What happens after a raised PSA?
PSA can rise with prostate cancer, but a benign enlarged prostate or inflammation can push it up as well. We look at the trend, your age and family history, and examine the prostate. If the picture stays unclear, the usual next steps are an MRI and, when it is warranted, a biopsy. If cancer is confirmed, we walk through the options in plain terms — watching closely, surgery, radiation, or medicines. More detail is on the prostate cancer overview on advancedurology.com and on our prostate cancer page.
What if a test found blood in my urine?
Blood in the urine, whether you can see it or a lab found it, is a reason to sit down with one of our urologists. We review the history, the urine, and any imaging, and we talk through tests such as cystoscopy when they would change what we do next. Cancer is one of the possibilities we take seriously rather than assume; stones and infections can also be the cause. Visible blood with fever, clots, inability to urinate, or severe pain should be handled in an emergency department or by calling 911. For a planned review, start at our blood in the urine page.
What if a scan showed a kidney finding?
Bring the images to a planned visit so we can look at the size, location, and what the report actually says. Not every mass is a cancer, and not every cancer is treated the same way. Our urologists will explain whether more testing is needed and which treatment paths Advanced Urology already offers. Severe side pain with fever or no urine output should be handled in an emergency department or by calling 911. See also our kidney cancer page.
Where will I be seen?
You can start at our Sandy Springs Clinic & Surgery Center, 1450 S Johnson Ferry Road, or at our Decatur Clinic, 2711 Irvin Way. Procedures, when they are needed, are often done at the Sandy Springs surgery center, in the same building as the clinic there, or at the Snellville surgery center. Call 678-344-8900 and we will find a time at the office you prefer.

Herman Bagga, MD, FACSUrologic surgeon 
Marc Greenstein, DOUrological surgeon; Director, Surgery Center Sandy Springs 
Vahan Kassabian, MDUrologist; Director of Prostate Center
Bring the report or the disk, a government-issued identification, insurance information if you carry it, and a medicine list. We will sit with the result and explain the next step in ordinary language.
