HoLEP recovery: what to expect

Immediately after surgery

A urinary catheter is usually present initially. Urine may be blood-stained and bladder irrigation may be used when required. Catheter timing and discharge vary with bleeding, prostate size, medical factors and the individual operation.

The first week

Once the catheter is removed, many patients notice a stronger stream. Burning, frequency and urgency can occur. Small amounts of blood may recur, particularly after activity. Hydration and activity instructions should follow the treating surgeon's advice.

Weeks two to four

Storage symptoms often continue to settle. Some men experience temporary stress leakage with coughing, standing or exertion; others have urgency-related leakage. Pelvic-floor exercises may be recommended where appropriate.

Weeks four to twelve

For many patients the urinary pattern becomes progressively more stable. Bladders that have been obstructed for a long time may take longer to adapt, and pre-existing detrusor dysfunction can influence recovery.

What about ejaculation and erections?

Ejaculatory change is common after tissue-removing prostate surgery and should ideally be discussed before the operation. Erectile function and ejaculation are different functions; a change in ejaculation does not automatically mean loss of erection or orgasm.