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Article Category: Highlights

Urology and You: A Doctor Answers Sensitive Questions

Published on February 24, 2025

Last updated 10:52 AM February 24, 2025

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The Weekly Check-up Atlanta


Dr. Scott Miller, a Wellstar urologist and expert in robotic and laparoscopic surgery, joined Dr. Bruce Feinberg on 95.5 WSB’s The Weekly Checkup. Together, they tackled common questions about urology, prostate health, incontinence and more.

Does dark urine mean I have a medical problem?

There’s no normal color for urine, Dr. Miller explained. Most of the time, expect urine to be “fairly diluted, almost like water or very pale yellow.”

Urine color may be different in the morning after a night’s sleep without hydration. Some prescription and over-the-counter medicines, like multivitamins, can also affect urine color. Any red in urine could indicate the presence of blood. That’s a sign to call your primary care provider or urologist.

Should I be worried about bubbles in my urine?

That depends, according to Dr. Miller.

“If bubbles form simply because of the way your urine stream hits the water—causing a little turbulence—there’s no need for concern,” he said. “But if you actually feel the bubbles or air passing as you urinate, that’s different. It could indicate a bladder infection or an abnormal connection between the urinary and GI (gastrointestinal) tract.”

In that case, Dr. Miller said a doctor would likely order tests to determine the cause and recommend appropriate treatment.

Do women need urologists?

Yes. Urologists specialize in treating the kidneys and the bladder in both women and men, in addition to addressing prostate health in men.

“Anyone with a urologic issue should see a urologist,” Dr. Miller said. He noted that women are more likely than men to experience conditions like kidney stones and urinary tract infections, making specialized care essential.

Is bladder leakage inevitable with aging?

Dr. Miller noted that bladder control issues are common, but they can be an avoidable part of aging.

“Some females assume bladder control is a natural consequence of childbirth or aging,” he said. “But in reality, these are all treatable issues and sometimes very simple fixes.”

Dr. Miller said that both women and men can benefit from treatments that may include medications, lifestyle changes and minimally invasive procedures. He encourages those experiencing bladder control concerns to talk with their primary care doctor or urologist rather than assume it’s something they must live with.

What about erectile dysfunction? Is it unavoidable with aging?

Erectile dysfunction (ED) can occur at any age, Dr. Miller said. But it is more common as men get older.

“ED isn’t necessarily a direct result of aging. … For instance, testosterone levels naturally decline with age, which can contribute to ED. But that’s not necessarily the cause of the erectile function,” he said.

Underlying health conditions, such as heart disease, are sometimes related to ED and are more common as people age.

People with other diseases, such as diabetes, may also experience erectile dysfunction, he explained.

At any age, patients should see a doctor as soon as they start having erectile dysfunction, Dr. Miller said. Doctors can test and rule out other causes. Early treatment for erectile dysfunction is often more successful than when patients delay seeing a doctor.

Is vasectomy safe? Is it reversible?

Not only is vasectomy safe, but it’s also the “most effective form of permanent birth control,” Dr. Miller assured listeners. The outpatient procedure is performed in a doctor’s office, and recovery is quick.

Some men worry that a vasectomy might affect their sexual function or desire, but that’s not true, Dr. Miller added. Vasectomy doesn’t affect the testicles, where testosterone, the male hormone, is produced or the delivery of the hormone to the bloodstream.

Dr. Miller said that when patients ask if vasectomy is reversible, he cautions that while vasectomy reversal is possible, it is a complex procedure with no guarantees. The patient’s age, how much time has passed since the vasectomy and the partner’s fertility all influence the chances of achieving pregnancy.

“So, never count on it,” he said. “But there are other ways to achieve pregnancy, even in someone who has had a vasectomy, including retrieving sperm directly from the testicle” then attempting in-vitro fertilization.

If I have prostate cancer, does that mean I need surgery?

Advances in prostate cancer detection and treatment have changed considerably in how doctors treat the disease, Dr. Miller said.

“Up to 40% of all prostate cancers we diagnose are at least initially candidates for active surveillance,” he said. Of those, 40 to 50% will, over three to five years, require treatment. Even in those cases, he added doctors “have a lot of ‘runway.’”

“It’s like landing a commuter jet on a 747 runway. We don’t need to start at the very beginning of the runway to safely land before the runway runs out,” he said.

