April 17, 2012 12:30 ET

Robotic Prostate Surgery Takes the Lead Against Prostate Cancer

Dr. David Samadi, Prostate Cancer Expert, Explains How SMART Prostate Removal Surgery Leads in Pre- and Post-Treatment Certainties Over CyberKnife® Radiation and HIFU Ultrasound

NEW YORK, NY--(Marketwire - Apr 17, 2012) - According to Dr. David Samadi, leading prostate surgeon, prostate cancer treatment decisions are clearer than ever. Despite increasing marketing touting choices such as CyberKnife® Robotic Radiosurgery and High Intensity Focused Ultrasound (HIFU), there remains one prostate cancer treatment with definite diagnostic capabilities and post-surgery confirmation of complete removal of cancerous tissue -- SMART (Samadi Modified Advanced Robotic Technique) robotic prostatectomy surgery.

"The advantages of removing the cancerous prostate are numerous," asserts Dr. Samadi, "Neither radiation nor ultrasound can give the degree of confirmation that I as a prostate cancer expert need, nor that my patients in the fight of their lives demand."

Dr. Samadi's SMART surgery is the only prostate cancer procedure that provides:

1. Comprehensive and accurate prostate cancer staging
2. Prostate cancer cure confirmation through zero PSA post-surgery
3. Continence in 96% of patients within just one year of surgery
4. Sexual potency in 85% of patients in 12-24 months after surgery
5. Minimally-invasive surgery with less blood loss, shorter hospital stay, and faster recovery
6. Consistent results regardless of body type or weight

While surgery offers no guarantees, with proper adherence to post-surgical follow-up Dr. Samadi's patients are enjoying extremely satisfying lives. The difference, he explains, comes down to choosing the right treatment with an experienced surgeon. Dr. Samadi has performed close to 4,000 successful prostate removal surgeries.

"Robotic surgery takes advantage of amazing technology," says Dr. Samadi, "but patients need to understand that technology alone is not the answer. The art of medicine remains an equally important, if not greater, factor. During my SMART surgery I guide the robot from start to finish. The marriage of the technology with my surgical judgment and expertise is what brings success."

Robotic prostatectomy is the only surgical prostate cancer treatment option. "When I perform my SMART surgery, I have unequivocal information about the cancer. No amount of testing can tell me what I see during surgery. I assess the prostate, the seminal vesicles, and the lymph nodes and determine exactly how much prostate cancer is present."

Using that first-hand knowledge, Dr. Samadi expertly and delicately removes the cancerous prostate without impacting the precious nerve bundles that encompass it. His unique SMART procedure and his extensive surgical experience in open, laparoscopic, and robotic surgery enable him to preserve sexual function and urinary control in his patients.

In contrast, CyberKnife® radiosurgery is not surgery. It applies the same cancer radiation used historically, though in shorter, stronger doses. HIFU uses targeted ultrasound technology. Both procedures rely on pre-treatment data to approximate the location and extent of the cancerous tissue. Neither treatment removes the cancerous prostate.

What's more, both CyberKnife® and HIFU are in their infancy, and HIFU is not FDA approved. The long-term effectiveness of this type of radiation or of ultrasound for prostate cancer is unknown. Since both procedures leave the prostate intact, a man's PSA level will continue to fluctuate for life. Without the assurance of a zero PSA, like with SMART prostatectomy, uncertainty is an unfortunate treatment outcome. Prostate cancer recurrence, rectal issues and damage, and erection and ejaculation problems are among the risks with CyberKnife® and HIFU. In some patients, radiation increases risk of colon and bladder cancer.

If for any reason the cancer returns after surgery, radiation remains a viable secondary treatment. The same cannot be said in reverse, as radiation alters the prostate in such a way that surgery becomes very challenging. "Prostate removal surgery is the best first-line attack against prostate cancer," asserts Dr. Samadi. "No other procedure offers the same level of zero-PSA cancer-free assurance."

Dr. David Samadi is Vice Chairman of the Department of Urology and Chief of Robotics and Minimally Invasive Surgery at Mount Sinai Medical Center.

Research Summary - Prostate Cancer Treatment Using CyberKnife® Robotic Radiosurgery -- Click Here

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