Treatment and doctors

Prostate cancer treatment in Marietta, Canton and Jasper

Hearing the words prostate cancer raises a hundred questions at once. This page lays out the path our urologists follow, from the first raised PSA to imaging, biopsy and treatment, and how each step is arranged for men seen at our Marietta, Canton and Jasper offices.

Call (678) 344-8900 Book online

Advanced Urology Marietta Clinic & Surgery Center name card with street address

How does the path usually start?

Most men reach us after a PSA result that is higher than expected or climbing, and some after a prostate exam that felt firm or uneven. The first visit reviews every PSA you have had, your family history and an exam. Our high PSA guide covers this stage in detail.

What testing confirms or rules out cancer?

Repeat PSA, timed so infection or recent activity does not skew it
Prostate MRI to look for an area that stands out
MRI-fusion biopsy, performed by our urologists with anesthesia at one of our surgery centers, with MRI images lined up against live ultrasound to target suspicious spots
Staging scans when needed, such as PSMA PET/CT, which shows whether cancer has spread beyond the prostate and is used for higher-risk disease, a rising PSA after treatment or recurrence

What do the results mean?

A pathologist grades each biopsy sample. Together with your PSA and MRI, the grade places the cancer in a risk group, from low to high. Risk group, age, overall health and your own priorities decide which treatment makes sense. We go through the report with you line by line.

What are the treatment options?

Active surveillance for many low-risk cancers: regular PSA tests, MRI and repeat biopsies, moving to treatment if the cancer changes. Dr. Jason Lomboy explains it in this article.
Robotic prostatectomy: removal of the prostate through small incisions with a surgical robot, usually with a short hospital stay and a catheter for a short period afterward.
Radiation therapy, given externally or with implanted seeds, which our team helps arrange.
Hormone therapy, which lowers or blocks testosterone, mainly for advanced cancer or alongside radiation.

Who will I see?

Dr. Jason Lomboy focuses on elevated PSA and prostate cancer care, including robotic-assisted laparoscopic prostatectomy, and sees patients in Marietta, Canton and Jasper. Biopsies and procedures are scheduled at our surgery centers, and surveillance visits can stay in Marietta, Canton or Jasper.

What about side effects?

Surgery and radiation can both affect urinary control and erections, in different ways and on different timelines. Treatment for leakage after prostate surgery, such as a male sling or artificial urinary sphincter, and for erection problems, from tablets to a penile implant, is available within our practice. See our bladder leakage and erectile dysfunction pages.

Our prostate cancer condition page explains the disease itself.

Where can I be seen for this?

Marietta Clinic & Surgery Center, 1371 Church Street Extension NW, Marietta, GA 30060. Seen here for this concern: Jason Lomboy, MD. Procedures for all four offices happen in this building.
Canton Clinic, 2205 Riverstone Blvd Suite 101, Canton, GA 30114. Seen here for this concern: Jason Lomboy, MD. Procedures are scheduled at our Marietta Clinic & Surgery Center.
Dallas Clinic, 2713 Charles Hardy Parkway, Bldg 100, Suite 122, Dallas, GA 30157. Seen here for this concern: Daniel Roberson, PA-C. Visits here are with Daniel Roberson, PA-C. Physician visits and procedures are arranged in Marietta.
Jasper Clinic, 49 Gordon Rd Suite 103, Jasper, GA 30143. Seen here for this concern: Jason Lomboy, MD. Procedures are scheduled at our Marietta Clinic & Surgery Center.

Jason Lomboy, MD, Advanced Urology — Jason Lomboy, MD

Questions people ask us

Do I need a biopsy to know if I have prostate cancer?

A biopsy is what confirms it, but an MRI beforehand helps decide whether one is needed and where to aim. Some men with a clear MRI and a stable PSA can skip a biopsy for now.

How long can I take to decide on treatment?

For most low- and intermediate-risk cancers, taking several weeks to get a second opinion or meet a radiation specialist is generally reasonable. Higher-risk cancers move faster, and our urologists will tell you plainly if yours is one of them.

How long is the hospital stay after robotic prostatectomy?

Expect a brief hospital stay and then a catheter at home for a short period. Our team shows you how to care for it before you leave.

Does active surveillance mean doing nothing?

No. It means scheduled PSA tests, MRI and repeat biopsies so that treatment starts if the cancer shows signs of growing, while sparing men with slow cancers the side effects of surgery or radiation.

Where is PSMA PET/CT done?

Our team arranges the scan when it is needed for staging higher-risk cancer or for a rising PSA after treatment. You are told where it is done and how to prepare when it is scheduled.

Prostate cancer on advancedurology.com

Related treatment pages

Educational information, not medical advice or a diagnosis. Every treatment has risks, benefits and alternatives to discuss with your clinician.