For some patients, that may eventually mean they are candidates for laparoscopic surgery to remove the prostate gland or parts of it that are cancerous.

Advances in diagnostic tools, such as MRIs, genetic testing and genomic testing, have also revolutionized the detection and treatment of prostate cancer, according to Dr. Miller. Genetic testing can help determine a person’s risk of developing prostate cancer, while genomic testing reveals the molecular makeup of tumors and helps guide treatment decisions between doctors and patients.

Can I change my diet to prevent kidney stones?

Dr. Miller recommends two dietary habits to help prevent kidney stones: drinking plenty of fluids and limiting sodium intake—not only table salt, but also foods high in sodium, including diet and snack foods. He advised that when you have a meal high in sodium, counter its effects by drinking extra water.

In general, “most of the things in your diet will have very little effect on your chance of having kidney stones,” Dr. Miller said.

Because calcium is one of the chemicals that makes up kidney stones, Dr. Miller said many people ask if they should avoid calcium to prevent kidney stones. In most cases, the answer is no. Women especially need adequate calcium in their diets to support bone health and reduce their risk of osteoporosis.

Find a urologist at Wellstar

Do you have questions or concerns about your urinary health? Wellstar’s expert urologists are ready to help. Visit wellstar.org/urology to learn more or schedule an appointment.

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Wellstar Health System to Acquire Mountain Lakes Medical Center

CLAYTON, Ga. (June 5, 2026) — Wellstar Health System and Mountain Lakes Medical Center (MLMC) today announced that they have finalized an agreement for Wellstar to acquire the northeast Georgia-based hospital. The transaction is expected to close August 1, pending the conclusion of regulatory requirements and customary closing conditions.

Mountain Lakes Medical Center is a 25-bed critical access hospital serving Rabun County and surrounding northeast Georgia communities. After the acquisition, MLMC will become Wellstar Mountain Lakes Medical Center and join Wellstar’s integrated health system network across Georgia.

“From our earliest conversations, it was clear that Mountain Lakes Medical Center was a special organization with a talented team, deep community roots and tremendous potential,” said Wellstar President and CEO Ketul J. Patel. “We collaboratively pursued this opportunity to build on the hospital’s strong foundation and create new possibilities for patients, clinicians and communities in Rabun County and beyond.”

Patel said the acquisition reflects Wellstar’s broader vision of enhancing patient care across Georgia and the Southeast.

“At Wellstar, we’re building a connected healthcare ecosystem that links community hospitals, physicians, specialists, advanced clinical programs and digital capabilities into a seamless experience for patients. We believe MLMC has an important role to play in that future.”

MLMC leaders said becoming part of Wellstar positions the hospital to continue growing while preserving its commitment to serving the local community.

“MLMC has long served as an important healthcare resource for Rabun County and the surrounding area,” said Mountain Lakes Medical Center CEO Kristy Hall. “We believe joining Wellstar creates exciting opportunities to build on that success while connecting our patients and clinicians to additional expertise, technology, specialty resources and healthcare capabilities that can help support the future of healthcare in northeast Georgia.”

Wellstar and MLMC emphasized that patients will continue to have access to the clinicians and care teams they know and trust. Wellstar intends to take a phased and thoughtful approach to integration that prioritizes continuity for patients, clinicians and team members.

As part of Wellstar, MLMC will gain access to broader clinical expertise, advanced clinical programs, technology resources and operational support. Over time, patients and clinicians will also benefit from Wellstar’s Digital Care Network, which connects local care teams with specialists and advanced clinical programs across the system in real time, helping accelerate diagnosis, treatment planning and coordinated care.

The organizations also believe the acquisition will strengthen healthcare access throughout northeast Georgia and the region. Wellstar views MLMC as an important healthcare access point uniquely positioned to help connect patients and communities to specialists, advanced treatment options and healthcare resources while allowing patients to continue receiving care close to home.

For team members and clinicians, the transaction represents an investment in the people and relationships that have made MLMC what it is today. Wellstar intends to retain current MLMC team members at the point of transition and anticipates continuity in local operations throughout the process.

Additional information and updates will be shared with team members, clinicians, patients and the community.

About Wellstar Health System

Wellstar Health System is one of the largest nonprofit health systems in the Southeast and a growing destination for care across Georgia and beyond. Guided by its PeopleCare culture, Wellstar is advancing a bold vision to deliver exceptional quality, safety and patient experience while expanding access to world-class medicine.

