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Scott Miller, MD

Specialties

Urology

Education & Training

Doctor of Medicine

Book an appointment Meet Dr. Scott Miller

Scott Miller, MD

Urologist with Wellstar since 1997.

Specialties

Urology

Education & Training

Doctor of Medicine

Urologist with Wellstar since 1997
  • Member of the Wellstar Medical Group A friendly image of Scott Miller Scott Miller, MD
  • Office Locations
  • Expertise
  • Patient Reviews
  • Publications & Articles

Office Locations


Expertise

About Scott Miller, MD

Scott D. Miller, MD arrived in Atlanta in 1995 and quickly established himself in the medical community not only as a compassionate physician who believes patients should be informed and involved in their care, but also as a colleague ready to help other healthcare providers. Dr. Miller now brings more than 20 years of experience and expertise in laparoscopic and robotic surgery to the Wellstar Medical Group.

As the state’s first urologic laparoscopist, he soon became a known advocate for the reduced invasiveness, faster healing, and minimized complications inherent in the “Band-Aid surgery” approach. Whether teaching other surgeons from across town or around the world how to perform these techniques, or using the same methods to get patients out of the hospital and back on their feet sooner, Dr. Scott Miller has a consistent philosophy: focus on the special needs of laparoscopic urologic surgery patients and perfect his techniques in order to deliver the best possible care. He currently has one of the largest and most diverse experiences in laparoscopic and robotic urology in the Southeast.

DR. SCOTT MILLER HAS A PERSONAL HISTORY OF MEDICAL "FIRSTS":
  • Early 1990s – While in his residency (his program was an early adopter of advanced urologic laparoscopy techniques), Dr. Scott Miller lays the foundation to become one of the first urologists to perform these procedures on a large scale outside of an academic center.
  • 1995 – Performs the state of Georgia’s first laparoscopic kidney removal for kidney cancer.
  • 1996 – First in Georgia to perform a successful complex reconstruction of the urinary tract (pyeloplasty and ureteral re-implant) via laparoscopy.
  • 2000 – Completes Georgia’s first laparoscopic prostate removal without robotic assistance. Less than 1% of urologists have completed one successful prostate removal in this manner, let alone several hundred, as in the case of Dr. Scott Miller.
  • 2003 – Conducts Georgia’s first prostate removal using a robotic surgery system.
  • 2005 – Develops the S.P.E.C.I.A.L™ (sequential pre-emptive exposure of cavernosal innervation with atraumatic ligation) surgical technique for preserving nerve function after prostate removal, which improves post-operative erectile function. Not only does this technique protect the essential nerve bundles, but also the surrounding neural structures and supporting tissues prone to injury from the slightest manipulation.


He performs more than 250 various robotic surgery and laparoscopic procedures every year, and continues to provide education to other physicians through peer-reviewed journal and book chapter publications, hands-on teaching, and scientific presentations. Dr. Miller is also an accomplished musician and composer who has written a variety of songs (including a new one about the emotional impact of a cancer diagnosis).

Board certified by the American Board of Urology since 1997, Dr. Scott Miller is an active member of many professional societies including the American Urological Association, the Society of Laparoendoscopic Surgeons, and the Endourological Society. He graduated from the Medical College of Georgia and completed his urologic residency at the University of Kentucky Medical Center.

Dr. Miller accepts most major insurance plans for laparoscopic, robotic, and other urologic services (he treats a variety of urologic conditions that often do not require surgery).
Meet Dr. Scott Miller

Specialties

  • Urology

Education & Training

  • Medical College of Georgia-Augusta University

Degree

  • Doctor of Medicine

Residency

  • University of Kentucky

Certifications

  • American Board of Urology

Hospital Affiliations

  • Wellstar Cobb Hospital
  • Wellstar Douglas Hospital
  • Wellstar Kennestone Hospital
  • Wellstar Windy Hill Hospital
  • Wellstar North Fulton Hospital
  • Wellstar Paulding Medical Center
  • Wellstar West Georgia Medical Center
  • Wellstar Spalding Regional Hospital

Languages spoken

  • English

Patient Reviews

Overall patient rating

4.9

Based on 555 patient ratings

Treated me with courtesy and respect
Shared easy to understand information
Listened to me carefully
I'd recommend this provider to family and friends
I'd recommend this practice to family and friends
Earned my trust
Shared the right amount of information

All reviews have been submitted by patients after seeing the provider.For more information about the review system, check out this Learn more about our review system.

