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Article Category: Highlights

Home in Less than 24 Hours

Patients love getting home faster after robotic prostate cancer surgery

Published on August 31, 2021

Last updated 04:06 PM August 31, 2021

Illustration of robotic-assisted technology

Surgery for prostate cancer has evolved, offering men with aggressive prostate cancer more treatment choices. One high-tech treatment is a robotic prostatectomy, where the prostate is removed robotically by a surgeon with specialized training.

Robotic prostate cancer surgery has several key advantages over the more traditional approach. It shortens the time spent in a facility following a surgery. This method also reduces surgery site blood loss, scarring and pain, and speeds up recovery as well as having the potential to preserve nerves.

“The robot allows us to see the prostate better and spare the nerves, which can preserve sexual function,” said Dr. Justin Watson, a urologist who performs robotic prostatectomies at Wellstar Kennestone Advanced Outpatient Center for Surgery in Marietta. Dr. Watson typically works closely with other prostate cancer specialists to offer patients a multidisipinary approach. This type of care helps patients get the most comprehensive and personalized care.

Read Steve Shelton's story, a man who had a robotic prostatectomy at Wellstar and is living life to his fullest today.

As we looked at the data and others showed it was safe, we learned how to enhance [our patients'] recovery so they would reliably be able to go home the same day.

- Dr. Justin Watson

Wellstar Urologist

Outpatient prostatectomy at Kennestone

While several Wellstar hospitals have offered robotic prostatectomies for a number of years, Wellstar is the first health system in metro Atlanta to offer the procedure at an outpatient surgery center.

“The patients love it,” Dr. Watson said. “One of our priorities is to enhance patient care and satisfaction. Patients are much happier to sleep in their own bed, eat their own food and watch their own television.”

He explained that when he began to offer robotic prostatectomies, patients would typically stay in the hospital for a day or two after surgery, which allowed them to go home a day earlier than what is typical for a traditional open prostatectomy. However, he noticed they often requested to go home much sooner, usually after walking the halls a few times the day of the surgery.

In 2019, Dr. Watson collaborated with Dr. Scott Miller — who performed the first robotic prostatectomy in the state — to make the procedure available to patients so they could go home sooner.

“As we looked at the data and others showed it was safe, we learned how to enhance their recovery so they would reliably be able to go home the same day,” Dr. Watson said.

Since he began to perform same-day prostatectomies in 2019, only about 10% of patients who have their surgery performed in the morning choose to stay overnight. Nearly all patients are able to be home in less than 24 hours.

Dr. Scott Miller, who serves as Wellstar’s director of Robotic Surgical Services, added, “What’s unique about Kennestone’s Outpatient Center is that it is attached to a hospital, so if a patient who was supposed to be outpatient needs to be admitted, there is a hospital with more complex care available right there.”

With advanced medical technology and expert care close to home, Wellstar is changing the way prostate cancer is treated.

Locations where patients can have a robotic prostatectomy

Talk to your urologist to learn more about treatment options for prostate cancer and whether a robotic prostatectomy may be right for you. Men with prostate cancer can have a robotic prostatectomy at Wellstar facilities, including:

  • Wellstar Kennestone Advanced Outpatient Center for Surgery 
  • Wellstar Cobb Medical Center
  • Wellstar Kennestone Regional Medical Center
  • Wellstar North Fulton Medical Center
  • Wellstar Paulding Medical Center

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Justin Michael Watson Scott David Miller Cancer Care
Mens Health
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Highlights

Make Colon Health Your Habit

For many people, talking about colon health can be a little uncomfortable. However, medical issues don’t just go away if you ignore them.

Being proactive about your well-being with preventative care can help catch colorectal cancer or another serious condition early, often before it becomes a bigger problem.

Wellstar is committed to keeping your colon healthy with preventative screenings and expert care, so you can continue to live well.

Catch colon cancer early

Early detection is the best prevention, especially when it comes to colon cancer. If caught early, colorectal cancer has a survival rate of 91%.

“Colon cancer is the second most common cause of cancer death in the United States, so it’s very important that everyone gets screened,” said Wellstar Gastroenterologist Dr. Cameron Body. “For an average risk person, screenings should begin at age 45.”

