Which Prostate Cancer Treatment is Used Most Often?
Jul 15, 2025
Prostate cancer has so many treatment options that choosing the right treatment may feel overwhelming. At David B. Samadi, MD, the medical practice of internationally famed, board-certified prostate cancer surgeon Dr. David Samadi, we help men navigate their treatment options with clarity and confidence.
In our July blog, we’re discussing the most common treatment for prostate cancer — and explaining why it’s considered the gold-standard solution.
The most frequently used treatment for localized prostate cancer is robotic prostatectomy to remove the prostate gland — especially for men aged 75 or younger who are in good general health.
While there are several treatment options depending on how advanced the cancer is, robotic surgery has become the most common choice for those looking for a highly effective, minimally invasive solution.
Other standard treatments include:
Each option has its benefits and risks. When you trust us with your treatment, we ensure you understand each option and help you decide which one matches your goals and health needs.
Most men opt for robotic prostate removal. Dr. Samadi is renowned for his exemplary skills and high success rates curing prostate cancer through surgery, with more than 10,000 successful robotic prostatectomies under his belt.
Robotic-assisted surgery to remove the prostate gland is the most complete and effective treatment strategy option for prostate cancer — so you're probably not surprised that it’s also the most common approach.
With robotic surgery, surgeons have a level of control and precision that would otherwise be impossible. This allows for much smaller “keyhole” incisions, less pain, reduced bleeding, and a quicker recovery.
Compared to some other methods of treatment, like a traditional prostatectomy, robotic surgery also offers a better outcome in terms of long-term urinary and sexual function.
But, for Dr. Samadi, “better” wasn’t good enough.
Traditional robotic-assisted prostatectomy focuses exclusively on cancer removal. Dr. Samadi wanted to retain that benefit while further improving outcomes for his patients: Not only complete cancer removal, but also continued quality of life after surgery.
That’s what led to his creation of the SMART (Samadi Modified Advanced Robotic Technique). His technique uses the da Vinci® system, but in an elevated way.
With SMART, Dr. Samadi removes the prostate and all cancerous tissue with extreme precision, expertly avoiding unnecessary damage to the surrounding nerves and vasculature. Sparing those delicate tissues leads to an even more comfortable surgery, lower complication risk, and smoother recovery process than traditional robotic prostatectomy.
What sets SMART apart is that it goes beyond cancer removal. When Dr. Samadi created this approach, he kept two common frustrations men may have after prostatectomy in mind: urinary incontinence and reduced sexual function. Thanks to this advanced, tissue-sparing method, the risk of those issues decreases dramatically.
The success rate is remarkable. Nearly 90% of men are cancer-free post-surgery, 83% regain sexual function, and most men enjoy normal urinary function by one year post-surgery.
The five-year survival rate for prostate cancer is nearly 98% today. That’s thanks in large part to the evolution of groundbreaking approaches and the outstanding skills of elite surgeons like Dr. Samadi.
With Dr. Samadi, your care isn’t just about removing cancer. It’s about helping you feel whole again, both physically and emotionally.
If you’re exploring treatment for prostate cancer, call us at 212-365-5000 to book your appointment today. Our offices are conveniently located in Midtown Manhattan, New York, and Roslyn, New York. Let us help you tackle treatment with confidence.