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
Amazing Advancements—Robotics Expand Patient Care Options
Robotic surgery has transformed how surgeons care for patients with new innovations yet again. At Wellstar, continued investment in advanced technology is helping elevate surgical care across specialties—giving patients the option to have more precise and less invasive procedures that are easier to recover from.
“Technology continues to advance to provide newer and safer alternatives to treat our patients,” said Dr. Aaron Bolduc, a general surgeon at Wellstar MCG Health Medical Center. “As we adopt this new technology, we are able to lead the way in patient care with excellent outcomes.
Wellstar has expanded its robotic surgery program with the addition of the Da Vinci 5 robotic surgical system—also known as the DV5—at most locations, along with new applications for single-port surgery. These innovations build on years of robotic experience while helping clinicians deliver world-class care and train the physicians of the future.
Fast recoveries
The latest technologies continue to redefine what’s possible in surgery, including even shorter hospital stays and faster recovery timelines.
Dr. Jay Singh, Wellstar chief surgical officer and a colon and rectal surgeon, said significantly smaller incisions make a big impact: “That is potentially huge from the standpoint of patient satisfaction, decreased pain, quicker recovery time, a decrease in narcotics used and a quicker return to work.”
The impact is so great that some robotic procedures that previously required a few nights in the hospital are now being done as outpatient procedures, allowing patients to recover in the comfort of their homes.
DV5: A new level of precision
The DV5 represents a significant step forward in robotic surgery—notably for surgeon awareness and control. One of its most notable advancements is force feedback: “The ability to sense hard and soft tissue during robotic surgeries is a game changer,” said Dr. Julie Chang, an obstetrics and gynecology specialist. She was the first surgeon to use the DV5 system at Wellstar Cobb Medical Center.
“Surgeries will be even more precise and efficient with this tool, which will further reduce post-operative pain and make recovery time faster,” said Dr. Chang.
The machine’s sensory feedback means surgeons can apply the exact amount of pressure needed.
“The DV5 allows the surgeon to sense how much push-or-pull force they apply to delicate structures in the body,” said Dr. Fritz Jean-Pierre, a bariatric surgeon at Wellstar Kennestone Regional Medical Center. “Less strain means less trauma and potential injury, leading to faster patient recovery.”
Wellstar’s robotic program is grounded in decades of experience, combined with a commitment to adopt best‑in‑class technology.
“Having performed robotic surgery for well over 20 years, I started with the very first Da Vinci surgical robot,” said Dr. Scott Miller, Wellstar director of robotic surgical services and a urologist at Wellstar North Fulton Medical Center. “I was amazed when that came around, but I never cease to be amazed by every advancement. Now we have introduced the DV5 model to most Wellstar locations with 10,000 times processing power.”
With that comes enhanced visualization, instrument responsiveness and precision across a wide range of procedures.
“The DV5 is ideal for many urologic procedures, such as prostate and kidney removal, bladder surgery and urinary tract reconstruction,” Dr. Miller said. “The improved range-of-motion and visualization features help us protect healthy tissues and nerves.”
Highlights
How Bariatric Surgery Can Improve Type 2 Diabetes—Even Before Significant Weight Loss
People who seek medical help for weight management are used to hearing that results take time. Imagine the surprise of some patients with type 2 diabetes when their blood sugar improves meaningfully within days or weeks of bariatric surgery. It happens—and it’s a dramatic sign of the benefits bariatric surgery holds for many patients, said Dr. Fritz Jean-Pierre, a board-certified bariatric surgeon and national leader in minimally invasive and robotic techniques for the treatment of obesity and metabolic disorders. When changes in blood sugar following bariatric and metabolic surgery were first observed in the 1990s, the reason was a mystery. But today, medical experts know more about the hormones that regulate hunger and insulin production. They also know more about how bariatric surgery affects the same hormones.
Understanding type 2 diabetes: It starts with insulin resistance
Insulin is a hormone that regulates blood sugar. Insulin resistance happens when muscle, fat and liver cells fail to respond to insulin, causing the pancreas to overproduce the hormone. Eventually, blood sugar rises. Patients may develop prediabetes or type 2 diabetes. Another hormone that affects weight is GLP-1. It’s naturally produced in the gut after eating. GLP-1 helps regulate blood sugar by:- Stimulating insulin
- Suppressing glucagon, a hormone the pancreas produces that raises blood glucose levels
- Slowing digestion
Many recognize GLP-1 today because of the class of weight-management drugs such as Ozempic, Zepbound and Wegovy. These medications mimic and amplify the effects of the GLP-1 hormone.
