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Article Category: Highlights

Make Prostate Health Your Habit

Published on September 03, 2024

Last updated 02:06 PM June 20, 2025

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Quick history lesson: In the 1990s, U.S. doctors adopted the prostate-specific antigen test—or PSA—to identify prostate cancer early, when it’s more treatable. While the PSA helped more men get diagnosed, concern was raised over the risks versus benefits of biopsies, procedures and treatment. In response, the U.S. Preventive Services Task Force gave a controversial recommendation against routine screening with PSA in 2012.

But with new evidence from a variety of credible studies, they changed their recommendation in 2017. The current Task Force recommendation focuses on men having a conversation with their doctors about their risk for prostate cancer and the risks and benefits of screening.

Why did the guidelines change?

Prostate cancer is the most common cancer diagnosed in males after skin cancer. The American Cancer Society projects that there will be more than twice as many prostate cancer cases diagnosed in men as lung cancer this year.

“The prevalence of the disease cannot be ignored,” said Dr. Jeffrey Tharp, a primary care physician and chief medicine division officer for Wellstar Medical Group. “Early-stage prostate cancer has higher survivability than prostate cancer diagnosed in later stages.”

Dr. Tharp pointed out that while guidelines have changed, so have the way doctors diagnose and treat prostate cancer. An elevated PSA does not automatically mean a cancer diagnosis. And when cancer is diagnosed, some care options have no side effects.

Read on to learn:

  • Who should have a conversation with their doctor about prostate cancer screening, and when
  • Who is at higher risk
  • How the reason that’s holding some men back has changed
  • What is a PSA and why having them at regular intervals is important
  • Care options for prostate cancer

Some men have anxiety about what the treatment would be and the long-term effects of treatment. We have active surveillance and other means of preserving bodily function, especially when we find prostate cancer in the earlier stages.

- Dr. Jeffrey Tharp

Wellstar Primary Care Physician

Who should discuss prostate cancer screening—and when

If you have a prostate, you should discuss whether screening is right for you with your primary care doctor, nurse practitioner or physician assistant:

  • Starting at 40 if…you have a strong family history of prostate, breast, ovarian, uterine, colon and pancreatic cancer as well as melanoma—particularly if they were early onset or you have a known family history of carrying the BRCA1 or BRCA2 gene
  • Starting at 45 if…you’re a Black man, meaning you carry twice the risk of dying from prostate cancer 
  • Starting at 50 if…you have a typical risk level 

Is fear stopping you? 

“Some men have anxiety about what the treatment would be and the long-term effects of treatment,” said Dr. Tharp. 

But, he noted, treatment has changed a lot since the early 2000s.

“We have active surveillance and other means of preserving bodily function, especially when we find prostate cancer in the earlier stages,” he said. 

What exactly is a PSA?

A PSA test is a simple blood test you get at your doctor’s office.

The test measures the prostate-specific antigen, a substance in the body that is related to the presence of prostate cancer. However, a rise in PSA can also be caused by other factors such as recent sexual activity, exercise, prostate enlargement, age and infection.

“When someone has an elevated PSA for the first time, we put it in context,” Dr. Tharp said, indicating that doctors don’t automatically diagnose prostate cancer because of an elevated PSA. “A one-time PSA is important, but a trending PSA helps us see the bigger picture."

Once a PSA test result flags the possibility of cancer, primary care doctors typically refer patients to a urologist who specializes in prostate cancer treatment. 

Patients have a team helping them achieve their best outcome

At Wellstar, the patient’s doctors are part of a multidisciplinary prostate cancer care team at Wellstar who hold regular conferences dedicated to diagnosing, staging and planning care together so patients have the best outcomes. The prostate cancer team includes urologists, radiation oncologists, medical oncologists, pathologists, radiologists, primary care physicians and nurse navigators.  

“Once a man has been diagnosed with prostate cancer, our experienced physicians, navigators and nurses help him navigate the decision-making process around prostate cancer treatment,” said Dr. Olusola Davies, Wellstar radiation oncologist.

Because of the variety of prostate cancer types, how quickly their prostate cancer grows and other individual factors, each person’s treatment is tailored to them. Care plans may include active surveillance, prostate cancer surgery or radiation therapy.

“It’s important to give men time to absorb the information coming from the treatment team, ask questions and review things they might not be sure about,” Dr. Davies said.

Good news: newer treatments eliminate or reduce side effects

Many men with low-grade, early-stage prostate cancer choose to follow a treatment plan of active surveillance using a guideline-based protocol with their Wellstar physician. This option reduces unnecessary side effects from therapy and improves their quality of life.

In fact, more than 70% of Wellstar patients diagnosed with low-risk prostate cancer opt for active surveillance.

