Cancers
Prostate cancer care in Johns Creek and Cumming
Once a diagnosis is on the table, our urologists slow the conversation down enough to match a treatment to your cancer and to your priorities. We talk about active surveillance, surgery, radiation and, in selected men, focal therapy we actually offer, rather than presenting every product in the marketplace as if it were ours.
How a diagnosis reaches this office
Most men arrive after a PSA change, an MRI and a biopsy, or with records from another clinic. We review the Gleason grade, the MRI, and your own goals before any recommendation is made. Clinic visits happen in Johns Creek or Cumming. Operations we perform after a visit in Johns Creek or Cumming are scheduled at the Johns Creek Clinic & Surgery Center.
Treatments we discuss here
Active surveillance is a real option for some cancers, not a delay we talk around. Robotic prostatectomy, radiation — including brachytherapy in our surgery centers, as our journal article describes — and hormone therapy when it belongs in the plan are part of the conversation. Focal therapy, including Vanquish and HIFU, is discussed for men who fit the pattern we actually treat. Our journal piece on treatment choices walks through that comparison in more depth, and it stays faithful to the locked script.
Recovery, in general terms
What recovery looks like depends on the treatment you choose. We will go over catheters, activity, continence and erection changes, and the follow-up PSA rhythm that belongs to your plan, before a date is set. Nothing on this page is a substitute for that consent conversation.
A related official video on prostate cancer
An official Advanced Urology video on this topic.
Watch: DocTalk: Primary Care Physician & Urologist Discuss Prostate CancerWhat the video covers. Titled "DocTalk: Primary Care Physician & Urologist Discuss Prostate Cancer." The public description states that early prostate cancer typically presents no symptoms, and it features Dr. Farber of this practice and Piedmont Internal Medicine's Dr. Cutler on their approach.
Does a prostate cancer diagnosis mean I have to decide this week?
It means we should talk, not that you must rush into an operating room. Some cancers are followed. Some are treated promptly. We will say which pattern yours appears to be, and why.
Can treatment planning start in Cumming?
Yes. The clinic conversation can happen in Cumming. Operations we perform after a visit here are scheduled at Johns Creek.
Do you offer focal therapy?
We discuss focal therapy, including options named on our official pages, for men who fit the pattern we treat. Long-term data are still developing, and we will say so. Surgery and radiation remain available later if they are needed.
Who does robotic prostate surgery here?
Robotic surgery is part of the work of urologists in this practice whose official profiles list it. Dr. Rut Patel is named on his official profile as Director of Robotic Surgery. We will tell you who would perform your operation when we plan it.
Will I be in the hospital overnight?
Many prostate operations our urologists perform are planned as outpatient or short-stay cases at the Johns Creek surgery center. We will tell you if your particular case belongs in a hospital instead.
Where can I read about a raised PSA before a diagnosis?
Start with our high PSA page and the journal article on biopsy. Those pages stay on the work-up, not on treatment.
Whenever a visit would help, the Johns Creek and Cumming teams are a phone call or a booked appointment away.