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Article Category: Highlights

Are You Ready to Take Charge of Your Prostate Health?

Published on September 12, 2023

Last updated 08:19 AM June 11, 2024

Physician talking to a male patient

To live life to the fullest, men need to keep a pulse on their health stats, including their prostate numbers. Regular well checks and prostate cancer screenings with a primary care physician or urologist can identify prostate conditions—like prostate cancer—early, leading to better outcomes and higher long-term survival.

Partnering with a Wellstar doctor now means that if you are diagnosed later, you’ll have a team of prostate specialists in your court who are ready to support you faster.

For example, if you have prostate-related symptoms or an elevated prostate-specific antigen test, our Prostate Health Program offers patients access to the least invasive and most advanced testing and treatment options. Plus, patients who are diagnosed with prostate cancer will have a multidisciplinary team to provide treatment options. If needed, men can have non-invasive monitoring, minimally invasive robotic surgery or highly targeted radiation therapy at Wellstar—all of which minimize side effects compared to traditional treatments.

A better approach to prostate health

Wellstar created the Prostate Health Program to offer men a safe place to discuss sensitive health topics with less anxiety. 

One benefit of seeking care at Wellstar is that the team will minimize uncomfortable testing while giving you a best-in-class evaluation that delivers clear results. And you’ll have access to advanced genetic testing. If diagnosed with prostate cancer, patients have immediate access to a team of specialists working together to create the most personalized treatment plan.

“One great benefit of the Wellstar Prostate Program is our multidisciplinary approach to prostate care,” said Wellstar Urologist Dr. Adarsh Manjunath. “We work closely with radiation and medical oncologists to provide holistic care to our patients. The collective expertise and communication between everyone involved optimizes patient well-being.”

At the first appointment, patients meet with a urologist and a nurse navigator. Navigators help bridge the gap between office visits and medical tests. They’ll facilitate scheduling any appointments that are needed, help patients prepare and arrange any follow-up care that may be needed.

One great benefit of the Wellstar Prostate Program is our multidisciplinary approach to prostate care. We work closely with radiation and medical oncologists to provide holistic care to our patients. The collective expertise and communication between everyone involved optimizes patient well-being.

- Dr. Adarsh Manjunath, Wellstar Urologist

Today’s treatments offer fewer side effects

Once diagnosed, patients have immediate access to a multidisciplinary team of prostate experts. They want what’s best for you and work together to help you understand your diagnosis and personalized care options. Because not all prostate cancers are the same, there is no one-size-fits-all treatment.

The latest in robotic surgery

Wellstar is on the cutting edge of surgical technology. Robotic prostatectomy allows an experienced urologist to guide a robot and remove the prostate. This outpatient procedure is available at multiple Wellstar locations, shortens a patient’s time in surgery and hastens recovery.

Wellstar North Fulton Medical Center upgraded to the da Vinci Single Port robot, the latest advancement in robotic surgery. Beyond great precision and control of surgical movements, the da Vinci SP allows a surgeon to operate from a single port—and through one small incision—rather than four. Patients experience even less scarring and pain as a result.

“It’s like a plumber carrying his tool belt into the crawl space of your home rather than cutting multiple holes in your floor to replace the pipes,” said Dr. Scott Miller, a Wellstar urologist. “Surgery has gone so far beyond precision—it’s all about minimizing trauma to the surrounding healthy tissues.”
 

Advanced radiation therapy technology

Wellstar also offers a variety of state-of-the-art radiotherapies that limit exposure of the healthy tissue and lessen side effects. Treatments range from brachytherapy, small radiotherapy seeds implanted into the prostate, to targeted radiation therapy. Some types of radiation therapies are paired with SpaceOAR Vue Hydrogel technology, which lowers the impact of treatment on urinary, sexual and bowel function. Wellstar was the first system in Georgia to offer this option to patients with prostate cancer.

“Before treatment, we use a special gel to improve outcomes for our patients,” said Wellstar Radiation Oncologist Dr. Robert Taylor. In typical men, the rectum touches the prostate. The SpaceOAR Hydrogel separates them, so radiation can be delivered—sometimes in much higher doses—causing fewer side effects.”
 

Active surveillance

Patients diagnosed with low-grade, early-stage prostate cancer may choose to monitor its progress with their doctor. More than 70% of Wellstar patients with low-risk prostate cancer choose this option. Should the cancer change over time, other treatment options are discussed.

Make a Prostate Health Program appointment

Our team is here to help you manage and monitor your prostate health so you can keep living life to the fullest for years to come. Find a location near you and schedule an appointment today.

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Adarsh Manjunath Robert B Taylor Jr Scott David Miller
Mens Health Cancer Care Primary Care
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Robert, a new grandfather, poses proudly with his daughter and her infant son. With Wellstar helping him manage his HCM, he can keep making memories with his growing family.

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Robert Frederick was living a typical life, going to work and spending time with his mother, siblings and children. But then it became hard to breathe when walking short distances or climbing stairs. He got dizzy. Perhaps most disturbingly, he passed out several times—once at a Braves baseball game he attended with his siblings.

"I didn't know what was going on!" Robert recalled.

Difficulty controlling AFib with medication

After passing out the first time, he went to urgent care and was then taken to the hospital by ambulance. He learned his symptoms were caused by atrial fibrillation (AFib), an irregular heartbeat.

Robert began to see Dr. David Caras, a Wellstar general cardiologist, and learned AFib is related to high blood pressure. Successfully managing high blood pressure often helps people keep AFib under control. Despite their efforts, AFib sent Robert to the emergency room two more times.

Suspicion of HCM

Dr. Caras reviewed Robert’s hospital records and found he had increased wall thickness of the left ventricle and a gradient—a pressure difference between the left ventricle and the aorta when the heart pumps. These findings were consistent with a condition called hypertrophic cardiomyopathy (HCM). Characterized by abnormal thickening of the heart muscle, this disease makes it difficult for the heart to pump blood effectively.

