Urolift with a median lobe all he does is clip it to one side.  You just have to find a doctor that will do it.  This would be the easiest for you.  Have them do the UROLIFT clip both size you may need 6 clips once that is done they can get the stones out and you would be good to go in 2 to 4 weeks.  If you have to pick one of the others Button Turp is better because the doctor has better control of the button and what he is getting ride of.  I don't know if you are concerned with any of the side effects but voice you concerns to your doctor and see what he will say.  It is your life and body.  Before I had my procedure in 2015.  In 2014 I had kidney stones 6 infections and sepsis.  Also for out I had a stricture.  I am 62 and I am not giving up anything just because I am not having anymore kids and I will not let any doctor tell me I don't need it.  You pick what you want.  God Bless  Ken         

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    • Posted

      They do UROLIFT to 80 gram and the median lobe is just part of the prostate  They are also in trail doing up to 100 grams  It can be put to one side and make the tunnel.  If you want them to make the tunnel by cutting it out.  That is up to you.  Ken
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    • Posted

      Firstly, thank you for the all the information. 

      I’m hoping to see another urologist this week and explore the Urolift in greater depths. 

      So the Button Turp is less invasive with less chance of RE than Holep?

      Thank you. 

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    • Posted

      Phil  did you go for a second opinion.  I do that with all my doctor.  I had A-Fib  Saw one doctor for 6 month's all he wanted to do is put a monitor in my chest which I let him and every other month he put another monitor on.  I was in the hospital 9 times with a-fib attacks.  After the last time I was in the hospital in October of 2016.  I had enough.  I went and saw a different doctor.  He looked over my charts and the reading of the monitor in my chest.  He know I had a problem.  November 28th of 2016 I had a 9 hour heart ablation.  He burned the hole life side of my heart.  It has been over a year and I have not had another attack.  Do what you must but look into other options  Don't give up on you.  Ken  

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    • Posted

      Good to hear you’re doing well. 

      I’ve seem 4 urologists. 

      Original dr does BT. 

      2nd Dr wanted to remove the stones and then discuss a minimum invasive procedure. I felt he was more of businessman than a dr

      3rd Dr does everything but pushed for Holep. 

      4th Dr at a large medical center suggested Holep but made it clear he would be happy to refer me to another specialist. He’s the one I have a Holep scheduled for June 6. 

      I’ve read there are a lot of pae failures.  And not impressed with Rezum and Fla. 

      I’m stressing over any procedure except Urolift. What happens 7 years down the road when the prostate continues to grow? Seems another procedure will be necessary. 

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    • Posted

      Phil.   It's not that it less invasive ( Button Turp )  It would depend on how good your doctor is and if he cares about your concerns.  I just found a guy that was on this post a few years ago.  He had a Button Turp.  His prostate was 100 grams and was pushing into the bladder..  The surgery took 1 1/12 hours.  The doctor remove 50 % of the one side opposite tho the seminal canal.  His doctor told him that he should not have any problem with erection or retro.  He told him that he should be healed enough in 6 to 8 weeks.  Some men do take longer.  No sex for 30 day's.  He has no problem with going to the bathroom and he did wait 6 week for his first time out.  No problem with erections and no retro.  It was a little pink but it does clear in time.  His doctor cared enough to do the best for him.  You have to voice your concerns Ken  Good Luck   

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    • Posted

      Not  every man prostate grows fast.  If in a few years I have to have a few more clips so be it  It is much easier then going through having it cut out.  There have been men on here that have had 3 procedure in 10 years 2 Helop and 1 GL.  One man had 2 turp in 2 years. There are men that have had the Rezum and it did so much damage that they had to have TURPs to fix it.  But it does works sometimes.   I know I am not you but I would have the stones removed and then try a UROLIFT.  You should be good in 2 to 3 weeks. I would cancel the Holep and do more research before it's to late.  You have to be sure.  It's your life.  Ken 

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    • Posted

      My prostate was 75 grams but my PSA has gone way down since the surgery. I'm not sure it would have done that without the surgery. I understand that taking part of the prostate out does help PSA. Rezum seemed like a great way to go with 80% chance of  no Retro but take warning it is extremely painful unless you are put to sleep. .Otherwise you get  about 8 to 10 needles up your butt sticking meds (which don't necessarily work very well ) into your prostate to deaden for the painful injection of steam to dissolve some  of the interior  of the prostate. I read and studied every procedure and it came down to Rezum and HoLEP. Kenneth is making me think that maybe I should have considered UROLIFT more but at this point I think I would still choose between HoLEP and Rezum. However if I were to go with HoLEP  or any other  procedure I would not exercise till 6 weeks after surgery  and I would do the exercises previously mentioned. Research every method and find the stats for each method on retro, incontinence and etc.. They all have their pluses and minuses. Keep in mind you have to be careful because most every doctor will push what they do  because that is their bread and butter. I have read about many happy people with HoLEP and Rezume. The reports I read tell me that HoLEP has a quick healing time but if you exercise to soon as I did that will probably not be the case. I would also suggest waiting longer than two weeks to make out with your wife after surgery. On a better note I seem to be getting a little better every day and I am definitely better that I was the day of my first post on this. Only about 2% have incontinence  with HoLEP after a year with most being free of it within 4 or 5 weeks. That stat is consistent with what my urologist told me.

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