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Article Category: Highlights

Did You Know Prostate Cancer Screening Has Changed? Find Out Why It’s Better Now.

And why it’s time to have a conversation with your doctor.

Published on September 21, 2022

Last updated 01:15 PM August 31, 2023

Illustration of scoreboard in stadium. Text reads "Hey man, know your stats, PSA < 4.0"

Quick history lesson: In the 1990s, U.S. doctors adopted the prostate-specific antigen test—or PSA—to identify prostate cancer early, when it’s more treatable. While the PSA helped more men get diagnosed, concern was raised over the risks versus benefits of biopsies, procedures and treatment. In response, the U.S. Preventive Services Task Force gave a controversial recommendation against routine screening with PSA in 2012.

But with new evidence from a variety of credible studies, they changed their recommendation in 2017. The current Task Force recommendation focuses on men having a conversation with their doctors about their risk for prostate cancer and the risks and benefits of screening.

Why did the guidelines change?

Prostate cancer is the most common cancer diagnosed in males after skin cancer. According to projections by the American Cancer Society, there will be twice as many new prostate cancer cases diagnosed as lung cancer this year.

“The prevalence of the disease cannot be ignored,” said Wellstar Health System Chief of Primary Care and Medicine Service Line Dr. Jeffrey Tharp, a primary care physician. “Early-stage prostate cancer has higher survivability than prostate cancer diagnosed in later stages.”

Dr. Tharp pointed out that while guidelines have changed, so have the way doctors diagnose and treat prostate cancer. An elevated PSA does not automatically mean a cancer diagnosis. And when cancer is diagnosed, some care options have no side effects.

Read on to learn:

  • Who should have a conversation with their doctor about prostate cancer screening, and when
  • Who is at higher risk
  • How the reason that’s holding some men back has changed
  • What is a PSA and why having them at regular intervals is important
  • Care options for prostate cancer

Some men have anxiety about what the treatment would be and the long-term effects of treatment. We have active surveillance and other means of preserving bodily function, especially when we find prostate cancer in the earlier stages.

- Dr. Jeffrey Tharp

Chief of Primary Care and Medicine Service Line, Primary Care Physician

Who should discuss prostate cancer screening—and when

If you have a prostate, you should discuss whether screening is right for you with your primary care doctor, nurse practitioner or physician assistant:

  • Starting at 40 if…you have a strong family history of prostate, breast, ovarian, uterine, colon and pancreatic cancer as well as melanoma—particularly if they were early onset or you have a known family history of carrying the BRCA1 or BRCA2 gene
  • Starting at 45 if…you’re a Black man, meaning you carry twice the risk of dying from prostate cancer 
  • Starting at 50 if…you have a typical risk level 

Is fear stopping you? 

“Some men have anxiety about what the treatment would be and the long-term effects of treatment,” said Dr. Tharp. 

But, he noted, treatment has changed a lot since the early 2000s.

“We have active surveillance and other means of preserving bodily function, especially when we find prostate cancer in the earlier stages,” he said. 

What exactly is a PSA?

A PSA test is a simple blood test you get at your doctor’s office.

The test measures the prostate-specific antigen, a substance in the body that is related to the presence of prostate cancer. However, a rise in PSA can also be caused by other factors such as recent sexual activity, exercise, prostate enlargement, age and infection.

“When someone has an elevated PSA for the first time, we put it in context,” Dr. Tharp said, indicating that doctors don’t automatically diagnose prostate cancer because of an elevated PSA. “A one-time PSA is important, but a trending PSA helps us see the bigger picture."

Once a PSA test result flags the possibility of cancer, primary care doctors typically refer patients to a urologist who specializes in prostate cancer treatment. 

Patients have a team helping them achieve their best outcome

At Wellstar, the patient’s doctors are part of a multidisciplinary prostate cancer care team at Wellstar who hold regular conferences dedicated to diagnosing, staging and planning care together so patients have the best outcomes. The prostate cancer team includes urologists, radiation oncologists, medical oncologists, pathologists, radiologists, primary care physicians and nurse navigators.  

