Steve Shelton, a retired middle school principal who lives in Villa Rica, is living life to his fullest years after having a robotic prostatectomy in December of 2014. The procedure was performed by Dr. Justin Watson at Wellstar Kennestone Regional Medical Center.
Robotic prostate cancer surgery has several key advantages over the more traditional approach. It shortens the time spent in a facility following a surgery. It also reduces surgery site blood loss, scarring and pain, and speeds up recovery. This method also has the potential to preserve nerves.
Steve remembered he was in his fourteenth year serving as the principal of Mount Paran Christian School Middle School when his urologist, Dr. Thomas Emerson, broke the news that he had cancer.
“I had to lean up against the wall for a minute,” Steve said. “Dr. Emerson drew out diagrams and presented us with all of our options. My wife, Brenda, and I made the decision right then that I was going to do the robotic surgery. I wanted to be decisive and take action and I wanted the cancer gone.”
Robotic prostate cancer surgery reduces surgery site blood loss, scarring and pain, and speeds up recovery.
“The robot allows us to see the prostate better and spare the nerves, which can preserve sexual function,” said Dr. Watson.
SteveCare
Retired Principal Chooses Robotic Surgery to Treat Prostate Cancer
Published on September 14, 2021
Last updated 12:46 PM September 01, 2023
Prevention is the key to better health. It's very important to see your physician regularly so that we can screen for these abnormalities before they cause symptoms, let alone any type of health threat.
- Dr. Scott Miller
Wellstar Medical Director of Urologic Services & Robotic Surgical Services
Diagnosing prostate cancer
While Wellstar gives patients access to advanced medical technology to treat prostate cancer, early detection is the key to catching the disease in its early stages.Over the course of a few years before his diagnosis, Steve and his doctors had tracked his PSA rising slowly.
“Prevention is the key to better health,” said Dr. Scott Miller, Wellstar’s medical director of urologic services and robotic surgical services. “It's very important to see your physician regularly so that we can screen for these abnormalities before they cause symptoms, let alone any type of health threat.”
Primary care physicians and urologists typically use prostate-specific antigen (PSA) blood tests to screen men for prostate cancer. When prostate cancer is suspected, these same tests can help monitor a man’s health over time. Because interventions for prostate cancer can have side effects, treatment is typically recommended only when it becomes absolutely necessary. Steve’s physicians advocated for waiting until his PSA number reached a certain level.
“It was absolutely reassuring that these doctors were not going to jump right into treatment,” Steve said.
When his PSA numbers reached levels of concern, Dr. Emerson referred Steve to a colleague to perform a biopsy to confirm the suspicion of cancer. Steve remembers Dr. Emerson explaining that Dr. Justin Watson was a scholar in the field and had a high level of training and experience in robotic surgery.
“Justin was so warm and reassuring,” Steve remembered. “I knew God had provided a great doctor and I didn’t have worries.”
The biopsy confirmed that it was cancer and Steve moved forward with a robotic prostatectomy by Dr. Watson.
“The whole atmosphere in that surgical suite was one of caring, concern and competence,” Steve remembered. “It was like I placed my life in the hands of a loving family.”
Life after robotic surgery
After his prostatectomy, Steve returned to finish his last year at Mount Paran, and then retired from his 45-year career in education. He and his wife moved to Villa Rica to a 14-acre horse farm they share with Sophi, a Spotted Saddle Horse, and Jack, an American Quarter Horse.“We love being here,” said Steve, saying he spends a fair amount of time riding on their property’s pasture. “And I don’t take health for granted. I’m grateful for every single day.”
Now available as an outpatient or same-day procedure
Dr. Watson collaborated with Dr. Miller – who performed the first robotic prostatectomy in the state – to make the prostatectomy procedure available to patients as an outpatient procedure. In 2019, Wellstar became the first health system in metro Atlanta to offer outpatient prostatectomies. Since that time, only about 10% of patients who have their surgery performed in the morning choose to stay overnight.Learn more about the benefits of having an outpatient robotic prostatectomy at Wellstar.
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Highlights
Make Colon Health Your Habit
For many people, talking about colon health can be a little uncomfortable. However, medical issues don’t just go away if you ignore them.
