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.
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.Read More
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.Read More
Just over a year ago on December 22, 2008 I was diagnosed with prostate cancer. In the midst of receiving this traumatic news, I was forced to decide on treatment from a bewildering array of options, from “watch and wait”, to radiation, to high frequency ultrasound, to conventional surgery, to laparoscopic surgery. More than all that, the choice foreshadowed long waiting lines, crowded hospitals and...Read More
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.Read More