Holmium Laser Enucleation of the Prostate (HoLEP) for Benign Prostatic Hyperplasia (BPH)

[@3bluto]

I had Holep in 2019 and for me it was a miracle cure. In hospital at 6am and out by 1pm. Depends for a week, pee'd blood or pink urine for 2-3 months, which is normal, then slowly things started to settle down. After 7 months I would call myself near normal, however progress continued for the next 2 years until full normality was reached. After 7 months I lifted a heavy bag of lawn fertilizer and tore something, so no lifting for another 6 months for me, if ever! Would recommend this for sure, it gave me my life back, as I self catheterized for 2 years prior to surgery. Now my bladder has a reduced capacity, but apart from that, life is normal in all aspects.

[@shrisharma7355]

Happy to hear that. My father has been recommended for the same surgery and I've been anxious. Very relieved to see positive outcomes

[@yossirein1]

4 days in. Great information for the peace of mind

[@nellysintufya2815]

Very educative. Thanks alot.

[@hawaiidoves]

That was really interesting. Men,thinking about surgery, should look at this video. It will help ease the anxiety and fear that is only natural,when doing an operation such as this.

[@bradyreihl9006]

Thanks, tomorrow is my lucky day

[@Asahel717]

Brady, can you fill us in on how our HoLEP went? For men whose prostates are too large, it seems like HoLEP or open surgery are the two choices. A new procedure, PAE, is around but it doesn't have a long track record. Hoping you are all well and doing great six months post procedure!

[@bigskykurt4519]

One week in, Depends and house bound. Definitely restored flow. When I feel the urge I have about 5 seconds to get to the bathroom, hence the Depends. Peeing about 1/4 cup at a time, at least every hour, sometimes fifteen minutes. Hasn’t been really smooth or conducive to work with but I have been self cathing for 1 1/2 years and I’m ready to write my name in the snow and keep it off my boots! 53.

[@Asahel717]

Kurt Where did you have it done? You’re out of the catheter now aren’t you? The urgency is normal at this early stage. I’ve considered HOLEP. Too big for TURP and Rezum or PAE take time to show big improvement in flow. HoLEP is supposed to be faster A friend had PVP and he was peeing like a young man immediately after catheter taken out I have good days and nights and bad ones Getting up often at night and not emptying all the way leaves me tired the following day. That lack of sleep adds up Would like to hear more of your story Where did you have it done? Thanks. And I hope you’re doing better each day.

[@bigskykurt4519]

Missoula, MT. 12 days now. Treated for an infection and doing much better. A little more control than week one but still pee frequently. Urine is still a little bloody, but it doesn’t burn now. Regaining a little more control as things are calming down. I’m half way through my second bag of Depends and don’t think I’ll need a third:). No catheters since I pulled the fricken garden hose out that was inserted during surgery. Dang that was big.

[@MrNivarox]

What sexual functions? Have you any problems?

[@natjuj894]

​@@bigskykurt4519was burning from infection or from the catheter discomfort?

[@roybutler9455]

Three weeks post operation things did not go well. Too much bleeding had to stay in hospital the night. Sent home next day, bleeding, catheter became plugged, back to er, two more days in hospital bad bladder spasms, catheter was in for a week. Slowly getting some control and the passed out when the UTI arrived at the two week mark, back to ER, MORE DRUGS, right now I am not sure if this wise decision, hoping things will get better.

[@natjuj894]

Sorry u r going thru this. Did they say what caused all that?

[@roybutler9455]

Had another UTI, I am 6 weeks post operation and sleep quality has improved. Any exertion causes leakage, starting to regain some energy and stamina.

[@bigskykurt4519]

12 weeks in, doing great. Good decision. I have my life back.

[@MrNivarox]

What sexuality? Have you any problems? Erection, libido?

[@bigskykurt4519]

Jiří Lang no ejaculate. Everything else is good. Dr told me it would be like this. One year in. Doing great.

[@natjuj894]

Didnt say what to do if bladder is injured, if it will heal? Hiw long will bladder take to heal from that damage, when wil next appointment be?

[@muraliaj5129]

Thankyou so much

[@bigskykurt4519]

Three weeks now, can’t lean in to a fart or i will wet myself. I have a little more control, would just like less frequency. At least I can travel now.

[@roberthenrydavis8304]

Thank you for puting this in language everyone can understand. Hope you get better soon...

[@jean-charlesmarlier6831]

Do you mean you had prostate embolisation and was not happy with that treatment?

[@antoniodelrey164]

How much of the prostate is removed? I have read that retrograde ejaculation is common and interesting that for the other procedure you indicate that this is a negative side effect but for HoLEP it’s not a big deal. Obviously you are promoting HoLEP…

[@leungkasan]

For chronic prostatits?

[@mrgcav]

1:11 to 1:24 is interesting

[@MegaGeneral23]

which is better, HoLEP or PVP?

[@jean-charlesmarlier6831]

You totally forgot prostate embolisation !!!

[@hankhalbert6542]

So-so results for me. One year later, urinating function is better, but my very large middle lobe now needs dealt with. Looking at options.

[@Jhjhjh121]

Had pae done 3 years ago now back to where I was as it's grown back

[@jean-charlesmarlier6831]

@@Jhjhjh121sorry to hearing that but was aware it might grow back