Patient Reviews

5

I liked ... I had a good experience with Dr. Miller and he was very thoughtful and listened to me carefully. I enjoyed it and gave me self-confidence that I can go see him again. I appreciate his, what do you call it, listening and patience and pay attention to me as I expected. I thank him for that visit. Thank you. Bye bye.

May 14, 2025

5

Great doctor who takes time out to listen to his patients thanks

May 11, 2025

5

Dr Miller is fantastic in surgical skis and bedside manner

May 11, 2025

5

Doctor miller is the best

May 10, 2025

5

I had to wait almost an hour past the scheduled time and was asked to come in 25 min before. They know there was an early morning IT delay but did not tell me there was an extra hour I would have to wait. They knew it and didn't tell me . They have to share that if they don't want angry clients

May 8, 2025

4

I pressed some incorrect keys trying to start off. Everything was exceptional with Dr. Miller. Feedback, all of his information was marvelous. So please ignore my incorrect answers. I had to scale back.

May 7, 2025

5

Great

May 5, 2025

5

Dr Miller is excellent. Glad I switched to him!

April 30, 2025

5

Awesome team

April 30, 2025

5

Dr. Miller took extra time to understand my concerns and then we figured out a plan together. I would highly recommend Dr. Miller and his practice to any of my friends and family!

April 28, 2025

5

Dr. Miller is the best!

May 3, 2025

5

wonderful physician experience. lovely nurse assistant. very relaxed atmosphere entire visit. very impressed and such a comfortable easy Dr to communicate with.

April 27, 2025

5

All was very good.

April 27, 2025

5

Dr Miller is one of the best in the nation. To have someone send this out to his patients is degrading. He is an excellent Doctor. You should never send these out. What you don't have faith in YOUR Doctors????

April 24, 2025

5

Great experience!!!!

April 14, 2025

5

The administrative staff were awesome. Very courageous and friendly. The Medical staff were courteous and professional. I always have a good experience when shoeing up for an appointment!

April 10, 2025

5

Great experience from the front desk to Dr. Miller. Can't say enough. An office full of polite, intelligent qualified professionals.

April 10, 2025

5

Always good connecting with Dr Miller!

April 10, 2025

5

Excellent Service.

April 4, 2025

5

Because of the quality I received at my consultation, I am not worried about my up coming surgery.

April 4, 2025

5

Dr Miller explained everything about the options I had in a way that helped me make my decision about what I needed to do.

April 4, 2025

5

Dr. Miller and his staff were great. Dr. Miller listened to my concerns and options, and we agreed to a plan. All in all a great visit!

April 4, 2025

5

Awesome!!!

April 3, 2025

5

Very professional!

April 3, 2025

5

I feel like I'm in good hands with Dr. Miller. I really appreciate being able to see him vs a PA/NP. At this point in my care, it's his expert advice that I need to help me make decisions.

March 31, 2025

5

I have been seeing this provider for about 5 years. I really feel comfortable around him. I can talk to him about my concerns and what I need to do. He gives me great advice. He professional and friendly.

March 31, 2025

5

Dr. Miller and his staff are outstanding! Very professional and knowledgeable. I completely trust Dr. Miller and staff.

April 2, 2025

5

Dr Miller listens, is patient and is more interested in helping me with my health issues than booking surgeries. That is more than I can say for other practitioners.

March 30, 2025

4

Yes, I was sent for blood work after I saw Dr. Miller and the technician that drew the blood was poor. And that's all I have to say about that. Goodbye.

March 29, 2025

5

Excellent

March 28, 2025

5

I liked ... I had a good experience with Dr. Miller and he was very thoughtful and listened to me carefully. I enjoyed it and gave me self-confidence that I can go see him again. I appreciate his, what do you call it, listening and patience and pay attention to me as I expected. I thank him for that visit. Thank you. Bye bye.

May 14, 2025

5

Great doctor who takes time out to listen to his patients thanks

May 11, 2025

5

Dr Miller is fantastic in surgical skis and bedside manner

May 11, 2025

5

Doctor miller is the best

May 10, 2025

5

I had to wait almost an hour past the scheduled time and was asked to come in 25 min before. They know there was an early morning IT delay but did not tell me there was an extra hour I would have to wait. They knew it and didn't tell me . They have to share that if they don't want angry clients

May 8, 2025

5

Great

May 5, 2025

5

Dr Miller is excellent. Glad I switched to him!