Dr. Caras referred Robert to Dr. Melissa Burroughs, an HCM specialist at Wellstar. As a Center of Excellence designated by the Hypertrophic Cardiomyopathy Association, Wellstar is one of the leading providers of comprehensive HCM care in Metro Atlanta.

"We have physicians in the group—designated HCM specialists—that are the point person of the patient’s care," Dr. Burroughs explained. “This includes close communication and collaboration with electrophysiologists, surgeons, advanced heart failure specialists, social workers and behavioral health professionals.”

A rare finding leads to Mayo Clinic Care Network collaboration

Robert said, “Dr. Burroughs wanted to do genetic testing to verify that I had HCM."

But genetic testing revealed a rare genetic variant—one not known to be associated with HCM. Dr. Burroughs called it a “diagnostic conundrum.” The genetic variant found was typically associated with a different cardiac disease that Robert did not have. However, he did have clear signs of HCM.

To investigate further, Dr. Burroughs collaborated with other HCM experts through the Mayo Clinic Care Network, of which Wellstar is a member. Mayo Clinic, which is also an HCM Center of Excellence, provided access to its unpublished database, finding Robert’s rare mutation was present in two other family groups with HCM.

“It’s very important that we add to the science—that we include our patients in the registry to enhance what is already known about HCM,” Dr. Burroughs said.

Robert added, “Dr. Burroughs is very persistent. She wanted to know, ‘Why are you having these problems? What’s the root cause?’ She went above and beyond to find that out.”

Keep reading
At 26, Maria receives chemotherapy as part of her breast cancer treatment plan, determined to complete her interior design degree on time.

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Maria Fernanda Ortiz was a college junior, pursuing a degree in interior design. But at just 26 years old, her life took an unexpected turn. She discovered a lump in her breast, which led to a cancer diagnosis and expert, multidisciplinary care at Wellstar that would shape her professional aspirations in the future. Maria feels her hopeful attitude and compassionate care team at Wellstar helped her come through treatment with positive outcomes.

Feeling heard in healthcare

After Maria discovered a lump, she initially saw a doctor who went through the motions but didn’t seem to take her concerns seriously. 

“He was so sure it was nothing because I am so young,” she remembered. “I didn’t think it was cancer, but I wanted someone who would get to the bottom of it.”

She then saw her OB/GYN who referred her to Dr. Laura Pearson, a Wellstar breast surgeon at Wellstar North Fulton Cancer Center, for a second opinion. 

Maria got what she was looking for: a doctor who listened and would help her find answers. 

“Maria is the perfect example of a patient advocating for themselves,” Dr. Pearson said. “She did exactly what she was supposed to do for someone her age who finds a lump. When it didn’t go away, she got it looked at. When she didn’t feel like she was being heard, she didn’t let it go.”

 

A surprising cancer diagnosis

Dr. Pearson immediately performed an ultrasound in the office, followed quickly by a biopsy, which came back positive for cancer. 

"The diagnosis was scary," Maria said. “Dr. Pearson made it as simple as possible to understand by making sketches. She took the time to answer my questions—and she gave me hugs.”

Dr. Pearson added, “I try hard to be methodical and build a story: ‘This is what this means. This is how it applies to you.’ It’s important for patients to understand their plan and how it’s based very specifically on their situation.”

Maria was diagnosed with stage 2A breast cancer, meaning it was a small tumor but had spread to a nearby lymph node. 

“The stage helps us understand how the patient is going to do with standard treatment,” Dr. Pearson explained. “At stage 2A, we’re looking at a 90% survival rate.”

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Illustration of group of men

Highlights

Prostate Cancer Screening in Black Men

Screening for prostate cancer is crucial for early detection and to help provide the best possible outcome. It is especially important for Black men to be vigilant about screening, as they are disproportionately impacted by this cancer.

About 1 in 6 Black men will be diagnosed with prostate cancer in their lifetime, compared to 1 in 8 white men, according to a report from the American Cancer Society. Prostate cancer is the second leading cause of cancer death in Black men.

The American Cancer Society recommends that men at an average risk of developing prostate cancer begin screening when they are 50, but Black men should start earlier—at age 45 if they have no family history of prostate cancer, and at age 40 if any of their male relatives have had prostate cancer. Wellstar takes a personalized approach to cancer screenings, with clinicians discussing benefits versus risks of screening and helping patients evaluate their risk.

“Despite many physicians being aware of this and following this practice, Black men continue to be diagnosed with and die from metastatic prostate cancer. This is a trend that desperately needs to be reversed,” said Wellstar Primary Care Physician Dr. Earl Stewart. “We have adequate screening tools that do not even require a digital rectal examination.”

The Prostate-Specific Antigen (PSA) blood test is more accurate than the digital rectal examination in helping to detect prostate cancer, according to Dr. Stewart. Patients should also discuss family history with their relatives. “Patients knowing their family history is so crucial in having those discussions with primary care physicians to determine the best age at which to start screening,” Dr. Stewart said.

Screening for prostate cancer is as simple as making a preventive appointment with your primary care physician, discussing your family history with him or her, and having a PSA blood test. This test may be performed during an annual physical or wellness visit. Shared decision making between physician and patient is important to discuss your risk, your need for testing and next steps to take if your PSA level is elevated and concerning. Knowing your risk can save your life.

“I know many personally who are near and dear to me who had the disease and who unfortunately died from complications of metastatic prostate cancer,” Dr. Stewart said. “I know many more who lived because they had the conversation and dared to move forward with appropriate screening at the appropriate age.”

Learn more about prostate cancer care at Wellstar.

Keep reading
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