HoLEP and PCa

I'm sure you were warned about avoiding heavy lifting or straining your abdominal muscles for at least 2 weeks and I strongly advise you heed this warning.

I ignored the warning on day nine following my HoLEP and paid the penalty big time when the wound scab came away and I hemorrhaged very heavily which required a weeks stay on the uro ward at Boston.

If not already you'll soon be peeing like an 18 year old, enjoy.

All the best for a trouble free recovery.

Hi again

I meant to say for the benefit of anyone reading this conversation that I spoke to 'Mr A' last year in reference to the danger of my prostate confined cancer being spread by the HoLEP procedure and he was confident that the surgery did not have that effect.

David

Now I know what to put on my Christmas list!

David

Hi

I don’t know if anyone is still following this very old thread, but here goes;

Following my H0LEP surgery last November my three-month review in February was cancelled and I finally had my review appointment last Monday.

I had a brief but productive chat with Mr A, the lead HoLEP surgeon at Addenbrookes and left him with a copy of the ‘diary’ which I have kept since the day of the surgery. I hope he will find it useful as my recovery process has sort of followed the text-book pattern with one or two interesting variations which I will not bore you with.

The most important aspect to mention for anyone contemplating this procedure is that, at no time have I suffered any pain. During the healing period urinating was, on occasion, a little uncomfortable but that passed fairly quickly. Blood in my urine also ceased after a while, as expected.

It took nearly six months for my system to settle down. Frequency and night-time urination have not altered dramatically but hopefully, acute urinary retention is unlikely to re-occur. My PSA dropped after surgery from an average of 4.0 (really 8, as I was on Finasteride) to 0.4.

Mr A recommended a course of tablets to help my still over-active bladder which he assures me should offer a marked improvement over the next two – three months.

David  

Hi Roger

I am not displeased with the outcome of the surgery but perhaps I expected more improvement in flow and frequency. Still, after the past eighteen months one should be glad to be well and active.

I only saw Mr A briefly on the day of the surgery and we had a ten minute 'chat' on Monday, he said he was pleased with the results of the procedure and I felt he was professional and willing to listen.

David

My PSA was below 1 for several months then rose to 1 to 2 for 4 years and has now been sitting at around 2.4 since 2020.

Whether or not all the PCa was removed during the HoLEP we shall never know but if some still remained in situ, it's behaving itself.

Keep well.