April 30, 2025

5

Awesome team

April 30, 2025

5

Dr. Miller took extra time to understand my concerns and then we figured out a plan together. I would highly recommend Dr. Miller and his practice to any of my friends and family!

April 28, 2025

5

Dr. Miller is the best!

May 3, 2025

5

wonderful physician experience. lovely nurse assistant. very relaxed atmosphere entire visit. very impressed and such a comfortable easy Dr to communicate with.

April 27, 2025

5

All was very good.

April 27, 2025

5

Dr Miller is one of the best in the nation. To have someone send this out to his patients is degrading. He is an excellent Doctor. You should never send these out. What you don't have faith in YOUR Doctors????

April 24, 2025

5

Great experience!!!!

April 14, 2025

5

The administrative staff were awesome. Very courageous and friendly. The Medical staff were courteous and professional. I always have a good experience when shoeing up for an appointment!

April 10, 2025

5

Great experience from the front desk to Dr. Miller. Can't say enough. An office full of polite, intelligent qualified professionals.

April 10, 2025

5

Always good connecting with Dr Miller!

April 10, 2025

5

Excellent Service.

April 4, 2025

5

Because of the quality I received at my consultation, I am not worried about my up coming surgery.

April 4, 2025

5

Dr Miller explained everything about the options I had in a way that helped me make my decision about what I needed to do.

April 4, 2025

5

Dr. Miller and his staff were great. Dr. Miller listened to my concerns and options, and we agreed to a plan. All in all a great visit!

April 4, 2025

5

Awesome!!!

April 3, 2025

5

Very professional!

April 3, 2025

5

I feel like I'm in good hands with Dr. Miller. I really appreciate being able to see him vs a PA/NP. At this point in my care, it's his expert advice that I need to help me make decisions.

March 31, 2025

5

I have been seeing this provider for about 5 years. I really feel comfortable around him. I can talk to him about my concerns and what I need to do. He gives me great advice. He professional and friendly.

March 31, 2025

5

Dr. Miller and his staff are outstanding! Very professional and knowledgeable. I completely trust Dr. Miller and staff.

April 2, 2025

5

Dr Miller listens, is patient and is more interested in helping me with my health issues than booking surgeries. That is more than I can say for other practitioners.

March 30, 2025

5

Excellent

March 28, 2025

4

I pressed some incorrect keys trying to start off. Everything was exceptional with Dr. Miller. Feedback, all of his information was marvelous. So please ignore my incorrect answers. I had to scale back.

May 7, 2025

4

Yes, I was sent for blood work after I saw Dr. Miller and the technician that drew the blood was poor. And that's all I have to say about that. Goodbye.

March 29, 2025

4

I pressed some incorrect keys trying to start off. Everything was exceptional with Dr. Miller. Feedback, all of his information was marvelous. So please ignore my incorrect answers. I had to scale back.

May 7, 2025

4

Yes, I was sent for blood work after I saw Dr. Miller and the technician that drew the blood was poor. And that's all I have to say about that. Goodbye.

March 29, 2025

5

I liked ... I had a good experience with Dr. Miller and he was very thoughtful and listened to me carefully. I enjoyed it and gave me self-confidence that I can go see him again. I appreciate his, what do you call it, listening and patience and pay attention to me as I expected. I thank him for that visit. Thank you. Bye bye.

May 14, 2025

5

Great doctor who takes time out to listen to his patients thanks

May 11, 2025

5

Dr Miller is fantastic in surgical skis and bedside manner

May 11, 2025

5

Doctor miller is the best

May 10, 2025

5

I had to wait almost an hour past the scheduled time and was asked to come in 25 min before. They know there was an early morning IT delay but did not tell me there was an extra hour I would have to wait. They knew it and didn't tell me . They have to share that if they don't want angry clients

May 8, 2025

5

Great

May 5, 2025

5

Dr Miller is excellent. Glad I switched to him!

April 30, 2025

5

Awesome team

April 30, 2025

5

Dr. Miller took extra time to understand my concerns and then we figured out a plan together. I would highly recommend Dr. Miller and his practice to any of my friends and family!

April 28, 2025

5

Dr. Miller is the best!

May 3, 2025

5

wonderful physician experience. lovely nurse assistant. very relaxed atmosphere entire visit. very impressed and such a comfortable easy Dr to communicate with.

