Prostate Cancer Treatment Trifecta
Trifecta Approach Important in Prostate Cancer Treatment
With over 5,600 successful surgeries and counting, Dr. David B. Samadi, MD, aims high when it comes to prostate cancer
Three is a very important number to Dr. David Samadi, Chairman of Urology, Chief of Robotic Surgery at Lenox Hill Hospital, and Professor of Urology at Hofstra North Shore-LIJ School of Medicine. Considered a mystical number, Samadi has incorporated this number in his robotic prostatectomy practice. Having performed over 5,600 successful prostate cancer treatments in his work, Samadi’s experience is unparalleled.
Thanks to three fellowships, he is not only an accomplished robotic surgeon, he is also expertly trained in open and laparoscopic surgery. Samadi refers to himself as "three surgeons in one head,” which is crucial in surgery, if he needed to switch from one type of surgery to another.
Prostate Cancer Treatment Options
When determining prostate cancer treatment for his patients, Dr. Samadi uses a three-pronged approach, taking into consideration:
- Prostate specific antigen (PSA) level
- Digital rectal exam (DRE)
- Gleason scores
This information is used as a baseline monitor, along with other risk factors such as lifestyle and family history, to help successfully treat this disease.
Currently, the most popular treatment options for prostate cancer are:
- Active surveillance
uses high-energy rays or seeds to kill cancer cells. It is ideal for low-grade, prostate-confined cancer and recurrent cancer cases.
2. Active surveillance
, also known as “watchful waiting
,” means waiting until the cancer exhibits symptoms before starting treatment. It may also mean closely monitoring the patient’s tests, exams and ultrasounds to determine the cancer’s growth.
. The third option is a radical prostatectomy
, whereby the entire prostate gland is removed, which can be done traditionally (via open surgery), laparoscopically, or robotically
In choosing a treatment, Dr. Samadi stands behind the viability of a radical prostatectomy. It is, in Samadi’s opinion, the “gold standard
” for completely eliminating prostate cancer that is organ-confined
. Understandably, he advocates a robotic prostatectomy, via the da Vinci robot
, as the most effective way of treating prostate cancer
. “It is only by removing the prostate that I can ascertain three things: if the cancer is organ-contained, the type of cancer, and the stage of the cancer,” explained Samadi.
The “Triple Play” Philosophy For Prostate Cancer Treatment
In keeping with his “triple play philosophy,” Dr. Samadi believes that with his experience in open prostate surgery and laparoscopic prostatectomy, robotic prostate surgery can offer his patients the best cure
(with post-operative long-term PSA levels undetectable), retention of sexual function
, and continence
(see chart below). “All three factors are equally important to my patients, and my experience with robotic surgery has consistently provided these to them,” continued Samadi.
Dr. Samadi envisions promising advancements in the arena of prostate cancer research. He cites the possibility of gene therapy, whereby prostate cancer cells are infected with genes that prevent them from multiplying. Another hopeful treatment includes immunotherapy, which stimulates the body’s own immune system to attack cancer cells. And finally, there are many potential vaccines being researched to prevent prostate cancer from developing in the first place.
“Choosing robotic surgery is a no-brainer. Choosing the right surgeon who performs a large volume of these cases and is also a trained oncologist is most important
,” says Dr. Samadi, “I have increased visibility, magnification, and dexterity with no tremors. The patient’s time in surgery is reduced to 1-2 hours.
The incisions are smaller, with minimal blood loss. They are discharged within 24 hours. Recovery is faster and side effects are practically eliminated.
” Samadi is confident in his trifecta approach to prostate cancer and robotic surgery as the most effective treatment option available.
David B. Samadi, M.D
Chairman of Urology, Chief of Robotic Surgery at Lenox Hill Hospital, and Professor of Urology at Hofstra North Shore-LIJ School of Medicine
Over 5,600 Prostate Surgeries Performed to Date
Dr. Samadi is one of the very few urologic surgeons in the United States trained in oncology, open, laparoscopic, and robotic surgery. He is also the first surgeon in the United States to successfully perform a robotic surgery redo. To date, Dr. Samadi has performed over 5,600 prostate surgeries. This is more than any other prostate cancer surgeon in all of New York.
Make an appointment: 1-212-365-5000
Gary L., Canada
I have announced to my family and close friends that January 22 is my new "birthday". For it was on this date that I had my successful surgery with Dr. Samadi. Two months prior, I was diagnosed with a Gleason 6 score prostate cancer. For a relatively healthy 45-year old, it came as a shock but it was something I accepted. For a month, I did my research and met with several doctors in Toronto.
Walter K., USA
I learned I had prostrate cancer in late May 2010. I am 67 years old, diabetic, and had both TURP surgery and hernia surgery in the past. Being a Jehovah's Witness I was very concerned about the blood issue. Since conventional prostrate surgery is very bloody, it was not an option.
This is not a paid endorsement, even though it’s going to sound like one. This is just a true account of my experiences with the amazing Dr. David B. Samadi and his incredible staff in the time leading up to and following my recent robotic prostate removal surgery.
Barry G., USA
I would like to express how grateful I am that I went ahead with the robotic prostatectomy. I am completely satisfied with the results. Since, the pain and discomfort after surgery were less than I anticipated, I did not need to take the Percocet and instead relied on extra strength Tylenol. Furthermore, I never experienced any noticeable bladder spasms, so I did not need to take Detrol LA.
Dr. M. Ritch, Kingston, Jamaica, West Indies
I must commend you on your excellent staff and your nurses, which offers patients pre and post operative advice as well as much more information. Not all patients will qualify for robotic prostatectomy but, for those who do, I highly recommend them to seek your advice and approach surgery without fear as your expertise in this area is unparalleled.
Shlomo P., Israel
הסיפור שלי מתחיל באוגוסט 2010 כאשר תוצאות מבחן ה-PSA שלי הראו תוצאה מדאיגה-6.3 הביופסיה עם אולטרסאונד שנערכה באוקטובר 2010 הראתה תוצאה מדאיגה יותר-גליסון 7 (4+3). וכאן התחיל הסיפור האמיתי שלנו
הסיפור שלי מתחיל בספטמבר 2010, כשתוצאות בדיקותיי היו: PSA -4.9, גליסון- 6 (3+3). יש לציין שסבלתי שנים ממתן שתן איטי של בן דקה לדקה וחצי, שזהו מדד לערמונית מוגדלת. במהלך החודשים שלאחר מכן ניגשתי לארבע בדיקות PSA נוספות שהצביעו על עליה ברורה, למעט ירידה אחת באמצע .( 5.22, 4.96, 5.76, 6.16 )