Those with a higher risk or a family history of colorectal cancer may need to start screening sooner. Partner with your provider to create a personalized screening plan—and stick with it to stay ahead of the disease.

“Recently, colon cancer has been a major trending topic in public discourse, and it has been impacting younger individuals each year. It is important to start colon cancer screening at the age of 45 or sooner if you have a family history of colon cancer,” said Wellstar Gastroenterologist Dr. Shani Clay. “This is a preventable disease, so please speak with your primary care clinician or gastroenterologist to help get you screened. Colonoscopies can help prevent colon cancer, diagnose and help direct early treatment if you are diagnosed.”

The death rate for colon cancer in older adults has been decreasing for the past several decades due to screenings, according to the American Cancer Society. Screenings can identify polyps before they become cancerous and can catch cancer earlier when it is more easily treatable. However, in people under 55, death rates from colon cancer have been increasing by about 1% per year since the mid-2000s.

Why colonoscopies work

During a colonoscopy, a Wellstar gastroenterologist will view the inside of your colon and look for polyps or any other abnormal tissue that could be cancerous. This preventative testing is key to catching colorectal issues at the start.

“A colonoscopy is the gold standard when screening for colon cancer. The procedure itself is not painful, and we make sure you’re comfortable throughout the process,” Dr. Body said. “The goal is to do a high-quality exam with a good prep to find polyps when they’re small and get them removed to minimize the risk of them subsequently developing into cancer.”

Polyps take about five to 15 years to evolve into an invasive cancer, according to Dr. Carmen Klass, oncologist and hematologist with Northwest Georgia Oncology Centers, a care partner of Wellstar.

“If you have a colonoscopy every five to 10 years, they can remove the polyp and it will never be declared an invasive cancer,” Dr. Klass said. “In fact, if all Americans did their screening colonoscopies every five to 10 years, the death rate for colorectal cancer would drop by 50%.”

See how colorectal cancer screening saves lives.

Signs of colorectal cancer

  • Colon cancer is typically discovered when a patient has a colonoscopy, but it’s important to watch for these warning signs:
  • A change in your bowel habits, such as persistent diarrhea or constipation
  • Bloody stools or rectal bleeding
  • Abdominal discomfort, such as cramps, gas and pain
  • Feeling like you are unable to empty your bowels completely
  • Weakness or fatigue
  • Unexplained weight loss

If you experience any of these symptoms, contact your care team right away.

Colorectal cancer care at Wellstar

If you have been diagnosed with colorectal cancer, count on Wellstar for comprehensive, personalized care. Our specialists will work together with you to form a tailored treatment plan and offer support every step of the way.

“When a patient is diagnosed with cancer, we walk with them and guide them on this difficult journey,” Dr. Klass said, sharing how Wellstar provides compassionate care.

Wellstar offers medical expertise close to home, clinical trials and state-of-the-art surgical procedures to treat colorectal cancer. We also have a multidisciplinary gastrointestinal (GI) tumor board that diagnoses and creates treatment plans collaboratively.

Along with cancer surgeons, medical oncologists and other experts, our care team also includes nurse navigators, dietitians, social workers, psychologists, psychiatrists and counselors to provide complete care and support.

Learn how Wellstar cares for colorectal cancer.

Get answers with genetic testing

Whether you have been diagnosed with colorectal cancer or are concerned about the chance of developing it, genetic testing can help you understand your risk of getting the disease.

If your parent, sibling or child has had colorectal cancer, you are two to three times more likely to develop the condition compared with someone with no family history. Our genetic counselors can help determine how genetic testing could benefit you and your family.

“Wellstar offers support from genetic counselors to help keep other family members safe in the future,” Dr. Klass said.

Find out if genetic testing is right for you.

Keep reading
Surgeon using robotic system

Highlights

The Robotic Alliance: Three Specialists, One Purpose

At Wellstar North Fulton Medical Center, something unique is happening in the world of minimally invasive surgery. Nestled right here in Roswell, a multidisciplinary team of robotic surgeons has quietly become one of the most experienced collaborative groups in Metro Atlanta—and across the state of Georgia.

The three surgeons—Dr. Scott Miller (robotic urologic surgery), Dr. Nathan Mordel (robotic gynecologic surgery) and Dr. Jay Singh (robotic colorectal surgery)—have collectively performed close to 9,000 robotic procedures over their careers. While that number is impressive, what it represents matters even more: thousands of patients who have benefited from smaller incisions, faster recoveries and precision that simply wasn’t possible a generation ago.

