Surgery Holep

Posted , 9 users are following.

I would like to read he results of anyone who has had the holep surgery.

Thanks,

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15 Replies

  • Posted

    I had the holep procedure in May 2018. 90% of my prostate was removed. I have continued dripping and wear a BARD clamp to prevent it. I have to release the clamp approximately every two hours and urinate. I wear a guard during the day under my briefs and change over to a depends brief overnight. For some unknown reason, I don't have much drainage overnight. Whether that's due to my sleeping on my side, I don't know, but more likely, it's because I'm not active as I am during the daytime. Let me know if you have any specific questions.

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    • Posted

      Is it normal for HoLEP to remove 90% of the prostate? What was the prostate size before?

      Having one's prostate removed via RRP usually has a similar issue, but in over 90% of cases resolves in about 12-13 months. Hope this happens in your case, although it's been 16 months since your surgery.

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    • Posted

      My prostate was large and had quite a bit of scar tissue from prior procedures (TURP, biopsies), so probably not the norm. Surgeon said it was one of the largest she had seen but was mostly scar tissue.

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    • Posted

      Geezer , Why wasn't all your prostate removed,since you said 90 % was removed

      There must be a reason why they did nor remove the prostate? Hope your feeling better. I am now faced with a surgery Turp Bipolar coming upin NOv. I have to caterize almost every 3 hours and my urine is bloody. My urologist said my enlarged prostate dosen't like the catheter so it bleds every time. He also said if nothing comes out after CIC then ge a foley put in.How large was your prostate before surgery? How old are you?

      thanks

      frank,

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    • Posted

      Always had a large prostate but unaware of size. Had my TURP in 2010, previous to that had two biopsies, microwave procedure, "green light" procedure. Always had high PSA's. Dr. felt the scar tissue was too tight to the prostate which caused bleeding after exertion or exercise. purpose was to relieve the pressure. PSA's ranged from 9 to 23, with no indication of cancer. I'm now 79. I had my HOLEP at University of Kansas Health Center.

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    • Posted

      I no longer have the bleeding issue, but can't say I am excited about the prospect of wearing this clamp forever and changing into overnight diapers. I have no pain and feel pretty comfortable. We start out in life wearing diapers and we go out the same way.

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    • Posted

      Geezer, Thanks for this info . I'm glad to hear you have no pain .You don't have to Use a catheter? This scar tissue came from the procedures you had done I assume. I sure hope you can find an answer to your problem.

      Did you have urine retention before you had these procedures?

      frank,,

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    • Posted

      I'm resigned to living with the situation. The clamp is not that uncomfortable and I stay dry. I didn't have anything other than the bleeding after exertion. Urination on a regular basis without being uncomfortable. Surgery was to relieve the bleeding issue. Never had any other issues.

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  • Posted

    By the way, for about the first six months post surgery, I saw wearing a diaper with a guard and changing about every three to four hours. After my surgery follow-up, I was prescribed the BARD clamp which offered considerable relief, but it appears that this will be a lasting solution. I was offered the option of having a mesh surgically implanted, but was informed that the drainage would continue with the use of diapers as well. I opted for the clamp. Hope this helps

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    • Posted

      There is another solution available which is the Artificial Urinary Sphincter (AUS). I had that surgery, and it has been a life saver for me. I had gone through two years of changing Depends 8 to 10 times a day. I tried different clamps, and they were too uncomfortable. For a long period, I wore condom catheters (better than Depends for me) with a bag. The AUS result was like getting my life back.

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    • Posted

      Thanks for sharing. I looked up Bard clamp and learned something new.

      Did you experience and dripping or leaking before the HoLEp ? Did you try pelvic floor ?

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    • Posted

      I had the holep because of excessive bleeding from over exertion from working in the yard. The scar tissue had built up and caused blockage. I never experienced leakage or dripping prior to the surgery.

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