8/3/2017
A question for recent patients of Dr Lingeman:
Dr Lingeman is on my short list of possible HoLEP surgeons. In your opinion is Dr Lingeman still "at the top of his game"????? I see no questionable comments in this forum, yet we all eventually suffer from the inevitable aging process. Should I be concerned, considering that the good Dr is getting up there in years??
Greetings:
As a person considering HoLEP surgery for my 70 gram prostate one of my biggest concerns is that I wish to be as certain as possible that I do not have any prostate cancer going into the procedure. My question to those of you who have had the procedure is: what tests or procedures did you have performed that put your mind to rest in regards to the possible CA issue???
My situation: So far I have had a Digital Exam which was reported to be normal. I have also had an Ultrasound which was reported to be normal. At the time I also had a Biopsy (12 samples) which came back cancer free. That said, what concerns me is that my PSA = 9.4 ---- Free PSA = 1.05 ---- resulting in a Ratio = 11% ----> hence the concern since ratios below 25% are considered an increased risk for CA.
What other tests or procedures should I consider discussing with my local urologist in order to be more certain that I do not have prostate CA?? ------- Or should I just accept the normal tests done so far as conclusive evidence and not worry so much?
I thank you for any personal insights or opinions that you may have.
Hoping to set your mind at ease.
My PSA initially came back at 17. I waited about 6 weeks and tested again. It came back at 13. Was I concerned? Yes.
After the 13 results, My Dr. gave me options of waiting to see if it would come down, or have the biopsy. I decided on the biopsy. The sonagram indicated no cancer. At this point I had two DRE by Two different Drs. Both indicated normal. The results of the biopsy came back normal. On my first visit with Dr Lingeman, I was examined by DRE the third time by Dr Lingeman's intern ,this made the third DRE, by three different Drs.
The high numbers were because of the size of my Prostate, not cancer. 110 grams.
Most Prostate cancer forms in the area that is accessible during a DRE.
If you a dealing with Dr Lingeman for surgery, you are dealing with the best. He is internationally Know, and a classmate of my urologist. I was very impressed with his bedside manner, knowledge, and staff. One must consider insurance and deductible with the approaching end of the year. Any Dr skilled enough to do a Holep will be in demand enough, you will have to wait to get in. I waited from The first week of July until the last of October to have my surgery.
Something to think about.
By the way, the biopsy on the tissue removed all 92 grams of it , tested normal and my PSA went down to .36
Just me
Just me
A larger Prostate will produce more just because it is larger.
Any time the Prostate is irritated, or stimulated it will produce more PSA. Even an ejaculation will raise the PSA level.
My urologist informed me the PSA test can be a useful test, but it is not a foolproof test for cancer, it can also indicate , a large prostate, or recent ejaculation.
I sounds to me you have taken several Reasonable precautions.
If your Dr is a good responsible Dr. , he will make a good recommendation.
Face when he told me the results.
I was passed on to my urologist, who is also a member of my church. That relationship was very beneficial as well. He reassured me by relating to me as a Dr , and a patient that also endured the same situation.
I am not a doctor, but I have been there, and I have heard from a Doctor who was also a patient for the same thing. If I can help you, I consider it a privilege.