Complex cases
Some urologic cancers are large, locally advanced, recurrent or have spread. Care for these cancers often combines surgery with systemic therapy and radiation, and it requires close coordination among specialists. Dr. Neal Patel brings fellowship training in advanced robotics and laparoscopy at the USC Institute of Urology, along with research experience in advanced prostate and kidney cancer.
Cancers treated
- Advanced and metastatic prostate cancer
- Muscle-invasive and high-risk bladder cancer
- Large or complex kidney tumors, including those with venous involvement
- Upper tract urothelial carcinoma of the kidney lining and ureter
Modern tools
Staging may use advanced imaging such as PSMA PET for prostate cancer, which can find disease earlier than conventional scans. Dr. Neal Patel has co-authored research on how PSMA PET changes prostate cancer management, and has been recognized for work on cytoreductive surgery for metastatic prostate cancer. Treatment can include hormone therapy, newer oral agents, chemotherapy, immunotherapy and clinical-trial options in partnership with oncology colleagues.
Surgery when it helps
For selected patients, surgery is an important part of care. Examples are radical cystectomy with intracorporeal urinary diversion after chemotherapy, and complex partial or radical nephrectomy. When possible, these operations are performed robotically to support recovery.
A clear plan
Every patient leaves with a written plan, and their referring physician receives a summary letter. Call 678-344-8900 to request a consultation or second opinion with Dr. Neal Patel.
Preparing for your visit with Dr. Neal Patel
Bring a list of your current medications and supplements, any prior urine, blood or PSA results, and the reports (or discs) from recent imaging. If you can, arrive with a comfortably full bladder, because a urine sample and a bladder scan are often part of the first visit. Write down your main questions so nothing is missed. A family member is welcome to join you. If you prefer Spanish or Korean, let the office know when you book so language support is ready.
Your chart is reviewed before you arrive, and insurance requirements for likely imaging or procedures are checked up front so approvals can move sooner. Before you leave, your orders, prescriptions and follow-up plan are reviewed with you, and you receive education materials tailored to your condition.
At the end of the visit you will receive a written summary in your preferred language that explains what was found, what was ordered and what happens next. Your primary care physician or referring doctor receives a clear update letter with findings, plan and next steps, so everyone caring for you stays informed. Appointments are available at the Johns Creek, Cumming, Decatur and Braselton offices; call 678-344-8900.
Reviewed by Dr. Neal Patel, MD, board-certified urologist. This page is general information and not a substitute for medical advice.