April 27, 2025

5

All was very good.

April 27, 2025

5

Dr Miller is one of the best in the nation. To have someone send this out to his patients is degrading. He is an excellent Doctor. You should never send these out. What you don't have faith in YOUR Doctors????

April 24, 2025

5

Great experience!!!!

April 14, 2025

5

The administrative staff were awesome. Very courageous and friendly. The Medical staff were courteous and professional. I always have a good experience when shoeing up for an appointment!

April 10, 2025

5

Great experience from the front desk to Dr. Miller. Can't say enough. An office full of polite, intelligent qualified professionals.

April 10, 2025

5

Always good connecting with Dr Miller!

April 10, 2025

5

Excellent Service.

April 4, 2025

5

Because of the quality I received at my consultation, I am not worried about my up coming surgery.

April 4, 2025

5

Dr Miller explained everything about the options I had in a way that helped me make my decision about what I needed to do.

April 4, 2025

5

Dr. Miller and his staff were great. Dr. Miller listened to my concerns and options, and we agreed to a plan. All in all a great visit!

April 4, 2025

5

Awesome!!!

April 3, 2025

5

Very professional!

April 3, 2025

5

I feel like I'm in good hands with Dr. Miller. I really appreciate being able to see him vs a PA/NP. At this point in my care, it's his expert advice that I need to help me make decisions.

March 31, 2025

5

I have been seeing this provider for about 5 years. I really feel comfortable around him. I can talk to him about my concerns and what I need to do. He gives me great advice. He professional and friendly.

March 31, 2025

5

Dr. Miller and his staff are outstanding! Very professional and knowledgeable. I completely trust Dr. Miller and staff.

April 2, 2025

5

Dr Miller listens, is patient and is more interested in helping me with my health issues than booking surgeries. That is more than I can say for other practitioners.

March 30, 2025

5

Excellent

March 28, 2025

5

I liked ... I had a good experience with Dr. Miller and he was very thoughtful and listened to me carefully. I enjoyed it and gave me self-confidence that I can go see him again. I appreciate his, what do you call it, listening and patience and pay attention to me as I expected. I thank him for that visit. Thank you. Bye bye.

May 14, 2025

5

Great doctor who takes time out to listen to his patients thanks

May 11, 2025

5

Dr Miller is fantastic in surgical skis and bedside manner

May 11, 2025

5

Doctor miller is the best

May 10, 2025

5

I had to wait almost an hour past the scheduled time and was asked to come in 25 min before. They know there was an early morning IT delay but did not tell me there was an extra hour I would have to wait. They knew it and didn't tell me . They have to share that if they don't want angry clients

May 8, 2025

4

I pressed some incorrect keys trying to start off. Everything was exceptional with Dr. Miller. Feedback, all of his information was marvelous. So please ignore my incorrect answers. I had to scale back.

May 7, 2025

5

Great

May 5, 2025

5

Dr. Miller is the best!

May 3, 2025

5

Dr Miller is excellent. Glad I switched to him!

April 30, 2025

5

Awesome team

April 30, 2025

5

Dr. Miller took extra time to understand my concerns and then we figured out a plan together. I would highly recommend Dr. Miller and his practice to any of my friends and family!

April 28, 2025

5

All was very good.

April 27, 2025

5

wonderful physician experience. lovely nurse assistant. very relaxed atmosphere entire visit. very impressed and such a comfortable easy Dr to communicate with.

April 27, 2025

5

Dr Miller is one of the best in the nation. To have someone send this out to his patients is degrading. He is an excellent Doctor. You should never send these out. What you don't have faith in YOUR Doctors????

April 24, 2025

5

Great experience!!!!

April 14, 2025

5

The administrative staff were awesome. Very courageous and friendly. The Medical staff were courteous and professional. I always have a good experience when shoeing up for an appointment!

April 10, 2025

5

Great experience from the front desk to Dr. Miller. Can't say enough. An office full of polite, intelligent qualified professionals.

April 10, 2025

5

Always good connecting with Dr Miller!

April 10, 2025

5

Excellent Service.

April 4, 2025

5

Because of the quality I received at my consultation, I am not worried about my up coming surgery.

April 4, 2025

5

Dr Miller explained everything about the options I had in a way that helped me make my decision about what I needed to do.

April 4, 2025

5

Dr. Miller and his staff were great. Dr. Miller listened to my concerns and options, and we agreed to a plan. All in all a great visit!

