Incontinence after HOLEP surgery for BPH

[Archives1]

Has anyone had HOLEP surgery (holmium laser enucleation of prostate) resulting in incontinence that hasn’t gone away yet after 5 months? Dr says cyberknife radiation treatment I had 2 years ago is causing recovery to be slow. Went for PT for kegels and do them regularly. Minor improvements but still can’t stop wearing depends.

 

[Archives1]

I had HOLEP done last June. I am 71, in good health, and had intermittent leakage for about 4 months. My biggest problem is not being able to feel the urge until right before I need to go. I'm usually close enough to a bathroom that I can get there before I start to leak. Also, my bladder doesn't seem to hold as much as it used to. These are side effects my doctor did not warn me about, and have been mildly disconcerting. On the positive side, I sleep through most nights without having to get up, and my stream is significantly stronger. Also my PSA went from 6.0 to .49 almost immediately. Overall, I'm glad I had the procedure done and hoping that negative side effects will continue to improve. Good luck with your process. In addition to PT aND kegels, regular walking seems to have helped me and many others.

 

[Archives1]

I had Holep done in June of 2021 and still leak. { Only one attend a day now} Dr. said he took about 80% of my prostate. PSa is good. Stream is much better.

I took two different meds.at different times but, no real help. When sexually active leak worse!!
Still doing kegels and hoping for the best. 81 yoa and still holding!

 

[Archives1]

Thanks for the responses! I had prostate cancer diagnosed in 2021 - small spot showed up in 32 samples taken during a biopsy. Had cyberknife radiation treatment in June 2021. 5 days of 30 minute sessions aimed directly at the spot. Good news is cancers gone per my doctor, PSA under 1. Then the need for this surgery due to BPH came up. Dr says the slowness to recover from incontinence and gain control back is because of the radiation damage but is confident I will recover. I’m not so sure.

 

[Archives1]

Also has anyone tried hyperbaric oxygen therapy to heal radiation damage?