Urology care for Suwanee, at our Johns Creek office

Bladder symptoms and leakage

Urgency, frequency, getting up at night, and leakage that appears with a cough or with a sudden urge are all reasons Suwanee patients book with us. We will sort the pattern first, because stress leakage, urge leakage and overflow are treated differently. A urine test, a voiding diary and a check of leftover urine after you empty are common first steps. Medicines, pelvic floor therapy referrals, procedures we actually offer, and further testing such as cystoscopy are discussed after that picture is clear. Read bladder leakage and overactive bladder if you want the overview before you come, and urology care for women if that is the context for the visit.

Prostate health and PSA

A PSA result that came back higher than expected, a stream that has slowed, or uncertainty about whether screening applies to you can be worked through at Johns Creek. We look at the number in context: your age, your prior values, medicines such as finasteride or dutasteride, and a recent infection or a long bicycle ride that might have nudged the result. MRI and biopsy are tools we use when they would change the plan, not automatic next steps after a single lab draw. Our prostate health page describes that sequence, and the high PSA and biopsy journal article goes further for men already facing that decision.

Stones and the surgery center

Kidney and ureteral stones are evaluated in the Johns Creek clinic. When a stone is going to pass, we explain what to watch for and how we will follow you. When a procedure is the safer or more reliable path, we schedule it in the Johns Creek surgery center and review the options we offer, including shock wave treatment and ureteroscopy with laser. The kidney stones page and the surgery center page are the two places to read ahead, and the glossary defines the terms that tend to appear on procedure consents.

Who you may see

Dr. Neal Patel, Dr. T. Casey McCullough and Dr. Nicholas Farber see Suwanee patients in Johns Creek, with physician assistants as part of the same team. Profiles are on the care team page. Duluth neighbors use this office as well; that community page is Duluth. Forsyth County patients are usually seen at our Cumming Clinic.