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User
Posted 05 Dec 2025 at 09:49

Hi, I have been on Tamsulosin, Solifeacin and Finasteride for some time but still have the usual symptoms, Just had a consultant suggest I have the HoLep surgery and am now on a waiting list (1 year+) Has anyone had this performed, what was the outcome, any issues etc, thanks

User
Posted 12 Dec 2025 at 09:32

I had a TURP to relieve BPH in 2017. After the op I was peeing like a schoolboy. It was 100% successful, if somewhat painful for a week or so afterwards. I am told HOLEP is less painful. One huge 'benefit' was that the post op histology revealed early PCa (G3+3) which subsequently developed during active surveillance. Without the TURP, I may have known nothing about that until it was too late. I am unsure if there is any residual tissue to test after HOLEP as the laser burns tissue away, rather than it being surgically removed as in a TURP. Perhaps someone here may elaborate on that.

Peter

User
Posted 13 Jan 2026 at 10:00

Hi 

I too have been on Tamsulosin, Solifeacin and Finasteride plus a catheter, plus prostatis - which resulted in pain etc. Just had Holep - Oh what a difference, all my pain gone. I can just pee like I haven't for ages. 

The procedure was performed and I was discharged from hospital a few hours later with a large diameter catheter (which I couldn't feel) couple of days later catheter removed at hospital and they asked me to return for bladder scan - there was no urinary retention. Im wearing Tena at the moment (no one can see) in case of accidents but I feel so much better, no pain or discomfort. 

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User
Posted 11 Dec 2025 at 10:31

Sorry no one has replied. I guess no one on here has had Holep, which surprises me!

Dave

User
Posted 11 Dec 2025 at 12:07

Me too Dave, I was hoping for some useful insights. Maybe someone will pick up on this.

Robin

User
Posted 11 Dec 2025 at 20:28

I think there are people on here who have had a TURP which I think is a similar procedure to treat the same problem (but doesn't involve a laser). Both of them remove prostate tissue so you can pee more easily so I imagine the experience would be pretty similar.

User
Posted 12 Dec 2025 at 09:32

I had a TURP to relieve BPH in 2017. After the op I was peeing like a schoolboy. It was 100% successful, if somewhat painful for a week or so afterwards. I am told HOLEP is less painful. One huge 'benefit' was that the post op histology revealed early PCa (G3+3) which subsequently developed during active surveillance. Without the TURP, I may have known nothing about that until it was too late. I am unsure if there is any residual tissue to test after HOLEP as the laser burns tissue away, rather than it being surgically removed as in a TURP. Perhaps someone here may elaborate on that.

Peter

User
Posted 13 Jan 2026 at 10:00

Hi 

I too have been on Tamsulosin, Solifeacin and Finasteride plus a catheter, plus prostatis - which resulted in pain etc. Just had Holep - Oh what a difference, all my pain gone. I can just pee like I haven't for ages. 

The procedure was performed and I was discharged from hospital a few hours later with a large diameter catheter (which I couldn't feel) couple of days later catheter removed at hospital and they asked me to return for bladder scan - there was no urinary retention. Im wearing Tena at the moment (no one can see) in case of accidents but I feel so much better, no pain or discomfort. 

User
Posted 13 Jan 2026 at 10:27

Good for you CWD!

Enjoy your new normal

Best wishes for a full recovery. 

User
Posted 13 Jan 2026 at 10:30
Thanks for your comments, and best of luck.

my update - taken off Solifeacin and now on Mirabegron due to causing a rash on chest and neck, although not changed much.

And going for a biopsy in march .... fingers crossed!

 
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