Being proactive about your well-being with preventative care can help catch colorectal cancer or another serious condition early, often before it becomes a bigger problem.
Wellstar is committed to keeping your colon healthy with preventative screenings and expert care, so you can continue to live well.
Catch colon cancer early
Early detection is the best prevention, especially when it comes to colon cancer. If caught early, colorectal cancer has a survival rate of 91%.
“Colon cancer is the second most common cause of cancer death in the United States, so it’s very important that everyone gets screened,” said Wellstar Gastroenterologist Dr. Cameron Body. “For an average risk person, screenings should begin at age 45.”
Those with a higher risk or a family history of colorectal cancer may need to start screening sooner. Partner with your provider to create a personalized screening plan—and stick with it to stay ahead of the disease.
“Recently, colon cancer has been a major trending topic in public discourse, and it has been impacting younger individuals each year. It is important to start colon cancer screening at the age of 45 or sooner if you have a family history of colon cancer,” said Wellstar Gastroenterologist Dr. Shani Clay. “This is a preventable disease, so please speak with your primary care clinician or gastroenterologist to help get you screened. Colonoscopies can help prevent colon cancer, diagnose and help direct early treatment if you are diagnosed.”
The death rate for colon cancer in older adults has been decreasing for the past several decades due to screenings, according to the American Cancer Society. Screenings can identify polyps before they become cancerous and can catch cancer earlier when it is more easily treatable. However, in people under 55, death rates from colon cancer have been increasing by about 1% per year since the mid-2000s.
Why colonoscopies work
During a colonoscopy, a Wellstar gastroenterologist will view the inside of your colon and look for polyps or any other abnormal tissue that could be cancerous. This preventative testing is key to catching colorectal issues at the start.
“A colonoscopy is the gold standard when screening for colon cancer. The procedure itself is not painful, and we make sure you’re comfortable throughout the process,” Dr. Body said. “The goal is to do a high-quality exam with a good prep to find polyps when they’re small and get them removed to minimize the risk of them subsequently developing into cancer.”
Polyps take about five to 15 years to evolve into an invasive cancer, according to Dr. Carmen Klass, oncologist and hematologist with Northwest Georgia Oncology Centers, a care partner of Wellstar.
“If you have a colonoscopy every five to 10 years, they can remove the polyp and it will never be declared an invasive cancer,” Dr. Klass said. “In fact, if all Americans did their screening colonoscopies every five to 10 years, the death rate for colorectal cancer would drop by 50%.”
See how colorectal cancer screening saves lives.
Signs of colorectal cancer
- Colon cancer is typically discovered when a patient has a colonoscopy, but it’s important to watch for these warning signs:
- A change in your bowel habits, such as persistent diarrhea or constipation
- Bloody stools or rectal bleeding
- Abdominal discomfort, such as cramps, gas and pain
- Feeling like you are unable to empty your bowels completely
- Weakness or fatigue
- Unexplained weight loss
If you experience any of these symptoms, contact your care team right away.
Colorectal cancer care at Wellstar
If you have been diagnosed with colorectal cancer, count on Wellstar for comprehensive, personalized care. Our specialists will work together with you to form a tailored treatment plan and offer support every step of the way.
“When a patient is diagnosed with cancer, we walk with them and guide them on this difficult journey,” Dr. Klass said, sharing how Wellstar provides compassionate care.
Wellstar offers medical expertise close to home, clinical trials and state-of-the-art surgical procedures to treat colorectal cancer. We also have a multidisciplinary gastrointestinal (GI) tumor board that diagnoses and creates treatment plans collaboratively.
Along with cancer surgeons, medical oncologists and other experts, our care team also includes nurse navigators, dietitians, social workers, psychologists, psychiatrists and counselors to provide complete care and support.
Learn how Wellstar cares for colorectal cancer.
Get answers with genetic testing
Whether you have been diagnosed with colorectal cancer or are concerned about the chance of developing it, genetic testing can help you understand your risk of getting the disease.
If your parent, sibling or child has had colorectal cancer, you are two to three times more likely to develop the condition compared with someone with no family history. Our genetic counselors can help determine how genetic testing could benefit you and your family.
“Wellstar offers support from genetic counselors to help keep other family members safe in the future,” Dr. Klass said.
