What is prostate cancer?
Prostate cancer is a disease in which malignant cells (cancer) form in the tissue of the prostate. The prostate is a gland of the male reproductive system that is located directly under the bladder and before the rectum.
It is roughly the size of a walnut and surrounds the urethra (the tube that empties urine from the bladder). The prostate produces fluid that is part of the semen.
Treatment of prostate cancer
Surgeons who treat patients with prostate cancer should understand the advantages and disadvantages of any available treatment for prostate cancer and prostate cancer in order to optimize the results. Traditional open prostate surgery effectively eliminates cancer but has been associated with prolonged and painful hospital stays, significant blood loss, incontinence, and sexual dysfunction. The most recent developed laparoscopic prostate surgery represents an important advance for patients with prostate cancer since it does not involve incision, minimal blood loss and postoperative complications, and can recover patients more quickly with less pain. However, there is a very pronounced learning curve associated with the laparoscopic approach; about 100 procedures before the technique is mastered.
Robotic Prostate Surgery Provides More Advantages
A recent addition to the treatment of prostate cancer is robotic prostate surgery. The procedure has the same advantages associated with laparoscopic prostate surgery: no incision, minimal blood loss, fast recovery, and minimal catheter use. The new technology, however, uses robotic instruments and two cameras for better visualization. The use of two chambers allows us to determine a three-dimensional view of the anatomy with the greatest increase. In contrast to laparoscopic prostate surgery, the robotic instrumentation provides the surgeon with a full range of movement and is associated with a significantly lower blood loss during the treatment of prostate cancer. For this reason, robotic prostate surgery is sometimes referred to as a bloodless prostate cancer treatment. Furthermore, in this prostate surgery, sexual dysfunctions and incontinence risks are reduced since the surgeon has a clear view of the anatomy and can navigate more precisely the nerves and structures responsible for these problems.
Prostate cancer surgery – Complete education as a necessity
Few surgeons in the United States are trained in all three methods of prostate cancer surgery, but can benefit patient results if experiences are gained in each approach, such as David B. Samadi, MD. Surgeons should be experts in laparoscopy to be an excellent robotic surgeon, but they also need to be experts in conducting the open procedure to gain experience with laparoscopy. The robotic prostate surgery combines the best of open prostate surgery and laparoscopic skills. There are very few cases where a robotic or laparoscopic procedure should become an open surgery but the choice of a prostate cancer surgeon who can handle any situation that occurs is a must.
Robotic prostate surgery should not be performed unless the surgeon is sent in the prostate and prostate cancer anatomy. In some cases, adhesions or scars can occur, and the laparoscopic surgeon must be able to work under these conditions. Therefore, the prostate cancer treatment and patient volume is so important.
SMART surgery for the treatment of prostate cancer.
Dr. Samadi performs every SMART operation from start to finish with three success measures:
- Complete removal of prostate cancer cells
- Sex after prostate cancer
- Urine control after prostate surgery
The preservation of the endo pelvic fascia, the urothrus, the surrounding neurovascular bundles and a unique treatment of the dorsal venous complex are the cornerstones of SMART’s success. Each modification allows Dr. Samadi to remove the prostate in walnut size with minimal disturbance in the environment. Small nerve packs are protected by the use of cold scissors and tweezers that are never cauterized during surgery.
What are the benefits of SMART surgery for prostate cancer?
The minimally invasive SMART operation helps patients recover from prostate cancer and operations more quickly and with fewer complications than other techniques. Dr. Samadi performs a SMART operation in less than 90 minutes, reducing the patient’s exposure to risk and blood loss. Most patients return home the day after surgery.
With adequate compliance with postoperative guidelines, Dr. Samadi and SMART Surgery:
- 89% of patients without cancer, less than 2% develop 1 year after surgery
- Continence of the urinary tract during 12-13 months of operation in patients who had a normal continence before surgery
- Sexual potency for 83% of patients who had a normal sexual function before prostate surgery
One of the greatest advantages of SMART surgery is the zero PSA level of life enjoyed by most men. The rest, which provides the complete removal of the cancerous prostate, is for Dr. Samadis patients and their families are invaluable.
What is unique to Dr. Samadis approach for prostate cancer and patients?
Beyond the surgical techniques and results of prostate cancer, Dr. Samadi is very involved in the emotional well-being of each patient and his partner and his family.
When you enter your office, you become a member of your family at the Lenox Hill Hospital, and the level of care that you receive reflects this dedication. This happens in various ways before, during and even after the operation – it is a connection that never ends.
Many doctors and surgeons focus only on physical health but do not address the needs of each individual patient; a person who has questions and anxieties and needs answers and support. Dr. Samadi and his staff provide individual support during the entire treatment process.
Dr. Samadi deals with surgery so that only a few doctors can claim it. It is very typical for a surgeon to perform only the main parts of the robotic prostate removal operation by choosing a surgical team to perform the smaller aspects that require less technical skill and expertise. This is the contrast of personal care; a doctor who introduces himself, does a job and goes to the next operating room.
In any case, Dr. Samadi the entire procedure from the beginning to the end through. Your surgical team does not help, but at no time can they perform the operation. When it comes to something as serious as prostate cancer, this is crucial.
What can I expect during the recovery from SMART surgery?
After the procedure, Dr. Samadi with you in the recovery room, to answer still open questions to the aftercare. Patients usually return home the day after surgery. A catheter will be in place; but only for seven days. In contrast, open prostate excision surgery requires a catheter for several weeks after surgery. The catheter is removed during a simple procedure in the office.
Often, men return to work only 2-3 weeks after surgery, and for 4-6 weeks most are comfortable to resume normal activities.