SMART Surgery for Prostate Cancer Treatment

How is Dr. Samadi’s SMART robotic prostate surgery unique?

The Samadi Modified Advanced Robotic Technique (SMART) is a minimally invasive robotic-assisted laparoscopic prostatectomy (RALP). After fellowship training in urologic oncology and laparoscopy, and many years of robotic prostate surgery experience, David B. Samadi, MD, developed his own surgical modifications that are distinct to SMART. This custom procedure is an advanced application of robotic technology for the removal of cancerous prostates.


Dr. Samadi performs every SMART surgery himself from start-to-finish, with three measures of success:

  1. Total remove of prostate cancer cells
  2. Sex after prostate cancer
  3. Urinary control after prostate surgery

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Preservation of the endo pelvic fascia, the urinary sphincter, and the surrounding neurovascular bundles, plus a unique treatment of the dorsal vein complex, are the cornerstones of SMART success. Each modification allows Dr. Samadi to remove the walnut-size prostate with minimal disruption to the surrounding area. Tiny nerve bundles are further protected by the use of cold scissors and clips, never cautery, during surgery.

Learn more about David B. Samadi, MD’s SMART surgery procedure.


What are the advantages of SMART surgery for prostate cancer?

Minimally invasive SMART surgery helps patients recover from prostate cancer and surgery faster and with fewer complications than other techniques. Dr. Samadi performs SMART surgery in less than 90 minutes, thereby reducing the patient’s exposure to risk and blood loss. Most patients return home the day after their surgery.

With proper adherence to post-surgery guidelines, Dr. Samadi and SMART surgery deliver:

  • 89% of cancer-free patients, with less than 2% seeing a recurrence of cancer 1 year after surgery
  • Urinary continence for within 12-13 months of surgery among patients who experienced normal continence prior to surgery
  • Sexual potency for 83% of patients who experienced normal sexual function before prostate surgery

One of the greatest benefits of SMART surgery is the lifelong zero PSA level enjoyed by most men. The peace of mind afforded by complete removal of the cancerous prostate is invaluable to Dr. Samadi’s patients and their families.


What is unique about Dr. Samadi’s approach to prostate cancer and patients?

Beyond surgical techniques and prostate cancer outcomes, Dr. Samadi is highly involved in the emotional wellbeing of each patient, and that of their partner and family.

When stepping into his office you become a member of his family at Lenox Hill Hospital, and the level of care you receive reflects that dedication. This is done in a number of ways, before, during, and even after surgery – it’s a bond that never ends.

Many doctors and surgeons focus only on physical health, but fail to address each patient’s needs as an individual; a person who has questions and fears and needs answers and support. Dr. Samadi and his staff provide this one-on-one care throughout a patient’s whole treatment process.

When it comes to the surgical process, Dr. Samadi handles things in a way very few doctors can claim. It’s very typical for a surgeon to perform just the major parts of the robotic prostate removal operation, opting to have a surgical team perform the minor aspects that require less technical skill and know-how. This is the antithesis of personal care; a doctor who shows up, does a job, and leaves for the next operating room.

In each case, Dr. Samadi performs the entire procedure from the beginning to the end. His surgical team does assist, but at no point are they left to perform surgery. When dealing with something as serious as prostate cancer, this is critical.


What can I expect during recovery from SMART surgery?

After the procedure, Dr. Samadi will meet you in the recovery room to answer any remaining questions about follow-up care. Patients typically return home the day after surgery. A catheter will be in place; however, only for seven days. In contrast, open prostate removal surgery requires a catheter for several weeks post-op. The catheter is removed during a simple, in-office procedure.

Often men return to work just 2-3 weeks after surgery, and by 4-6 weeks most are comfortable resuming normal activities.

SMART Surgery for Urinary Continence and Sex After Prostate Cancer

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