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

Κ. β., Greece, Athens

Υγιης πλεον συνεχιζω ολες τις δραστηριοτητες μου.Εγω,η συζυγος μου και τα παιδια μας,σας ευγνωμονουμε.Σας  ΕΥΧΑΡΙΣΤΩ πολυ-πολυ,εσας και ολους τους εξαιρετικους συνεργατες σας. Σας ενημερωνω επισης, οτι στις 11 Φεβρουαριου 2010 εκανα και το δευτερο Τest P.S.A.:0,02 ng/ml, Free P.S.A.:0,01 ng/ml ,και παρακαλω για τις οδηγιες σας.-

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Judith D., USA

We could not believe we could get an appointment with you so quickly. We liked your answer very much. “No one touches my patients but me.” At that moment, we knew we had found our surgeon. We have never regretted that decision for a single moment. You and your staff have a level of knowledge, experience and professionalism that is unparalleled.

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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.

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T. Civetta, Italy

Nel mese di ottobre 2008 mi è stato dignosticato un tumore alla prostata. All'età di 43 anni non è facile gestire una notizia di questo tipo, sia sul piano fisico che sul piano psicologico. Mi sono rivolto al dottor David Samadi e dal momento che sono entrato nel suo ufficio, subito ho capito, grazie alla sua positivita` sicurezza e professionalita`, che ero nelle mani giuste.

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