Today, more than 35,000 team members, one of the region’s largest physician networks and 11 hospitals serve communities through more than 400 care locations, including cancer centers, rehabilitation facilities, urgent care centers and a digital care network that extends specialty expertise to community and rural hospitals. Wellstar’s nationally recognized programs span cardiology, neuroscience, oncology, orthopedics, pediatrics and other specialties, bringing advanced treatment closer to the people who need it.

Through partnerships that include Augusta University’s Medical College of Georgia, Wellstar helps educate future clinicians, accelerate discovery and translate research into real-world impact. Recognized as one of Fortune’s 100 Best Companies to Work For, Wellstar combines clinical excellence, innovation and collaboration to improve the health and well-being of every person it serves.

About Mountain Lakes Medical Center

Mountain Lakes Medical Center believes in providing the highest quality, compassionate care in a world-class hospital setting. As a Level IV Trauma Center and full-service, 25-bed acute care hospital, Mountain Lakes Medical Center is staffed by highly trained medical professionals who are passionate about improving healthcare and redefining how our community thinks about health and wellness.

Our dedicated doctors, nurses, and staff are committed to a truly person-centered approach—serving patients, families, our local community, and employees with kindness and respect every day. Serving the Northeast Georgia and the Western Carolinas, our hospital represents a bold step into the future of healthcare. We are committed to creating a healing environment that fosters collaboration and puts people first.

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Precision treatment advances cancer care with new non-invasive technology

Wellstar MCG Health Medical Center and Wellstar Georgia Cancer Center have begun treating patients using the new Gamma Knife Esprit, the latest state-of-the-art system for non-invasive treatment of neurological and oncologic conditions. The new technology provides patients with the gold standard for non-invasive brain tumor and cancer treatments, underscoring Wellstar and Wellstar Georgia Cancer Center’s dedication to innovation and patient-centered care.

The Gamma Knife Esprit delivers highly precise radiation therapy—to within 0.15 millimeter accuracy—which allows physicians to better treat complex or previously inoperable conditions while preserving surrounding healthy brain matter without the need for traditional surgery. This advanced technology minimizes risk, reduces recovery times and offers hope to patients who may not be candidates for more traditional procedures.

“Bringing the Gamma Knife Esprit to Augusta and the Central Savannah River Area represents a transformative leap in neurosurgical care for our region,” said Dr. Fernando Vale, chair of the Department of Neurosurgery at Wellstar MCG Health and the Medical College of Georgia (MCG) at Augusta University. “With its pinpoint accuracy, we can better treat complex brain conditions while further improving quality of life and reducing patient discomfort.”

Gamma Knife Esprit can target the smallest tumors and lesions with sub-millimeter precision— smaller than the size of a pencil tip—to treat brain lesions, tumors and vascular abnormalities without incisions or general anesthesia. This non-invasive approach results in shorter hospital stays, fewer side effects and faster recovery, making it a powerful resource for patients and their families.

Dr. John Barrett, chair of the Department of Radiation Oncology at MCG, added, “This technology allows us to provide effective, non-invasive treatment options for patients with brain tumors, vascular malformations and other neurological disorders. It’s a significant step forward for our patients and our clinical teams.”

“It is a privilege to serve our community by bringing leading-edge care to the CSRA,” said Ralph Turner, president of Wellstar MCG Health. “This cutting-edge technology strengthens our Neuroscience Center of Excellence and Wellstar Georgia Cancer Center, but most importantly, it ensures that patients from across the region have access to world-class, non-invasive treatment options close to home.”

The addition of the Gamma Knife Esprit further reinforces Wellstar MCG Health’s position as a leader in advanced neurological and cancer care. Through continued investment in technology and partnerships, Wellstar MCG Health remains committed to excellence, innovation and the well-being of every patient we serve.

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Wellstar Columbia County Medical Center is nearing completion and is scheduled to open Aug. 26. The six-story, 100-bed hospital is located at 5000 Gateway Blvd. in Grovetown.

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The new medical center expands healthcare services already offered in Augusta for more rural counties like McDuffie and provides additional learning opportunities for students at the Medical College of Georgia at Augusta University. Students will train using the latest technologies in healthcare.

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