HOLEP And Having Incontinency/ejaculation Problems Afterwards


Jun 2, 2015

I am a bloke of 66 yrs and am having incontinency/ejaculation problems.

In July 2013 I had an operation – (HOLEP) as I had an enlarged prostate, the operation went well and I was back home in a couple of days. But for a while now I get very down and wish I had never had the operation.

After the op, although I tried to do the pelvic floor exercises I found it quite difficult, and eventually stopped, I did buy a pelvic floor stimulator (male type) and used that for a while.

Anyway now the incontinency is not a major problem as it is a stress type and not always. BUT what is a problem is that when I ejaculate I pee as well, just a bit but it is there and consequently this means no sex since the operation.

I knew there was a risk of incontinence and also reverse ejaculation (semen goes into bladder) I used Tena Men for a while but found after a few months did not need them. I can’t remember when I first tried masturbation after the op but I did, and was pleased to discover that there was no reverse ejaculation (well most of the time anyway   but what did concern me was during the act before ejaculation I would pass pee almost like milking. This has gradually got worse and unless I force myself to pee before I masturbate I even pee as I ejaculate.

The consultant did say he had removed most of the prostate, and as it goes through the pelvic floor muscle (I think) is it possible that the muscle is damaged around the urethra.

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