April 4, 2025

5

Awesome!!!

April 3, 2025

5

Very professional!

April 3, 2025

5

Dr. Miller and his staff are outstanding! Very professional and knowledgeable. I completely trust Dr. Miller and staff.

April 2, 2025

5

I feel like I'm in good hands with Dr. Miller. I really appreciate being able to see him vs a PA/NP. At this point in my care, it's his expert advice that I need to help me make decisions.

March 31, 2025

5

I have been seeing this provider for about 5 years. I really feel comfortable around him. I can talk to him about my concerns and what I need to do. He gives me great advice. He professional and friendly.

March 31, 2025

5

Dr Miller listens, is patient and is more interested in helping me with my health issues than booking surgeries. That is more than I can say for other practitioners.

March 30, 2025

4

Yes, I was sent for blood work after I saw Dr. Miller and the technician that drew the blood was poor. And that's all I have to say about that. Goodbye.

March 29, 2025

5

Excellent

March 28, 2025

5

Excellent

March 28, 2025

4

Yes, I was sent for blood work after I saw Dr. Miller and the technician that drew the blood was poor. And that's all I have to say about that. Goodbye.

March 29, 2025

5

Dr Miller listens, is patient and is more interested in helping me with my health issues than booking surgeries. That is more than I can say for other practitioners.

March 30, 2025

5

I have been seeing this provider for about 5 years. I really feel comfortable around him. I can talk to him about my concerns and what I need to do. He gives me great advice. He professional and friendly.

March 31, 2025

5

I feel like I'm in good hands with Dr. Miller. I really appreciate being able to see him vs a PA/NP. At this point in my care, it's his expert advice that I need to help me make decisions.

March 31, 2025

5

Dr. Miller and his staff are outstanding! Very professional and knowledgeable. I completely trust Dr. Miller and staff.

April 2, 2025

5

Very professional!

April 3, 2025

5

Awesome!!!

April 3, 2025

5

Dr. Miller and his staff were great. Dr. Miller listened to my concerns and options, and we agreed to a plan. All in all a great visit!

April 4, 2025

5

Dr Miller explained everything about the options I had in a way that helped me make my decision about what I needed to do.

April 4, 2025

5

Because of the quality I received at my consultation, I am not worried about my up coming surgery.

April 4, 2025

5

Excellent Service.

April 4, 2025

5

Always good connecting with Dr Miller!

April 10, 2025

5

Great experience from the front desk to Dr. Miller. Can't say enough. An office full of polite, intelligent qualified professionals.

April 10, 2025

5

The administrative staff were awesome. Very courageous and friendly. The Medical staff were courteous and professional. I always have a good experience when shoeing up for an appointment!

April 10, 2025

5

Great experience!!!!

April 14, 2025

5

Dr Miller is one of the best in the nation. To have someone send this out to his patients is degrading. He is an excellent Doctor. You should never send these out. What you don't have faith in YOUR Doctors????

April 24, 2025

5

wonderful physician experience. lovely nurse assistant. very relaxed atmosphere entire visit. very impressed and such a comfortable easy Dr to communicate with.

April 27, 2025

5

All was very good.

April 27, 2025

5

Dr. Miller took extra time to understand my concerns and then we figured out a plan together. I would highly recommend Dr. Miller and his practice to any of my friends and family!

April 28, 2025

5

Awesome team

April 30, 2025

5

Dr Miller is excellent. Glad I switched to him!

April 30, 2025

5

Dr. Miller is the best!

May 3, 2025

5

Great

May 5, 2025

4

I pressed some incorrect keys trying to start off. Everything was exceptional with Dr. Miller. Feedback, all of his information was marvelous. So please ignore my incorrect answers. I had to scale back.

May 7, 2025

5

I had to wait almost an hour past the scheduled time and was asked to come in 25 min before. They know there was an early morning IT delay but did not tell me there was an extra hour I would have to wait. They knew it and didn't tell me . They have to share that if they don't want angry clients

May 8, 2025

5

Doctor miller is the best

May 10, 2025

5

Dr Miller is fantastic in surgical skis and bedside manner

May 11, 2025

5

Great doctor who takes time out to listen to his patients thanks

May 11, 2025

5

I liked ... I had a good experience with Dr. Miller and he was very thoughtful and listened to me carefully. I enjoyed it and gave me self-confidence that I can go see him again. I appreciate his, what do you call it, listening and patience and pay attention to me as I expected. I thank him for that visit. Thank you. Bye bye.