Various types of prostate cancer surgery, including minimally invasive robotic procedures, have the potential to spare nerves and preserve sexual function. And newer radiation therapies reduce radiation exposure to healthy tissue.

“Patient outcomes have been very good at Wellstar, and we have a well-coordinated interdisciplinary team to care for our patients,” said Dr. Tharp.

Make an appointment with your doctor today to discuss if the time is right to start screening for prostate cancer. 

Tags

Jeffrey Lanier Tharp Olusola Obayomi-Davies Cancer Care
Primary Care Mens Health
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Highlights

Make Lung Health Your Habit

Whether you’re running a marathon or simply running errands, having healthy lungs helps you to live comfortably and do the activities you enjoy.

Lung health is an important part of overall wellness. It’s best to prevent health issues before they start, and Wellstar experts will partner with you to personalize a plan to keep your lungs healthy. 

Book an appointment online to check in with a clinician about your lung health and follow these tips to breathe a little easier.

Don’t smoke or vape

If you are a smoker, keep in mind that there are both short-term and long-term benefits to quitting. One to nine months after the last cigarette, your shortness of breath should decrease. Within 10 years of quitting, a former smoker's risk of developing lung cancer is 30% to 50% below that of a person who continues to smoke.

Also, if you don’t smoke, do not pick up the habit. Nicotine is highly addictive, even more so than many other drugs including narcotic opiates, according to Wellstar Pulmonologist Dr. Hitendra Patel.

Dr. Patel said that vaping is gaining popularity, especially among younger people. However, vaping irritates a person’s airways and increases their risk of asthma.

“Nothing but air should go in and out of the lungs,” Dr. Patel said. “Any other chemical or substance, or inhalation of smoke of any kind, is going to be detrimental and harmful.”

Wellstar Primary Care Physician Dr. Jignesh Dholaria said misinformation about vaping is common.

“People have the notion that vaping is somehow safer and that it doesn’t have the same chemicals that cigarettes do,” Dr. Dholaria said. “We’re seeing a lot more harmful effects from vaping just because we don’t always know all the chemicals that are in these vapes. That has caused a lot more lung-related injuries.”

Get your exercise and sleep

While staying active is a critical component of overall wellness, it’s especially important to keep your lungs in top shape.

“As you’re breathing in and out, getting rid of carbon dioxide and inhaling more oxygen, that helps your tissues, which helps you feel better overall,” Dr. Dholaria said.

Even if it is raining—or if pollutants are especially high that day and you’re worried about lung irritation—there are ways to get your steps in. Dr. Patel recommends going to an air-conditioned shopping mall or store to get some exercise if being outside is not an option.

“Continuing to exercise to the fullest of your body’s ability is an important step of maintaining whatever lung health you have,” Dr. Patel said. “If you start with healthy lungs, staying on an exercise program and regimen is vital.”

Balance that exercise with some rest, too. Dr. Patel, who is also the medical director of the Wellstar sleep program, said being well-rested can ward off sickness, including some respiratory illnesses.

“If you don’t sleep well, that means your immune system is not going to function as well as it should,” he said.

Try breathing exercises

In addition to getting your sleep, some relaxation and breathing techniques can have benefits for both mental wellness and lung health. 

Dr. Patel recommends “4-7-8 breathing,” which involves inhaling for four seconds, holding your breath for seven seconds and then exhaling for eight seconds.

Benefits of breathing exercises may include lower stress and anxiety levels, lower blood pressure and better sleep.

Manage your asthma

If you have asthma, know your lungs and avoid the environmental triggers that cause the condition to flare up, Dr. Patel said. Common triggers include pet dander, seasonal changes, allergens like perfume and smoke inhalation. 

Asthma can also run in families, although there is often no specific reason why a person develops asthma, Dr. Patel said.

“Sometimes people underestimate how bad asthma can be,” Dr. Patel said.

If you have asthma, see your primary care physician to monitor your lung health. Pulmonologists specialize in caring for people’s lungs, and they often collaborate with primary care clinicians to create personalized plans to manage their patients’ asthma.

Ask your care team about screenings

Early detection is key in cancer treatment, but many lung cancers present in later stages, Dr. Patel said.

“In that area in the middle of the lungs and the middle of the chest, there are no pain fibers or pain sensors in there,” Dr. Patel said. “If a tumor occurs there, patients don’t know it. They don’t feel it, and it doesn’t hurt them.”

Lung cancer is sometimes found when it spreads and causes complications, Dr. Patel said.

If you are at increased risk for developing lung cancer, ask your care team about screenings. You should consider screenings if you are a current or past smoker. Visit our lung cancer screening page to learn more about if screening, which involves low-dose CT scans, could benefit you. To keep up with your lung health, find a Wellstar physician near you.

