Skip Navigation
Book Now! Find care near you Find care near you Find care near you
wellstar-logo
Wellstar Go Back
Go to MyChart

Questions? We can help!

Call (770) 956-STAR (7827)

Monday - Friday, 7 AM - 4:30 PM

Contact Us
For Patients & Families For the Community For Providers About Us Careers
  • Start Your Care

  • Find a Doctor
  • Find a Location
  • Our Services
  • Virtual Visits
  • Planning

  • Accepted Insurance
  • Hospital Payment Planning
  • Financial Assistance
  • Pricing Information
  • Before Your Visit

  • Sign Up for MyChart
  • Visitation Guidelines
  • While You're Here

  • Support & Entertainment
  • Join an Event
  • After Your Visit

  • Pay Your Bill
  • Get Medical Records
  • Contact us
  • COVID-19 Support

  • COVID-19 Information
  • Vaccines
  • Testing Information
  • Foundation Relief
  • Community Care

  • In the Community
  • Health Highlights
  • Community Health Needs Assessment
  • Latest News
  • Center for Health Equity
  • Wellstar Find Help
  • Events & Programs

  • Events Calendar
  • On-Demand Classes
  • Support Groups
  • Give

  • Wellstar Foundation
  • Donate
  • Ways to Give
  • Thank a Caregiver
  • West Georgia
    Health Foundation
  • Volunteer

  • PeopleCare Advisory Council
  • For Adults
  • Care

  • Transfer a Patient
  • Cures Act
  • Refer a Patient
  • Lab Test Directory
  • Request to Conduct Research
  • Connect

  • Physician Relations
  • Request Imaging Services
  • Wellstar Clinical Partners
  • Wellstar Medical Group
  • Mayo Clinic Care Network
  • Medical Staff Services
  • Provider Recruitment
  • Log In

  • EpicCare Link
  • Lawson Connect
  • MyID Password Reset
  • Citrix Access
  • Leadership

  • Authority Board
  • Board Of Trustees
  • Foundation Board
  • Regional Health Boards
  • Executive Leadership
  • Awards, Recognition & Safety

  • Accreditation & Certifications
  • Awards & Recognition
  • Safety First Program
  • Nursing
  • Careers at Wellstar

  • Apply now
  • Upcoming virtual events
  • Why Wellstar?
  • Nursing Careers

  • Nursing (Direct Care)
  • Nursing Leadership
  • Nursing (Non-bedside)
  • Nursing Support
  • Physician, APP & Clinical Careers

  • Advanced Practice Providers (APPs)
  • Allied Health Professionals
  • Homecare & Hospice
  • Physicians
  • Support Team Careers

  • Administrative & Clerical
  • Coding, Compliance & HIM Systems
  • Facility, Environmental & Nutrition/Food Services
  • Information Technology & Systems
  • For Patients & Families
  • For the Community
  • For Providers
  • About Us
  • Careers
  • Search Search Search
  • MyChart MyChart MyChart

Start Your Care

Find a DoctorFind a LocationOur ServicesVirtual Visits

Planning

Accepted InsuranceHospital Payment PlanningFinancial AssistancePricing Information

Before Your Visit

Sign Up for MyChartVisitation Guidelines

While You're Here

Support & EntertainmentJoin an Event

After Your Visit

Pay Your BillGet Medical RecordsContact us

COVID-19 Support

COVID-19 InformationVaccinesTesting InformationFoundation Relief

Community Care

In the CommunityHealth HighlightsCommunity Health Needs AssessmentLatest NewsCenter for Health EquityWellstar Find Help

Events & Programs

Events CalendarOn-Demand ClassesSupport Groups

Give

Wellstar FoundationDonateWays to GiveThank a CaregiverWest Georgia
Health Foundation

Volunteer

PeopleCare Advisory CouncilFor Adults

Care

Transfer a PatientCures ActRefer a PatientLab Test DirectoryRequest to Conduct Research

Connect

Physician RelationsRequest Imaging ServicesWellstar Clinical PartnersWellstar Medical GroupMayo Clinic Care NetworkMedical Staff ServicesProvider Recruitment

Log In

EpicCare LinkLawson ConnectMyID Password ResetCitrix Access
About Wellstar

Our patients are the center of everything we do. We're nationally ranked and locally recognized for our high-quality care, inclusive culture, exceptional doctors and caregivers, and one of the largest and most integrated healthcare systems in Georgia.