“Once a man has been diagnosed with prostate cancer, our experienced physicians, navigators and nurses help him navigate the decision-making process around prostate cancer treatment,” said Dr. Olusola Davies, Wellstar radiation oncologist.

Because of the variety of prostate cancer types, how quickly their prostate cancer grows and other individual factors, each person’s treatment is tailored to them. Care plans may include active surveillance, prostate cancer surgery or radiation therapy.

“It’s important to give men time to absorb the information coming from the treatment team, ask questions and review things they might not be sure about,” Dr. Davies said.

Good news: newer treatments eliminate or reduce side effects

Many men with low-grade, early-stage prostate cancer choose to follow a treatment plan of active surveillance using a guideline-based protocol with their Wellstar physician. This option reduces unnecessary side effects from therapy and improves their quality of life.

In fact, more than 70% of Wellstar patients diagnosed with low-risk prostate cancer opt for active surveillance.

Various types of prostate cancer surgery, including minimally invasive robotic procedures, have the potential to spare nerves and preserve sexual function. And newer radiation therapies reduce radiation exposure to healthy tissue.

“Patient outcomes have been very good at Wellstar, and we have a well-coordinated interdisciplinary team to care for our patients,” said Dr. Tharp.

Make an appointment with your doctor today to discuss if the time is right to start screening for prostate cancer.

 
 

Tags

Jeffrey Lanier Tharp Olusola Obayomi-Davies Cancer Care
Primary Care Mens Health
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Highlights

Out of Sight, Still a Threat

Five years ago, you probably had hand sanitizer in your car, a thermometer in your bag and a mental checklist for every sniffle. That was life during COVID. But these days? It’s easy to forget what once felt urgent.

The same thing happens with men’s health—especially prostate cancer. For a brief moment, maybe after a friend was diagnosed or during a Movember campaign, it’s top-of-mind. But if nothing seems wrong, it quickly slips to the back burner.

That’s a problem—because prostate cancer doesn’t wait until you’re ready.

At Wellstar, we see too many men surprised by late diagnoses. Why? Because they felt fine. Because they had no symptoms. Because they believed some version of the same three myths:

“Prostate cancer doesn’t kill men.”

Actually, it’s the second leading cause of cancer death in men. When caught early, it’s highly treatable. But when ignored, it’s dangerous.

“I don’t have symptoms, so I’m good.”

Most early-stage prostate cancers are completely silent. No pain, no urinary issues, no warning. That’s why screening matters.

“Testing leads to side effects.”

Screening doesn’t mean treatment. A prostate-specific antigen (PSA) blood test is a simple tool that helps guide the next steps. Many men with slow-growing cancers don’t need surgery—just monitoring. For those who do need treatment, options are far more precise and less invasive than they used to be.

Still, fear or discomfort around the prostate keeps many men from checking in until it’s too late. We get it. It’s not the most glamorous part of the body—but it’s vital.

Think of it this way: you’d never ignore a lump on your neck or blood in your stool. Why ignore the most common cancer in men (besides skin cancer) just because it’s not visible?

Our team at Wellstar makes prostate cancer screening simple, discreet and personalized. We’re here to talk through your family history, explain your risks and offer guidance without pressure. Whether it’s time for a PSA test, a digital exam or just a conversation, we meet you where you are.

Remember: ignoring prostate cancer doesn’t make it go away. It just makes it harder to treat. Learn more about prostate cancer care at Wellstar.

Ready to take action?

Find a urologist near you and book your appointment online. What’s out of sight shouldn’t be out of mind.

Keep reading
Child flexing arms and posing as a superhero.

Highlights

Better Together: Your Child. Our Expert Care.

Some things are just better together: Peanut butter and jelly. Popsicles and summer days. Stethoscopes and superheroes. When it comes to your child’s health, there’s no better combo than your love—and our expert pediatric care. That’s why Wellstar Children’s of Georgia is here to partner with your family.

