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I met with Dr. Lingeman, considered the pioneer of HoLEP in the States. Fellows under him have gone on to institutions like Mayo Clinic-Rochester.
Unfortunately, I drove 200 miles to see him and did not get much time with him, despite being on a wait list for an office consult that was nearly 16 weeks long.
My PVR on the day of the consult was nearly 400 cc. It's never been remotely that high. A week later my urologist's nurse measured my PVR and it was essentially zero at 8:45 am - after peeing 900 cc over three bathroom visits the night before and hardly having anything to drink that morning.
So, I am having a pelvic US and PVR this week along with the nurse rechecking my PVR the following week - all to see if my 400 cc PVR was a fluke.
To be honest, it was enough to scare me into agreeing to surgery (HoLEP) 10 minutes after meeting Dr. Lingeman.
Lingeman is warm and personable. He has good bedside manner, to be sure. He is extremely skilled at HoLEP and is a highly regarded doctor overall. But, I didn't nearly have as much time with him as I had hoped -- and especially given the apparent need for near immediate intervention.
To the guys who've had HoLEP (with Lingeman or anyone else), how long were you in pads for incontinence?
Does the incontinence mean absolutely no control and filling a diaper completely (like an infant) or does it mean if you feel the urge to go, you only have seconds to reach the toilet or risk making a mess or leaking if you sneeze or laugh or even fart?
Did anyone have complications such as a stricture or bladder outlet obstruction (BOO) that required subsequent surgery?
How long was the catheter in?
How quickly did you notice improvement in flow? Has that improvement lasted?
Has anyone not had RE after HoLEP?
Finally, would you do it all over again?
I've weighed all my options and for various reasons, Rezum and PAE are not good choices for me. Perhaps PAE was a year ago and Rezum two years ago (when my prostate was 90 cc), but at over 130 cc with a median lobe, my choices are now limited. I'm looking at GL (PVP) and HoLEP. The thing that attracts me to HoLEP is long-term effectiveness and more than 30 clinical trials proving just that.
Your input can help put my mind to rest.
Many thanks in advance,
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