Mount Sinai Prostate Cancer Surgeon Performs 4000th Robotic-Assisted Radical Prostatectomy

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David B. Samadi, MD, the Vice Chairman, Department of Urology and Chief of Robotics and Minimally Invasive Surgery at The Mount Sinai Medical Center, has achieved the milestone of performing his 4000th robotic-assisted laparoscopic prostatectomy.

This spring, David B. Samadi, MD, the Vice Chairman, Department of Urology and Chief of Robotics and Minimally Invasive Surgery at The Mount Sinai Medical Center, has achieved the milestone of performing his 4000th robotic-assisted laparoscopic prostatectomy. As one of the world's most experienced prostate cancer surgeons, he has revolutionized the field with the Samadi Modified Advanced Robotic Technique (SMART) for robotic surgery, which results in fewer side effects and a better quality of life for prostate cancer patients. About half of these 4000 procedures were performed using the SMART technique.

"There is a demand for minimally invasive procedures that result in smaller scars, quicker healing and minimal risk of becoming impotent or incontinent,” said Dr. Samadi. “The combination of the robotic technology and SMART technique allows me to be even more precise when eliminating prostate cancer. It underscores the importance of volume and experience in this type of surgery," explained Samadi. "Even difficult operations become routine with the robot and the SMART technique.”

Trained in urologic oncology, and both open and laparoscopic surgery, Dr. Samadi uses the da Vinci® S HD-Surgical System Robot as a tool that gives him ease of movement, increased magnification and visualization as well as extraordinary dexterity, precision and range of movement. With the robot, Dr. Samadi creates only six very small instrument holes so pain, bleeding and scarring are significantly minimized. With the SMART technique, the prostate is removed without opening or suturing the dorsal vein complex (DVC). As a result, the risk of damage to the nerves, tissue, and sphincter is greatly reduced. The actual procedure can be performed in two hours or less.

"The SMART technique is an advanced technique that should not be performed early in a robotic surgeon's learning curve," advised Dr. Samadi. "What's important to note is that since there is no suture in the DVC, it results in a longer length of urethra, which results in better continence and less chance of nerve damage," explains Dr. Samadi. "Since there is minimalum dissection performed on the sides of the prostate, there is less chance of damaging the nerves responsible for sexual function, which means a better sex life because the sexual function is ultimately improved."

Outcome studies demonstrate that SMART surgery is more effective than other treatments such as radiation therapy (including radioactive seed implant [brachytherapy]) and external beam radiation therapy (EBRT). Dr. Samadi points out that the surgical option, whether robotic, open or laparoscopic, is not possible if the cancer returns after treatments with radiation.

With a convenient midtown location in New York City, Dr. Samadi’s multi-disciplinary center is dedicated to providing comprehensive, state-of-the-art personalized and compassionate care for men with prostate cancer. Eligible patients also have the opportunity to participate in the latest clinical trials for prostate cancer.

“The goal of our center is to help each patient make an informed decision about their treatment options for prostate cancer and choose the treatment that is the best fit for them personally and medically,” said Dr. Samadi. “Our center’s unique multi-disciplinary, collaborative and evidence-based approach will empower patients with information they need to make the best treatment decisions, thereby helping to ensure satisfaction with treatment outcomes.”

In addition to diagnosing and treating prostate cancer, Dr. Samadi also specializes in treating bladder cancer, kidney cancer and other urological diseases. He completed his post-graduate training in general surgery at Montefiore Medical Center and in urology at Albert Einstein School of Medicine and Montefiore Medical Center. He did an oncology fellowship in urology at Memorial Sloan Kettering Cancer Center and a robotic radical prostatectomy fellowship at Henri Mondor Hospital Creteil in France under the mentorship of Professor Claude Abbou. Dr. Samadi is a member of the American Urological Association, the American Medical Association and the Fox News Medical A-Team.

Dr. Samadi’s office is located at 625 Madison Avenue in New York City and surgery is performed Mount Sinai Hospital at 101st Street and Madison Avenue. To learn more please visit: and

About The Mount Sinai Medical Center

The Mount Sinai Medical Center encompasses both The Mount Sinai Hospital and Mount Sinai School of Medicine. Established in 1968, Mount Sinai School of Medicine is one of the leading medical schools in the United States. The Medical School is noted for innovation in education, biomedical research, clinical care delivery, and local and global community service. It has more than 3,400 faculty in 32 departments and 14 research institutes, and ranks among the top 20 medical schools both in National Institutes of Health (NIH) funding and by U.S. News & World Report.

The Mount Sinai Hospital, founded in 1852, is a 1,171-bed tertiary- and quaternary-care teaching facility and one of the nation’s oldest, largest and most-respected voluntary hospitals. In 2011, U.S. News & World Report ranked The Mount Sinai Hospital 16th on its elite Honor Roll of the nation’s top hospitals based on reputation, safety, and other patient-care factors. Of the top 20 hospitals in the United States, Mount Sinai is one of 12 integrated academic medical centers whose medical school ranks among the top 20 in NIH funding and U.S. News & World Report and whose hospital is on the U.S. News & World Report Honor Roll. Nearly 60,000 people were treated at Mount Sinai as inpatients last year, and approximately 560,000 outpatient visits took place.

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