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BREAKING NEWS: 88% of Dr. Samadi's patients report postoperative satisfaction.

The majority of patients undergoing RALP (robot-assisted laparoscopic prostatectomy) surgery for localized prostate cancer do not regret their treatment decision, according to findings published in The Journal of Urology, December 2012, http://www.jurology.com/article/S0022-5347(12)04453-9/abstract. Analysis indicates the primary factors contributing to postoperative quality of life, and therefore satisfaction or dissatisfaction with treatment choice, are pre- and postoperative sexual potency and urinary control. The study included 953 consecutive prostate cancer treatment patients with RALP performed by Dr. David Samadi, Vice Chairman, Department of Urology and Chief of Robotics and Minimally Invasive Surgery at New York's Mount Sinai Medical Center.

At a median of 11.1 months after robotic surgery, 74 percent completed questionnaires regarding quality of life and treatment decisional regret. Of these patients, 88 percent reported satisfaction with their decision to have RALP. Dr. Samadi performs custom RALP surgery using the Samadi Modified Assisted Robotic Technique (SMART). In this study Dr. Samadi and his colleagues sought to define specific factors impacting patient decisional regret following RALP for localized prostate cancer. Their analysis focused on the relationship between independent baseline status and quality of life after surgery, namely patient age and erectile and urinary functions before and after surgery. "It is encouraging that nearly a year after surgery, the majority of my patients are satisfied with their treatment choice and quality of life," said Dr. Samadi. "I believe these findings highlight the importance of pre-op counseling; working one-on-one with patients and their partners to provide a realistic assessment of before and after functions."

Patient-reported data indicated that those with preexisting erectile dysfunction (ED) have greater difficulty with sexual potency after surgery. In terms of regret, however, men with superior preoperative erectile function were more bothered by postoperative sexual issues that those already experiencing some degree of ED. Additionally, patients with severe baseline lower urinary tract symptoms (LUTS) were more regretful after surgery, despite their preexisting urinary problems. "What we found," explained Dr. Samadi, "is that patient satisfaction with robotic prostate surgery depends on a range of pre- and postoperative variables. This reinforces the need for patient-specific treatment counseling before surgery and a continuing doctor-patient relationship during post-surgery rehabilitation." Though not included in this study, ongoing patient data indicates that 96 percent of Dr. Samadi's patients regain urinary continence within two to three months of surgery and sexual potency within 12-24 months. To date, Dr. Samadi has performed more than 4,000 successful SMART prostatectomy surgeries.

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* The benefits of robotic surgery cannot be guaranteed as surgery is both patient and procedure specific. Previous surgical results do not guarantee future outcomes.
Testimonials
Ann, G

My husband and I have been extolling the virtues of Dr. David Samadi and Mt. Sinai Hospital since my husband’s robotic prostatectomy March 11, 2009, and we thought you would like to know of our positive experience...

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Little Johnny Rivero, Puerto Rico

PROSTATE CANCER! How could it be? I'm young and have had annual PSA tests to monitor my prostate cancer risk. I only recently began to experience sharp pain in my lower back but I knew I had to seek treatment.

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G. P., New York, USA

"I am truly grateful to Dr. Samadi. The path he took from the Middle East to America enabled me and many others to have the opportunity to be helped by this caring man. A man I now call a friend. I will take a PSA in the end of May. I am confident the result will be OK just as Dr. Samadi promised."

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Alan H., New Jersey, USA

Words are not enough to express my heartfelt thanks to you and your staff for the successful outcome of my surgery. The compassion and care shown to me and my family by everyone made the journey through this most trying time much easier.

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