About Us

Leadership

Authority BoardBoard Of TrusteesFoundation BoardRegional Health BoardsExecutive Leadership

Awards, Recognition & Safety

Accreditation & CertificationsAwards & RecognitionSafety First ProgramNursing

Careers at Wellstar

Apply nowUpcoming virtual eventsWhy Wellstar?

Nursing Careers

Nursing (Direct Care)Nursing LeadershipNursing (Non-bedside)Nursing Support

Physician, APP & Clinical Careers

Advanced Practice Providers (APPs)Allied Health ProfessionalsHomecare & HospicePhysicians

Support Team Careers

Administrative & ClericalCoding, Compliance & HIM SystemsFacility, Environmental & Nutrition/Food ServicesInformation Technology & Systems
Questions? We can help!

Call (770) 956-STAR (7827)

Monday - Friday, 7 AM - 4:30 PM

Contact Us
Close
  • Schedule With This Provider
  • Schedule At This Location
  • Schedule With This Provider
  • Schedule At This Location
  • Urgent Care
  • Primary Care
  • Virtual Care
  • Emergency Care
Close Close Close Book Now Menu
  • Schedule With This Provider
  • Schedule At This Location
  • Schedule With This Provider
  • Schedule At This Location
  • Urgent Care
  • Primary Care
  • Virtual Care
  • Emergency Care

Introducing

Wellstar Virtual Care

Access Wellstar healthcare providers
wherever you are.

Get started

Warning Warning Our "Book Now" feature should not be used for life threatening conditions such as heart attack, severe injury, poisoning, chest pain, or stroke. If you are experiencing such conditions, STOP and CALL 911 IMMEDIATELY or visit your nearest Emergency Department.

I Understand
  • Home
  • Articles
  • Urology and You: A Doctor Answers Sensitive Questions
Article Category: Highlights

Urology and You: A Doctor Answers Sensitive Questions

Published on February 24, 2025

Last updated 10:52 AM February 24, 2025

Woman and man drinking water

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.

Tags

Scott David Miller Media Room
Related Articles
Provider taking patient's blood pressure

Highlights

Hey Man, Make Health Your Habit

If you’re a sports fan, you probably know your stats.

Like how NBA Hall of Famer Dominique Wilkins remains undefeated in Atlanta Hawks history for points (23,292) and ranks second in team history in steals (1,245). But there are a few, even more important numbers you should know off the top of your head: your health stats.

Do you know your blood pressure? What about your low-density lipoproteins? Maybe you can clock an eight-minute mile or bench press 250 pounds, but do you know your hemoglobin A1C?

Men are less likely than women to see their healthcare team once a year. Wellstar Primary Care Physician Dr. Tameka Byrd said it’s crucial men stay up to date on preventative care and essential screenings.

“Yearly physicals can catch illnesses before they start and prevent health issues from getting worse,” Dr. Byrd said. “Your primary care provider will tailor a screening plan depending on your age, health history and other factors so you can proactive with your wellness.”

Getting and staying healthy doesn’t just help us feel better—it ensures we can be there for those we care about too.

“It’s also for loved ones—spouses, partners, children and parents. We’re not only here for us. We’re here for our friends and family,” said Wellstar Urologist Dr. Scott Miller. “The best thing you can do for those you care for is to take care of yourself.”

Stats all men should know to stay in the game include:

Body mass index (BMI)

BMI determines whether you have a healthy body weight and categorizes obesity levels. A recommended BMI range is between 18.5 to 25.

Low-density (LDL) and high-density lipoprotein (HDL) cholesterol

This blood test measures cholesterol levels and should be part of your wellness routine starting in your 20s. For men 20 or older, healthy LDL levels should be under 100 milligrams per deciliter and aim to keep your HDL above 40.

Blood pressure

Your clinician will take your blood pressure during your regular visit, but you can also find blood pressure checking stations at many pharmacies or buy your own device to use at home. Blood pressure under 120/80 is considered ideal.

Hemoglobin A1C 

This metric measures whether or not you have healthy blood sugar. If you are diabetic, you should check your A1C every three months.

Prostate-specific antigen test (PSA)

Men who are 50 or older should discuss prostate cancer testing with their clinician, according to the American Cancer Society. Men at a higher risk, including Black men and those who had a brother or father diagnosed with cancer before age 65, should ask their care team about testing at age 45. Patients who had more than one close relative with prostate cancer at an early age should have this conversation with their clinician when they’re 40. The Wellstar Prostate Health Program evaluates and treats people with a higher risk for prostate conditions. 

