My HOLEP Experience

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.

Has long as you are aware of the side effect  That is all that matter you being happy.  Take it easy for a a while  Ken

I am Ken, very happy. In fact I wish I had gone for it years ago.

Going to rest for a while. 

Philip.

Congratulations! Thanks for sharing. How large was your prostate?

Hank

Thanks for sharing

Hi Philip.

I had my HoLEP in St Albans 3 months ago. Like you, no pain after the op. or since.

Leakage was a problem initially but gradually diminished and is no longer experienced.

I had my 3 month follow-up yesterday. I was told that a prostate size of 40cc would be expected but I had 150cc removed! Thank goodness, harvested tissue was benign.

Best wishes for your recovery. Like you, a great experience with HoLEP.

Hi. Glad to hear it went well exactly the same as my HoLEP with Tev Aho. I had a 1 month check afterwards which showed no retention and good flow etc. Still good to go 3 years later with no problems except the expected RE.

Hi David,

Good to hear you are doing well. I have leakage but I was expecting it. They didn't tell the amount removed yesterday. I will ask Mr Aho in 3 months. Great news the tissue was benign. I will find out shortly about mine. 

Best wishes and I hope you continue to improve.

Philip.

Thanks Hank. The list time it was measured it was about 65cc, but that was a while ago. My prostate was blocking my bladder neck almost completely. Philip.

Congratulations on your excellent outcomes! HOLEP is known to have Incontinennce (10-20% ) and retrograde ejacualtion (70-80%) problems. Would be interested to see if these problems affect u.

I will let people know how I get on with the recovery. But this is the first day after surgery and feeling great. 

Hi, Thanks for sharing. He is very skilled and a nice guy. Feeling confident. Philip.

Hi, I will let you know how it goes. I can pee like never before.

Consider yourself lucky.  My surgery was May 23; the saline solution was finally discontinued on the 25th and I was allowed to go home still wearing the catheter until the 29th.  As of August 9th, I am still wearing disposable underwear.  My prostate had been measured at 200 grams and reduced to 20 grams.  The surgeon related that it was mostly scar tissue from prior prostate procedures.  I had very little pain post-op.  Feeling much better and taking therapy to tighten the pelvic floor muscles.

Geezer you do know it is going to take you a while to get out of the disposable underwear because the prostate acts as a plug and if he got rid of 180 grams there is not much left to plug your badder.  Good luck  Ken 

Congratulations!  I bet it feels great to pee like a 20 year old!

Tell me about it!!

Hi again. Probably worth saying that I did have the occasional very small urine spurt if I moved a certain way that lasted a few months but was never a problem. That has now virtually completely gone. I did do the pelvic floor exercises as recommended by Mr Aho for a while but I found they prolonged the slight background bleeding which did last 5 weeks (not the few days the nurse told me). It was very low level so again not a problem. BTW my check-up was at 3 months not the 1 month I said earlier

It does Dennis. thanks Philip.

Thanks for information about your experience. That is really helpful. Philip.