Playfully styled Wellstar Children's Healthcare of Georgia logo, which incorporates a rainbow and has the feel of a child's illustration.

Our name and logo may have changed, but the mission to care for children, teens and your family remains the same. 

“Our new name represents a powerful collaboration, bringing together more pediatric specialists in Georgia to create a comprehensive system of care,” said Wellstar Children’s Hospital of Georgia Pediatrician-in-Chief Dr. Valera Hudson.

Where kids’ healthcare is “better together”

At Wellstar Children’s of Georgia, a child’s health is strengthened by a partnership between parents and pediatric specialists. Our physicians and advanced practice providers listen and get to know each child from the moment they’re born into young adulthood, collaborating with parents to deliver tailored care.

“We never forget that you know your child best—from their unique needs to what makes them tick,” said Wellstar Chief Pediatrics Officer Dr. Carrie Stinson. “We trust your instincts, and we’re here to support you as you help your child grow into a healthy, well-prepared and incredible human being.”

A checkup for every child, from toddlers to teens

Every kid should have a well-child exam each year. “When you have babies and toddlers, it’s routine—you’re scheduling these frequently,” said Dr. Stinson. “But when kids get older and busier, these visits may fall off your radar.” Staying on top of these vital checkups helps keep focus on your child or teen’s well-being, including their physical health and development as well as their emotional, social and behavioral health.

Navigating life’s most challenging moments

 

During visits to Wellstar Children’s of Georgia, pediatricians, pediatric specialists, nurses and other dedicated team members use the latest technology and innovative therapies to treat common illnesses and complex conditions. In our Pediatric Emergency Departments and imaging centers, specially trained Child Life Specialists aid children and their families during challenging healthcare moments—helping them understand and cope with unfamiliar or scary situations.

A long legacy of care

 

Our new name builds on a rich history of pediatric excellence throughout Georgia. For decades, we’ve worked hard to make sure our communities have access to the pediatric care they need—from preventive care to emergency care and specialty care, including cardiologists, neurologists, urologists, ENTs, orthopedics, therapists and more. 

Care in Augusta 

Wellstar Children's Hospital of Georgia in Augusta has been a leader in the state for nearly 30 years. We’re home to: 

  • Pediatric primary care and specialty care
  • A 24/7 Pediatric Emergency Department
  • A dedicated Level II Trauma Center
  • A Level IV Neonatal Intensive Care Unit (NICU)
  • The only Level I Pediatric Intensive Care Unit (PICU) in the region
  • A Level IV Epilepsy Center
  • One of two Pediatric Cystic Fibrosis Centers in the state
  • Clinical trials for a variety of childhood conditions 
  • Summer camps and support programs for children with specific health conditions

Care in Metro Atlanta
 

Our communities in the Atlanta area have access to:

  • Pediatric primary care and specialty care
  • Pediatric Emergency Departments at Wellstar Cobb, Wellstar Douglas, Wellstar Kennestone and Wellstar Paulding Medical Centers 
  • An Inpatient Pediatric Unit at Wellstar Kennestone in Marietta 
  • Level III NICUs at Wellstar Kennestone and Wellstar Cobb
  • Level II NICUs at Wellstar Douglas and Wellstar North Fulton Medical Centers
  • Wellstar Children’s of Georgia Pediatric Center in Kennesaw offering a range of high-quality, child-centered services

Care in West Georgia

In West Georgia and central West Georgia, families can access:

  • Pediatric primary care in LaGrange
  • Level II NICUs at Wellstar Spalding Medical Center in Griffin and Wellstar West Georgia Medical Center in LaGrange

Our growth chart: how we’re keeping up with your kids

As you measure your child’s growth, we’re growing too! We continue to invest in our teams and facilities across Georgia so your child can have a healthy future.