An abnormal PSA result could be an indication of prostate cancer. For men in their 40s and 50s, a PSA score higher than 2.5 nanograms per milliliter is considered abnormal, and men in their 60s should have a PSA score of 4.0 nanograms per milliliter or less.

Along with staying up to date on those health stats, men should also be getting regular colorectal cancer screenings. The American Cancer Society recommends that people at average risk for colorectal cancer screening get checked regularly beginning at age 45. Screenings should continue through age 75, and after that patients can discuss their personal risk and history with their clinician.

Your Wellstar primary care team will partner with you in creating a personalized health plan. Find a provider near you and book online or locate an Augusta area provider.

Keep reading
Friendly image of Acworth

Newsroom

Wellstar Proposes New Acworth Area Hospital To Meet Community Need

To address the growing need for hospital beds in Acworth and the surrounding areas, Wellstar Health System is proposing to build a new 230-bed hospital, filing its Letter of Intent with the Georgia Department of Community Health. A Letter of Intent is the first step in the process to obtain a Certificate of Need for a new hospital.

The new hospital would be located on Cobb Parkway across from the Wellstar Acworth Health Park. Wellstar’s long history of service to this community makes it the ideal partner to continue to meet the area's growing healthcare needs. The project will be supported by Wellstar Health System resources, including Wellstar Kennestone Regional Medical Center and Wellstar Paulding Medical Center, and numerous primary, urgent and specialty care locations, which will further enable the project to provide high-quality care in an integrated, coordinated and efficient manner.

Wellstar will file a detailed Certificate of Need application on or before June 23, 2025, that will include architectural renderings and how the hospital would address the community’s health and wellness needs.

“Wellstar is improving access to care, and this new hospital is the latest in a series of projects that do just that,” said Candice L. Saunders, president and CEO of Wellstar Health System. “The area is growing so much that even when our new tower at Wellstar Kennestone opens next year, the region will need more hospital beds. A new hospital in Acworth would fill a crucial need for the region’s medical care.”

Wellstar is improving access to care for communities across Georgia through more than $1.4 billion in major projects, including:

  • Expanding Wellstar Kennestone with a new 200-plus bed tower for additional specialty care,
  • Expanding Wellstar Paulding with a new 56-bed tower and parking deck to meet growing community need,
  • Adding a new oncology center to Wellstar Spalding Medical Center to help keep cancer care local,
  • Committing to upgrading and expanding facilities in the Augusta area, including building a new 100-bed hospital and medical office building in Columbia County for the largest county in Georgia without its own hospital,
  • Adding primary care, pediatric, urgent care and specialty services in the communities Wellstar serves, and
  • Partnering with the Augusta University Medical College of Georgia Center for Digital Health to provide rural hospitals with access to specialty care.

The new hospital would be part of a Wellstar system that provides more than $1 billion each year in charity and uncompensated care—more than any health system in Georgia. Wellstar is also a leader in medical education through its partnerships with academic institutions, accelerates healthcare technology and innovation, and is recognized by Fortune magazine as one of the 100 Best Places to Work in America.

“Access to healthcare has been expanding throughout Cobb County, but we still have an unmet need for hospital beds in the northern portion of our county,” said Lisa Cupid, chairwoman of the Cobb County Board of Commissioners. “Wellstar is deeply committed to our region, and we’re grateful that they recognized this need and are stepping forward with a solution.”

“Acworth’s population grew fivefold in ten years, and we continue to attract people who want to live and work in our area,” said Tommy Allegood, mayor for the City of Acworth. “The City of Acworth has been expanding our critical infrastructure and creating a place where families will want to stay for generations. A hospital would be extremely beneficial to our community, and we appreciate Wellstar’s willingness to meet our need.”

Wellstar is headquartered in Cobb County and is deeply involved in the area, tracing its heritage to 1950 when Kennestone Hospital opened. In keeping with its community roots, Wellstar will establish a community advisory council to honor every voice throughout the Certificate of Need process.

“My patients are from all walks of life, but they share a desire for a hospital that’s closer to home, especially those who have chronic conditions or are elderly,” said Dr. Michaele Brown, a Wellstar primary care doctor in Acworth. “We live in a vibrant, growing area. Our patients’ access to all levels of healthcare should be just as vibrant and that includes a hospital where they can quickly get the level of care they need when they need it.”

“We will involve the community in every step of this process, and make sure this hospital meets the community’s needs for generations to come,” said Saunders.