Highlights
The Robotic Alliance: Three Specialists, One Purpose
At Wellstar North Fulton Medical Center, something unique is happening in the world of minimally invasive surgery. Nestled right here in Roswell, a multidisciplinary team of robotic surgeons has quietly become one of the most experienced collaborative groups in Metro Atlanta—and across the state of Georgia.
The three surgeons—Dr. Scott Miller (robotic urologic surgery), Dr. Nathan Mordel (robotic gynecologic surgery) and Dr. Jay Singh (robotic colorectal surgery)—have collectively performed close to 9,000 robotic procedures over their careers. While that number is impressive, what it represents matters even more: thousands of patients who have benefited from smaller incisions, faster recoveries and precision that simply wasn’t possible a generation ago.
Although each of the specialties typically addresses distinct conditions, the team often cares for patients whose needs overlap two or even all three areas. These are the moments when a truly coordinated approach matters most. Rather than sending patients to multiple locations or staging separate procedures, the surgeons’ combined expertise allows them to tackle complex, concurrent issues together—efficiently, safely and in one place.
Severe (frozen pelvis) endometriosis is a perfect example of the need for a cooperative surgical approach. This condition affects millions of reproductive age women, invading the genital organs, as well as bladder, ureters, colon and rectum, thus deteriorating their quality of life. Concurrent robotic intervention by urological, colorectal and gynecological surgeons simultaneously treats all three organ systems—and on a mostly outpatient basis.
This collaborative model has become a defining strength of robotic surgery at Wellstar North Fulton. When specialists operate side-by-side, the conversation doesn’t just happen in the clinic—it continues in the operating room, where careful planning and shared experience translate into smoother procedures and better outcomes. Patients may not witness the teamwork directly, but they absolutely feel its benefits during their recovery.
Equally important, Wellstar has invested years in refining our techniques with next-generation robotic systems, which offer enhanced visualization, improved dexterity and precise tissue handling. Whether treating prostate conditions, complex colorectal disease or gynecologic disorders, robotics allows us to deliver the best aspects of minimally invasive surgery while maintaininga high level of surgical control.
Roswell may not be the first place people imagine when they think of cutting-edge surgical innovation, but the reality is that our community has become a hub for it. With a concentrated depth of experience rarely found in a single hospital, Wellstar North Fulton is leading the way in advanced robotic procedures across Georgia.
For us, the mission is simple: three specialties, one purpose—to give every patient access to the highest level of surgical care, in their neighborhood.
Visit wellstar.org/northfulton to learn more about care at Wellstar North Fulton. Call (470) 956-4230 to schedule with Dr. Miller, (470) 956-4590 to schedule with Dr. Mordel and (470) 267-1930 to schedule with Dr. Singh.
PeopleCare
PatCare
Pat Gelisse has been dancing for 30 years. She even taught the Carolina shag for a while. It’s a partner dance, sometimes compared to Swing dancing to beach music.
But severe heart failure downgraded Pat’s dancing queen status for close to 10 years.
“I went from feeling happy to feeling like a nothing,” she remembered of that time in her life.
With a team of Wellstar heart specialists working together for her, Pat found hope and new life on the dance floor.
Heart failure masquerades as acid reflux
It started more than a decade ago when Pat lived in central Georgia. She scheduled a doctor’s appointment for what she thought was acid reflux. She popped in on a quick break from her marketing job, assuming it wouldn’t take long.
Blood work and an EKG got Pat a ticket straight to the hospital and a quadruple bypass.
“My heart got worse; it wasn’t pumping blood,” Pat said.
She was in acute heart failure, a life-threatening condition where the heart doesn’t pump well enough to deliver the necessary amount of oxygen to her body. Pat’s ejection fraction (EF)—the percentage measurement of the blood that leaves the heart each time it pumps—was only 10%. The normal range is 50 to 70%.
It was a scary time, and with a family history of heart problems, Pat was worried. She’d lost both parents to heart failure, as well as other family members.
“I just knew for sure I was going to be next,” said Pat.
Doctors from various academic institutions discussed serious treatments ranging from LVAD to transplant, but because the pumping performance of her heart improved, she was no longer a candidate for those procedures. Instead, Pat spent close to nine years managing her heart failure with a pacemaker and various medications—treatments that failed to get her back on the dance floor.