In Metro Atlanta, Wellstar continues to grow care for Cobb County’s youngest residents. A new tower at Wellstar Kennestone, slated to open spring 2026, will feature an expanded NICU with more beds to meet the needs of our families.

In Augusta, Wellstar Children's Hospital of Georgia has unveiled a welcoming and fresh child-friendly lobby. Families visiting the campus will soon benefit from the addition of the Kisner Foundation and Friends Center for Pediatric Behavioral Health and Wellness. This new space brings neurology and psychology services together under one roof, providing a dedicated place for families to find help for their children's behavioral health needs.

"We’re passionate about caring for kids,” said Dr. Hudson. “Our dream is to get beyond just treating and intervening when there’s a crisis—we aim to help families thrive.”

Whether preventing illness or treating chronic conditions, Wellstar Children’s of Georgia is committed to helping children heal so they can do more of what they love.

Keep reading
A healthcare provider consults with her patient

Highlights

Personalized Breast Care Close to Home at Wellstar North Fulton

By Wellstar Breast Surgeon Dr. Laura Pearson

I have never met a woman who enjoyed getting mammograms, including myself. They can be uncomfortable, awkward and anxiety-provoking—especially if you have had scares in the past or are at high risk for getting breast cancer.

There are so many additional resources for risk reduction and surveillance available that go hand-in-hand with mammograms. At Wellstar, reducing your risk and screening for cancer starts with a physical from your primary care doctor.

If you are at average risk of developing breast cancer, you should begin annual screening mammograms at age 40. If you have a family history or other risk factors, your doctor may recommend earlier or more frequent screening. If something is detected on a mammogram, the Wellstar Comprehensive Breast Health Program has nurse navigators who will help arrange diagnostic imaging, biopsy procedures and referrals to breast specialists. If you are diagnosed with cancer, the compassionate and oncology-trained nurse navigators with Wellstar Cancer Care walk patients through diagnosis, evaluation, treatment and beyond.

If you’re diagnosed with breast cancer, your treatment and care will transition from our Comprehensive Breast Health Program to the Wellstar Cancer Care team. In Wellstar STAT Clinics, which stands for Specialty Teams and Treatment, we put you at the center of your care plan. In our STAT Clinic for Breast Cancer, the care team, including breast oncology nurse navigators, surgeons, medical and radiation oncologists, nutritionists and genetic counselors, will meet with you and your support system on the same day to formulate a treatment plan personalized to your specific cancer, as well as your personal and cultural needs. Patients are able to ask questions, make decisions and start treatment sooner, improving outcomes.

Many times, surgical intervention can be done as an outpatient procedure. We can also offer some people intraoperative radiation therapy, or IORT—the option of doing their radiation treatment in the operating room at the same time as their lumpectomy, meaning they are able to avoid four to six weeks of radiation treatments. Any other interventions, such as chemotherapy or radiation, including our CyberKnife for treatments like targeted partial breast radiation therapy, are found in the cancer center on Wellstar North Fulton’s medical campus. We have physical therapists, social workers and palliative care specialists who are there for you if the need arises.

Your Wellstar care team can also help you reduce your risk of developing breast cancer. Being overweight or obese or being a smoker can increase your risk. Patients at Wellstar have access to our Center for Best Health to assist in weight management. We also have smoking cessation programs and dietitians waiting to help you make healthier choices that can positively impact your health.

Wellstar provides more than healthcare, PeopleCare—working relentlessly to exceed national standards and our patients’ expectations while remembering the humanity of every patient. We are here for all the situations and stages of our patients’ lives by offering the tools and resources to be healthy and thrive. Wellstar clinicians live in the communities we serve. We must get physicals, mammograms and biopsies. We need help being our healthiest selves. We get sick and have family members who need compassionate care. PeopleCare means offering our patients world-class healthcare in the communities where they live and work.

Your care team can put your mammogram order in Wellstar MyChart to book online, or you can schedule by calling (678) 581-5900.

Visit wellstar.org/northfultoncancercare to learn more about cancer care at Wellstar North Fulton.

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