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My HOLEP Experience

Posted , 17 users are following.

philip42830
philip42830

I have been suffering with BPH for many years. I have had a PAE which didn't work for me. I have been on Alfuzosin for many years. 

I had my HOLEP done by Mr Tev Aho at the Nuffield Hospital in Cambridge. 

I went in yesterday 8th August at 7am and had my surgery at 8.30am. I had a GA so was not aware about the procedure. I woke up without any pain at all. I had a catheter with a bag of saline to wash out the bladder for 20 hours. I had the catheter out at 6am this morning. I then out to show I could empty my bladder. This was fine, it just took time for my system to start again. I walked around the hospital and drunk water. by 10.30 I had given 3 samples the last one for 470 ml - so I was allowed to go home. I have a very slight bit soreness in my urethra, but I never had a stream which is so strong and my bladder feels empty after going to the toilet. I am a bit tired but haven't slept much during the treatment. I cannot than Mr Aho and his team enough for their patient care. I am so pleased I had a Holep.

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  • philip42830
    philip42830

    Posted

    A quick update. I had my surgery at the start of August, so it is roughly 3 months since my HOLEP. I am peeing normally. I don't get up at all during the night to pee. I am very happy with the results.

    I am pleased I had a HOLEP.

    Best

    Philip.

  • bob80972
    bob80972 philip42830

    Posted

    I thank you for your detailed progress diary Phillip.

    I had HOLEP surgery on the 18 December 2018 and my experiences and progress are virtually the same as yours. Not "p*****g like a racehorse" yet but I plan to watch the racing channel on T.V. for inspiration 😃 There has been a small improvement in flow however.

    Like you I was dreading the catheter and it was about what I expected...uncomfortable and inconvenient but no particularly painful. A couple of Endone took care of any slight pain. It stung for about a couple of minutes after removal. The worst thing about the catheter is feeling like a pinned butterfly...I don't know how people endure it for 6 days with Rezum and Turp etc.

    For all the Australian readers I had my surgery done by Dr Kayvan Haghighi at Campbelltown Private Hospital, and I have nothing but praise for his professionalism. He checked on me twice a day while in hospital and rang me at home after my discharge.

    My bladder was being blocked by a median lobe protrusion. My prostate was relatively small and while my symptoms were not severe I could see that they would progress. So I opted for surgery sooner rather than later.

    I suspect that I may need bladder retraining to get the full benefits of this surgery....but time will tell. An ultrasound did reveal some thickening of the bladder wall and scarring.

    I'm hoping that given time my bladder may make a partial recovery.

    No prostate pain as I type, and very little leakage. A slight spot of blood in the pad occasionally, but nothing in the urine.

    It's a little disappointing not to get and instant result like some people have reported but we all vary of course.

    • philip42830
      philip42830 bob80972

      Posted

      Good to hear the procedure went so well.

      I found doing Kegal exercises before and after surgery has helped to regulate my bladder. I am not having any problems with bladder control post surgery.

      The good news is that I now don't need to get up at all in the night to go to pee. Before, it was unpredictable, but could be 4 - 5 times on a bad night.

      The great thing is being to pee at a urinal and completely empty my bladder. Before it was a dribble and come back 15 mins later to try again.

      Merry Christmas and keep healing. It takes 3 months for the surgery site to heal fully.

      Philip.

  • dennis47445
    dennis47445 philip42830

    Posted

    Philip, I know what you mean, by having to go several times a night because of not being able to empty the bladder. Right now, I am fine, except I have to use a catheter, to empty my bladder. It feels great having an empty bladder after doing CIC! I've been using catheter's for over two years now.

  • james28035
    james28035 philip42830

    Edited

    Just to add my recent experience.

    I underwent a HoLEP procedure at Nuffield Taunton 6 days ago. My prostate was very large, about 150ml, and I was having to use a catheter for the last 10 months.

    The procedure seems to have been successful and I àm at least catheter free and mostly pain free. I need to use pads for safety sake but could probably do without them at night and almost during the day.

    My major problem is tiredness and I take naps regularly. Fortunately, the world cup football is on and that helps me through.

    Unless conditions change I would happily recommend the procedure and is probably the best £7000 that I've ever spent.

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