In addition to providing care for generations of families, Wellstar actively supports community health and well-being through partnerships with nonprofit, civic and business organizations, as well as academic institutions. Through these partnerships, Wellstar serves all of its neighbors’ needs, ranging from access to healthcare to food and housing insecurity to educational support and career development.

Keep reading
Dr. Nasarachi Onyeuku, a radiation oncologist at Wellstar, standing with one of the two TrueBeam linear accelerators in use for cancer care at Wellstar Cobb Cancer Center

Newsroom

Wellstar Cobb Cancer Center Expands Treatment Services

New radiation technology and refreshed waiting and treatment areas are expanding world-class cancer treatment at Wellstar Cobb Cancer Center.

Cancer care in forward motion

Wellstar Cobb Cancer Center recently installed its second TrueBeam linear accelerator, which treats various cancers, including brain, head and neck, prostate, breast, lung, skin and gastrointestinal tumors. With the linear accelerator, clinicians can adjust the size and shape of beams to a tumor’s shape and spare healthy tissue.

With the second linear accelerator, Wellstar Cobb can offer patients more flexible and convenient scheduling. “An additional linear accelerator can lead to timely treatment starts and shorter wait times,” said Dr. Nasarachi Onyeuku, a radiation oncologist at Wellstar. “It expands our ability to treat more patients with cutting-edge care, continuing our commitment to bringing world-class cancer treatment closer to home.”

In addition to state-of-the-art external beam radiotherapy, TrueBeam delivers precise, high-dose stereotactic body radiotherapy (SBRT) targeting tumors in the body. It also provides stereotactic radiosurgery (SRS) for brain or spine cancer treatment. Patients will typically receive one to five treatments.

Patient-centered care at Wellstar Cobb

Wellstar Cobb Cancer Center recently renovated its treatment areas, front desk and waiting room, making it more welcoming and comforting for patients and their families. Within the treatment areas, the suite where patients receive high-dose radiation brachytherapy, a targeted treatment that involves placing radioactive material directly into tumors or near them, also underwent renovations.

“The beautifully designed space enhances patient comfort, offering a calm, supportive environment,” Dr. Onyeuku said. “We’re currently treating breast, cervical, uterine and skin cancers, with plans to expand to other cancer types. It’s advanced, efficient care—delivered close to home and with compassion.”

Early detection and support services

Cancer care begins with prevention and early detection. Wellstar Cobb is home to a lung cancer STAT Clinic, where specialists collaborate to diagnose and begin treatment within as little as 14 days. According to research by the Cleveland Clinic, patients can spend up to eight weeks on average visiting different specialists before starting a treatment plan. Earlier treatment can lead to the best possible outcomes.

Patients at Wellstar Cobb receive support at every stage of their treatment. These services include:

  • Emotional support from a social worker
  • Lymphedema therapy for patients with excess fluid and swelling
  • Meal planning with a dietitian
  • Monthly support group
  • Pain management
  • Physical therapy
  • Transportation assistance

“We have a superb team and state-of-the-art treatment here at Wellstar Cobb Cancer Center. And we’re backed by the resources of a nationally recognized health system,” Dr. Onyeuku said. “We are thrilled that our technology enhancements allow us to serve more people with exceptional cancer treatment.”

Learn more about cancer care in Cobb.

Keep reading
Back to Top
Branding illustration
Wellstar Logo
More than healthcare. PeopleCare.
Branding illustration
For Job Seekers & Team
Careers Diversity Equity Inclusion and Belonging Onboarding
For Students
Students Portal
Graduate Medical Education
Medical Residency Pharmacy Residency
For Business
Corporate Purchasing
For the Media
Media Room Community Health Needs Assessment
Help
Contact Us Pay Your Bill Policy & Privacy Information Hospital Transparency Information Price Transparency
For Job Seekers & Team
Careers Diversity Equity Inclusion and Belonging Onboarding
For Students
Students Portal

Graduate Medical Education
Medical Residency Pharmacy Residency
For Business
Corporate Purchasing
For the Media
Media Room Community Health Needs Assessment
Help
Contact Us Pay Your Bill Policy & Privacy Information Hospital Transparency Information Price Transparency

Copyright © 2025 Wellstar Health System. All Rights Reserved.

Wellstar does not discriminate on, exclude people or treat them differently on the basis of race, color, national origin, age, disability, sex, gender identity or expression or any other type of discrimination prohibited by law.

Cookie Preferences

We use cookies for booking and general analytics. Learn more about our internet privacy policy.