Although each of the specialties typically addresses distinct conditions, the team often cares for patients whose needs overlap two or even all three areas. These are the moments when a truly coordinated approach matters most. Rather than sending patients to multiple locations or staging separate procedures, the surgeons’ combined expertise allows them to tackle complex, concurrent issues together—efficiently, safely and in one place.

Severe (frozen pelvis) endometriosis is a perfect example of the need for a cooperative surgical approach. This condition affects millions of reproductive age women, invading the genital organs, as well as bladder, ureters, colon and rectum, thus deteriorating their quality of life. Concurrent robotic intervention by urological, colorectal and gynecological surgeons simultaneously treats all three organ systems—and on a mostly outpatient basis.

This collaborative model has become a defining strength of robotic surgery at Wellstar North Fulton. When specialists operate side-by-side, the conversation doesn’t just happen in the clinic—it continues in the operating room, where careful planning and shared experience translate into smoother procedures and better outcomes. Patients may not witness the teamwork directly, but they absolutely feel its benefits during their recovery.

Equally important, Wellstar has invested years in refining our techniques with next-generation robotic systems, which offer enhanced visualization, improved dexterity and precise tissue handling. Whether treating prostate conditions, complex colorectal disease or gynecologic disorders, robotics allows us to deliver the best aspects of minimally invasive surgery while maintaininga high level of surgical control.

Roswell may not be the first place people imagine when they think of cutting-edge surgical innovation, but the reality is that our community has become a hub for it. With a concentrated depth of experience rarely found in a single hospital, Wellstar North Fulton is leading the way in advanced robotic procedures across Georgia.

For us, the mission is simple: three specialties, one purpose—to give every patient access to the highest level of surgical care, in their neighborhood.

Visit wellstar.org/northfulton to learn more about care at Wellstar North Fulton. Call (470) 956-4230 to schedule with Dr. Miller, (470) 956-4590 to schedule with Dr. Mordel and (470) 267-1930 to schedule with Dr. Singh.

Keep reading
A friendly image of team

Highlights

One-Stop Treatment Clinic for Patients with Thoracic Cancer

If you had to guess which cancer took the most lives in America, what would your guess be?

“Lung cancer is the No. 1 cancer killer in the U.S. for both women and men since 1986,” said Dr. Daniel Miller. Dr. Miller is the chief of thoracic surgery and the director of the Wellstar Georgia Cancer Center lung cancer screening program.

About 80% of lung cancer cases are associated with cigarette smoking, including secondhand smoke. Unfortunately, when symptoms begin showing, the cancer has already spread, making treatment very time-sensitive. When a patient is diagnosed, their care team typically includes not just one, but four doctors: a thoracic surgeon, an interventional pulmonologist, a medical oncologist and a radiation oncologist. There are many benefits to having a large care team, but a huge drawback can be the wait time between appointments with each doctor.

“When you have cancer, you want to be seen now and be treated now,” Dr. Miller said.

The speed of treatment time for patients is what inspired the creation of the Thoracic-Oncology NOW (New Oncology Workgroup) Clinic at Wellstar Georgia Cancer Center. The multidisciplinary clinic is staffed by specialized physicians in the treatment of thoracic malignancies. 

The clinic treats not just lung cancer, but also esophageal cancer, metastatic disease to the lungs and malignant pleural effusions.

“You’re cutting back on treatment time, waiting time, travel time and, more importantly, you have a group of doctors, rather than a doctor, who are talking about your care,” said Hematologist and Oncologist Dr. Girinda Raval.

The clinic operates on Wednesdays and acts as a one-stop shop for patients, saving their time and the time of their loved ones who join them for treatments. Patients also have access to Wellstar Georgia Cancer Center’s registered dietitians and social workers, along with a scheduler, financial personnel and medical assistants, creating one large care team ready to help them on their treatment journey.

“There is a degree of reassurance for the patient that there is a team who are all engrossed in caring for that patient,” Dr. Raval said.

To learn more about the Thoracic-Oncology NOW Clinic or make an appointment, call (706) 721-6744 for more information.

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