May 14, 2025

Publications and Articles

Woman and man drinking water

Urology and You: A Doctor Answers Sensitive Questions

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.

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Partner with Wellstar Center for Genetics to Reduce Your Risk of Cancer

While the cancer care experts at Wellstar are dedicated to providing world-class cancer treatment, our care teams are also committed to preventing disease and helping you evaluate your risk so you can be proactive with your health.

Some patients may have an increased risk of developing cancer if they have a family history or a genetic mutation. For example, a family history of prostate cancer could be indicative of a genetic mutation that increases the family’s risk for breast cancer, and vice versa. The Wellstar Center for Genetics determines if you may develop or carry certain genetic disorders. Using a compassionate approach, Wellstar genetic counselors ensure patients have the information they need to make an educated decision about genetic testing. Our team supports you every step of the way, answering questions and often working through complicated emotions.

At Wellstar, our focus is PeopleCare—personalized healthcare tailored uniquely for you. Your care team will ask you about your family’s history of cancer, including if you have had any relatives with cancer. If you do have a family history, they will ask how old your family members were when they got diagnosed. 

If you have a family history of cancer, your doctor might recommend you start screenings such as mammograms or prostate-specific antigen tests earlier or get screened more frequently. Your care team may also suggest preventative measures like medications or lifestyle changes, and they’ll partner with you to take action against potential cancers.

Some possible signs of hereditary cancer include:

  • Unusually early age of cancer onset
  • Multiple primary cancers in a single patient—primary cancers are an original tumor that forms in the body before the cancer potentially spreads
  • Cancer in paired organs (such as in cancer in both breasts)
  • Multi-generational cancers
  • Rare tumors
  • An unusual presentation, such as male breast cancer
  • Belonging to an ethnic group known to be at high risk for hereditary cancers
  • No environmental explanation for the cancer

Your care team may evaluate your risk of hereditary cancer by looking at your BRCA genes. Mutations in the BRCA1 or BRCA2 genes are most commonly associated with breast cancer, but they are also tied to an increased risk of several other cancers, including ovarian, pancreatic and prostate cancers. A BRCA gene mutation can also make a man more likely to develop breast cancer.

“Since these genetic mutations can affect someone’s risk for several different types of cancer, it’s important that you discuss any family history of cancer with both your relatives and your Wellstar care team,” Wellstar Urologist Dr. Justin Watson said. 

These conversations can be beneficial to both you and your family members.

“Men diagnosed with prostate cancer at an early age may pass along a higher genetic risk for both prostate and breast cancer to their children,” Dr. Scott Miller, Wellstar Urology specialty lead and director of robotic surgical services, explained. “Understanding these risks empowers families to take preventive steps earlier and opens the door to targeted screening programs.”

If you are wondering if you may have a genetic predisposition to certain cancers, the Wellstar Center for Genetics has nine convenient locations, and our genetic counselors can help you learn more about your risk. Your physician can refer you for genetic testing, or you can contact the genetics team directly to make an appointment. In an initial 45-minute appointment, your genetic counselor will meet with you to review your family history and discuss testing options. Most testing can be done with a saliva sample.

Genetic testing is one way that families can work to protect and inform each other so everyone can reduce their cancer risk. “The whole family is in this together,” Kimberly King-Spohn, director of the Wellstar Center for Genetics, said. “Testing helps us manage their risk and know what they're at risk for, and it's an opportunity for prevention.”

To learn more about the Wellstar Center for Genetics or make an appointment, call (470) 793-7472.

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Are You Ready to Take Charge of Your Prostate Health?

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.

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Scott Miller, MD
Urologist with Wellstar since 1997
Rating
4.9
Specialties
Urology
Education
Doctor of Medicine
Medical School
Medical College of Georgia-Augusta University
Residency
University of Kentucky
Certifications
American Board of Urology
Spoken Languages
English
Hospital Affiliations
Wellstar Cobb Hospital
Wellstar Douglas Hospital
Wellstar Kennestone Hospital
Wellstar Windy Hill Hospital
Wellstar North Fulton Hospital
Wellstar Paulding Medical Center
Wellstar West Georgia Medical Center
Wellstar Spalding Regional Hospital
Office Locations
www.wellstar.org/physicians/scott-miller-md
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