Prostate Cancer Smart Surgery Treatment Trifecta

Sex After Prostate Surgery

Men facing prostate cancer experience a wide range of emotions and fears about treatment, survival and cure. Robotic prostatectomy procedures, performed to remove the prostate gland and all surrounding cancer, provides very good results but can add to the fears that men have. Primarily, men want to know if they will be able to have and enjoy sex after prostate cancer treatment.


Prior to the advent of laparoscopic and robotic techniques to remove the prostate gland, open, abdominal surgery was the standard. During these procedures, it was very difficult for the surgeon to see the tiny nerves responsible for erectile functioning and they were often severed unintentionally. As a result, men typically experienced changes in their ability to have sex after prostate removal. Today, robotic radical prostatectomy provides the surgeon with a magnified view of the prostate gland, along with increased precision and dexterity, greatly reducing the risk of damage to nerves vital to erectile functioning.


Dr. Samadi maintains that prostate surgery recovery means a return to the patient’s normal quality of life. “I consider robotic surgery successful when the cancer is cured and the patient has full continence and potency. All three criteria must be met for me to consider the surgery a success.” Dr. Samadi employs a start-to-finish approach, including individualized evaluation of sexual function prior to radical prostatectomy and assessment of options to aid in the return of sexual function after prostate surgery.


Robotic radical prostatectomy using the da Vinci Surgical System is the commonly recommended treatment for men with localized prostate cancer. The da Vinci system’s greatly magnified visualization and sensitive electronics permit Dr. Samadi to perform highly precise movements at the surgical site. This allows for cleaner removal of the cancerous tissue and results in overall superior clinical outcomes when compared to open and laparoscopic prostatectomy procedures. Using his own SMART (Samadi Modified Advanced Robotic Technique), Dr. Samadi is able to spare the nerves critical for sexual function. Prostate surgery recovery is then faster, with an improved outlook for regaining the ability to have sex after prostate removal. SMART surgery also mitigates the risks associated with incontinence after prostate surgery.


The resumption of sexual potency can take up to 12 months, or longer depending on the complexity of the prostatectomy surgery. It’s not uncommon for men to experience ED after prostate surgery, particularly during the weeks immediately following the procedure. However, this is not an indication of the long-term sexual potency of a patient. On-going post-operative communication is part of Dr. Samadi’s comprehensive approach to ED after prostate cancer treatment.


Read more:

Study: Sex After Prostate Surgery and New Techniques to Improve It
Dr. David Samadi is employing his SMART robotic prostatectomy procedure to enhance surgical precision and maintain sexual wellbeing after prostate cancer treatment.

How SMART Surgery Improves Sexual and Urinary Function
With Over 5,600 Robotic Prostatectomy Surgeries to His Credit, Dr. David Samadi, MD Discusses SMART Surgery and How it Improves Sexual and Urinary Function.

Study: Incontinence After Prostate Surgery
Dr. David Samadi, leading NY prostate cancer treatment expert, discusses results of "men leak during sex" study released by New York City area urologist.


Patient Testimonials

A. Bartoc, Romania

One of the hardest phone calls I made in my life was when I called my father to tell him he had prostate cancer. It was in May of 2006. We were both scared and anxious about the best way to treat it. Also, 9,000 miles separating us did not help the decision making process. As a former senior urology resident in my home country, I felt I needed to research all treatment options extensively.

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Sal C., USA

Upon arriving at Mount Sinai on the day of the surgery, the staff at the hospital treated me with a great deal of respect, and the admission process was quick and smooth.  As the time of the operation drew near, I met with the anesthesiologist on your staff who made sure that I had prepared for the operation.

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T. Carter, Oslo, Norway

The health care system in Scandinavia, where I live, is among the world’s finest. But at age 77, for treatment of my prostate cancer, I wanted the surgeon with the most experience and the highest success rate.

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Stepan S., Moscow, Russia

Shocked by the diagnosis, I started researching different types of prostate cancer treatments in the Internet. In the faraway Moscow I found your website http://www.roboticoncology-rus.com, saw your photo and almost immediately, on the subconscious level made my choice – only you, Dr. David Samadi, can save my life. My family and I never regret this decision.

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