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A healthcare provider explains options to a smiling man

Highlights

Minimally Invasive Care for an Enlarged Prostate—With Lasting Relief

By Dr. Al Ray, Wellstar urologist

If you’re experiencing urinary symptoms caused by an enlarged prostate, you’re not alone—and effective treatment is available.

Holmium laser enucleation of the prostate (HoLEP) is a minimally invasive procedure used to treat benign prostatic hyperplasia (BPH), a condition in which the prostate gland becomes enlarged. Using advanced laser technology, HoLEP helps remove prostate tissue that blocks urine flow, providing lasting relief from uncomfortable urinary symptoms.

Understanding BPH

The prostate is a small gland located below the bladder and in front of the rectum. As men age, it can enlarge and obstruct the urethra—the tube that carries urine out of the body.

This can lead to symptoms such as:

  • Frequent urination
  • Difficulty starting or stopping urination
  • Weak urine stream
  • Urinary retention (feeling that the bladder doesn’t completely empty)

How HoLEP works

During HoLEP, your surgeon uses a holmium laser—a precise and powerful tool—to carefully remove the prostate tissue causing the blockage.

The tissue is separated into sections (called lobes), broken into smaller pieces and removed from the bladder. Because the procedure is performed entirely through the urethra, no external incisions are needed—making it less invasive than traditional surgery.

Benefits of HoLEP

HoLEP offers several important benefits, including:

  • Less bleeding: The laser minimizes bleeding, making it a safer option for many patients, including those on blood thinners.
  • Lasting results: Studies show HoLEP provides durable relief of BPH symptoms, with a recurrence rate of less than 1%.
  • Stronger urinary flow: Most patients notice significant improvement in urinary flow and comfort.
  • Effective for large prostates: HoLEP works well for men with larger prostates that may not be suitable for other minimally invasive procedures.

What to expect

Knowing what to expect before, during and after your procedure can help you feel prepared and confident. Your care team will guide you every step of the way.

  • Anesthesia: HoLEP is performed under general anesthesia.
  • Procedure time: Typically lasts one to two hours
  • Hospital stay: Most patients go home the same day.
  • Recovery: Some mild discomfort or urinary symptoms—such as frequent urination, temporary incontinence or urgency—may occur for a few weeks while healing.

After surgery, a catheter may be placed for one to two days to help with urination while your prostate heals. It’s normal to see a small amount of blood in your urine during this time. Once the catheter is removed in the office, many patients no longer need medication to manage prostate symptoms.

While rare, potential risks include infection, temporary urinary incontinence or urethral stricture (narrowing of the urethra). Most men recover fully and experience excellent long-term results.

Is HoLEP right for you?

HoLEP may be a good option if you have moderate to severe BPH symptoms that haven’t improved with medication, or if you have a larger prostate that isn’t suitable for other procedures.

It’s a safe, highly effective way to relieve symptoms caused by an enlarged prostate—with no incisions, minimal bleeding and a faster recovery.

To learn more about prostate care and other urology services, visit wellstar.org/urology.

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Highlights

Wellstar Opens New Locations in Metro Atlanta

To serve our community’s growing healthcare needs, Wellstar has opened new urgent care, primary care and pediatric locations in Metro Atlanta.

Wellstar Primary Care

Primary care is ongoing, comprehensive care and preventative medicine that helps you live a full, healthy life. Services include wellness exams, vaccinations, treatment for acute illnesses like flu and management of chronic conditions such as diabetes. Wellstar Primary Care often has same-day or next-day availability and is welcoming new patients. Visit our new locations at:

Douglasville

2710 Fairburn Road, Suite 150

(943) 202-8560

Kennesaw

1550 Due West Rd NW, Suite 100

(943) 202-8520

Villa Rica

662 Carrollton Villa Rica Highway, Suite 200

(943) 202-8560

Wellstar Pediatrics

From wellness checkups and immunizations to chronic and complex conditions, Wellstar Children's of Georgia focuses on the physical, mental and emotional well-being of every patient, helping families navigate care with confidence. Visit our new location at: 

Douglasville

2710 Fairburn Road, Suite 100

(943) 202-8660

Wellstar Urgent Care 

If you’re dealing with a minor injury or illness or need care after your physician’s regular office hours, going to urgent care is often the right choice. Wellstar Urgent Care centers provide quick, convenient care for non-emergency medical conditions such as coughs, colds, sprains, broken bones and minor bites, burns and cuts. Visit our new locations at:

Douglasville

2710 Fairburn Road, Suite 175

(943) 202-8640

Check in at this location

Kennesaw

1550 Due West Rd NW, Suite 150

(470) 986-7302

Check in at this location

Villa Rica

662 Carrollton Villa Rica Highway, Suite 100

(943) 202-8590

Check in at this location

 

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