How bariatric surgery affects hunger hormones and improves health
Several types of bariatric surgery are performed at Wellstar. While each procedure alters the digestive system differently, all appear to influence the hormones that regulate hunger and blood sugar. Hormones, such as GLP-1, that promote fullness and insulin sensitivity increase after surgery. The liver produces less excess glucose, and the body becomes more sensitive to insulin. Other hormones—like ghrelin, which signals the brain that the stomach is empty—decrease after surgery. “We've known since the early 2000s that after bariatric surgery, you have a boost in GLP-1 hormone production,” said Dr. Jean-Pierre. “Patients notice improvements in their blood sugars and that feeling of fullness.” As a result of hormonal changes triggered by surgery, patients who are not yet on insulin replacement therapy may enter diabetes remission relatively soon, according to Dr. Jean-Pierre. “The patient may have lost only 5 or 10 pounds yet their blood sugars have become normalized,” he said. “Their diabetes is completely controlled without medication after surgery. That’s the best-case scenario.” For other patients, improved blood sugar may take longer. Still, clinical trials show that bariatric surgery leads to diabetes remission in 33% to 90% of individuals at one year after bariatric and metabolic surgery.1 “These surgeries are not just changing or shrinking the patient’s stomach,” Dr. Jean-Pierre said. “We're changing their metabolisms in a way that will help improve a lot of related health conditions like high blood pressure, abnormal cholesterol and fatty liver disease.”Long-term health benefits of bariatric surgery
There are many health risks of type 2 diabetes and obesity. Those include high blood pressure, high cholesterol, sleep apnea and joint pain. Unmanaged diabetes can lead to damage to nerves, kidneys, eyes and heart. Stroke risk is also higher in people with diabetes. Physicians have more treatment options for obesity than ever, including surgery, medications and lifestyle changes. Wellstar Center of Best Health is a comprehensive weight management clinic with clinicians, dietitians, psychologists and exercise physiologists who work collaboratively with surgeons. Together, they learn about each patient’s situation and develop a personalized treatment plan with the best chance of success. Some patients may benefit from both surgery and medication. “Obesity is a chronic, relapsing, multi-variable disease process that we have to approach from different angles in order to best treat it,” said Dr. Jean-Pierre. “You must approach it comprehensively, including nutrition and exercise. Medication itself is not a magic bullet. Surgery is not a magic bullet.” Wellstar’s weight loss teams support patients throughout their healthcare journey. The goal is to see patients reach their goals and return for follow-up care in even better health. “It’s amazing when all of these treatment options fire in the right direction and we see the health improvements that come along with surgery,” such as:- Better diabetes control
- Lower blood pressure
- Less joint inflammation and pain
- End of the need to use a CPAP for sleep apnea
“Most surgeons fix something, then you don't see your patient again. With bariatric surgery, it's a very different relationship,” Dr. Jean-Pierre said. “We see our patients for a long period of time afterward. We get to share in their successes and see their accomplishments as they lose that weight.” Learn more about obesity medicine at Wellstar and make an appointment to see an obesity specialist at one of our locations.
Highlights
Commemorate Cancer Survivors Day with Wellstar
Wellstar supports people with cancer throughout their journeys, from early screenings to diagnosis to treatment. But our encouragement and dedication to delivering world-class, compassionate care doesn’t end in remission.
Across our system, Wellstar honors the bravery and strength of survivors every day, rejoicing in each milestone. This National Cancer Survivors Day, we are proud to pay tribute to the people who have conquered cancer and offer hope to those still fighting. This year’s Cancer Survivors Day theme—Saddle Up for Survivorship—exemplifies our commitment to being a steadfast source of encouragement for cancer survivors and fighters across Georgia.
Several Wellstar facilities will host events—and you can be a part of the celebration!
Northwest Georgia Oncology Centers in Cartersville
June 5
1 PM to 3 PM
65 Cloverleaf Drive, Cartersville
Contact Mary Ellen Smither at [email protected] or (678) 858-1146.
Wellstar Cobb Medical Center
June 5
12 to 2 PM
4040 Hospital West Drive, Austell
The event will be held in the parking lot across from Tranquility Hospice located at 4040 Hospital West Drive.
Contact Ashley Dapremont at [email protected] or (470) 732-4523.
Wellstar Douglas Medical Center
June 6
11 AM to 1 PM
6167 Prestley Mill Road, Douglasville
Douglasville First United Methodist Church
Contact Diane Harris at [email protected] or (470) 644-5411.
Wellstar Kennestone Regional Medical Center
June 5
11:30 AM to 2:30 PM
320 Kennestone Hospital Blvd., Marietta
Cancer Center
Contact Leena Augustine at [email protected].
Wellstar North Fulton Medical Center
June 6
2 to 4 PM
3000 Hospital Blvd., Roswell
Main lobby in hospital
Contact Sarah Bentley at [email protected] or (770) 751-2556.
Wellstar Paulding Medical Center
June 7
2 to 4 PM
144 Bill Carruth Parkway, Hiram
Atrium
Contact Kellie Mitchell at [email protected] or (470) 644-8106.
Wellstar Spalding Medical Center
June 5
12 PM to 2 PM
608 South 8th St., Griffin
Cancer Center
Contact Sherry Connell at [email protected] or (470) 935-5526.
Wellstar West Georgia Medical Center
June 5
10 AM to 12 PM
111 Medical Drive, LaGrange
Enoch Callaway Cancer Center
Contact Stephanie Hand at [email protected].