Prostate Cancer Treatment Options Explained by Dr. David Samadi

Introduction

A prostate cancer diagnosis can be overwhelming—but it doesn’t have to be confusing. With advancements in technology, treatment options today are more precise, effective, and tailored than ever before. Whether you’ve just been diagnosed or are seeking a second opinion, understanding the full scope of prostate cancer treatment options is crucial to making the best decision for your health and future.

Dr. David Samadi, one of the world’s leading urologic oncologists and robotic surgeons, has dedicated his life to providing men with expert guidance and world-class care. As the developer of the SMART Robotic Prostatectomy technique, Dr. Samadi offers a minimally invasive, highly successful option for men seeking the best treatment for prostate cancer.

Understanding Prostate Cancer

The prostate is a small, walnut-sized gland in men that produces seminal fluid. Prostate cancer develops when abnormal cells in the prostate begin to grow uncontrollably. It’s the second most common cancer in men worldwide, but also one of the most treatable—especially when caught early.

Key Factors That Influence Treatment Choice:

•     Stage of cancer (localized vs. advanced)
  

•     PSA levels and Gleason score
  

•     Age and overall health
  

•     Desire to preserve sexual and urinary function
  

•     Personal treatment preferences
  

Dr. Samadi emphasizes: “Each case is unique. The right treatment should balance effectiveness, quality of life, and long-term outlook.”

Prostate Cancer Treatment Options

Below is a breakdown of the most common prostate cancer treatment strategies and how they compare:

1. Active Surveillance (Watchful Waiting)

What It Is:
 A non-invasive management strategy involving routine monitoring without immediate treatment. Patients undergo regular PSA tests, digital rectal exams (DREs), MRIs, and biopsies.

Best For:

•     Men with low-risk, slow-growing cancer
  

•     Older men or those with serious comorbidities
  

Pros:

•     Avoids side effects from surgery or radiation
  

•     Maintains quality of life
  

Cons:

•     Risk of cancer progression
  

•     Psychological stress of “living with cancer”
  

Dr. Samadi recommends active surveillance only when cancer is truly low risk, and never as a default for younger, healthier patients.

2. Radiation Therapy

What It Is:
 Uses high-energy beams to destroy cancer cells. Two primary forms are:

•     External Beam Radiation Therapy (EBRT)
  

•     Brachytherapy (Internal seed radiation)
  

Best For:

•     Localized or locally advanced prostate cancer
  

•     Men unable to undergo surgery
  

Pros:

•     Non-surgical approach
  

•     Can be effective for early-stage disease
  

Cons:

•     Risk of damage to surrounding organs (bladder, rectum)
  

•     Erectile dysfunction and urinary incontinence
  

•     Longer treatment duration (6–9 weeks daily sessions)
  

•     Secondary cancers from radiation exposure (rare but possible)
  

Dr. Samadi notes: “Radiation can complicate future surgery and should be carefully considered as a first-line treatment.”

3. Hormone Therapy (Androgen Deprivation Therapy)

What It Is:
 Blocks testosterone, which fuels prostate cancer growth. Typically used for advanced or metastatic disease.

Best For:

•     Men with high-risk or spread cancer
  

•     Used in combination with other treatments
  

Pros:

•     Slows cancer progression
  

•     May shrink tumors before radiation or surgery
  

Cons:

•     Not curative on its own
  

•     Side effects include: hot flashes, bone thinning, mood changes, loss of libido, and fatigue
  

Hormone therapy is often a bridge treatment or palliative option rather than a curative one.

4. Chemotherapy

What It Is:
 Intravenous drugs that kill fast-growing cancer cells. Reserved for advanced or hormone-resistant prostate cancer.

Best For:

•     Castration-resistant prostate cancer (CRPC)
  

•     Metastatic disease unresponsive to hormone therapy
  

Pros:

•     Can slow progression and improve survival
  

Cons:

•     Strong side effects (nausea, fatigue, immune suppression)
  

•     Less effective for localized disease
  

Dr. Samadi typically recommends chemotherapy only after other options have been exhausted.

5. High-Intensity Focused Ultrasound (HIFU)

What It Is:
 A newer, non-invasive treatment that uses ultrasound waves to heat and destroy prostate tissue.

Best For:

•     Men with localized prostate cancer
  

•     Patients seeking a non-surgical route
  

Pros:

•     No radiation
  

•     Low risk of incontinence
  

Cons:

•     Not widely available
  

•     Less long-term data
  

•     Possibility of needing retreatment
  

6. Robotic Prostate Surgery (Robotic-Assisted Laparoscopic Prostatectomy)

What It Is:
 A minimally invasive surgical procedure using the da Vinci® Robotic System, where the prostate is removed through small incisions with precision tools controlled by the surgeon.

Dr. Samadi’s SMART Robotic Prostatectomy: A Game-Changer

SMART stands for Samadi Modified Advanced Robotic Technique—a proprietary technique developed by Dr. Samadi to combine the precision of robotics with the nerve-sparing skill of open surgery.

Why Patients Prefer SMART Robotic Surgery:

•     No cutting of neurovascular bundles (preserves erectile function)
  

•     Minimal blood loss
  

•     Small incisions with faster healing
  

•     Shorter hospital stays (usually 24 hours)
  

•     High cancer cure rate
  

•     Over 95% of patients regain urinary continence
  

•     High rates of sexual function preservation
  

Unlike other robotic surgeries, Dr. Samadi performs every surgery himself, from start to finish—never relying on residents or assistants.

Robotic Prostate Surgery vs. Other Treatments

Feature	Robotic Surgery	Radiation Therapy	Hormone Therapy	Active Surveillance
Curative Potential	✅ High	✅ Moderate	❌ No	❌ No
Minimally Invasive	✅ Yes	✅ Yes	✅ Yes	✅ Yes
Preserves Sexual Function	✅ Yes	❌ No	❌ No	✅ Yes
Fast Recovery	✅ 2–3 weeks	❌ 6–9 weeks	✅ N/A	✅ N/A
Long-Term Outcomes	✅ Excellent	⚠️ Variable	⚠️ Variable	❌ Not curative

Choosing the Best Treatment for Prostate Cancer

When choosing the best treatment for prostate cancer, Dr. Samadi encourages patients to consider:

•     Stage and aggressiveness of cancer
  

•     Likelihood of cure
  

•     Short- and long-term side effects
  

•     Impact on quality of life
  

•     Physician’s expertise with the procedure
  

The more you understand about your diagnosis, the more confidently you can choose your path forward.

Why Choose Dr. David Samadi?

✅ Over 7,000 successful robotic prostate surgeries
 ✅ Pioneer of SMART Robotic Technique
 ✅ Board-Certified Urologic Oncologist
 ✅ Recognized as a top prostate cancer surgeon worldwide
 ✅ Personalized care from consultation to recovery

Patients from around the globe travel to Prostate Cancer 911 in New York to be treated by Dr. Samadi. His practice offers second opinions, cutting-edge diagnostics, and personalized robotic surgery plans in a concierge-style setting.

What to Expect During Robotic Surgery with Dr. Samadi

1. Initial Consultation
   

○      In-person or virtual

○      Review PSA levels, Gleason score, imaging

○      Explanation of treatment plan

1. Pre-Operative Planning
   

○      Lab work, EKG, imaging

○      Custom surgical strategy based on your anatomy and cancer stage

1. Surgery Day
   

○      2–3 hour robotic prostatectomy

○      Performed entirely by Dr. Samadi

○      No residents or assistants

1. Recovery
   

○      Hospital stay: typically 24 hours

○      Catheter: usually 5–7 days

○      Return to normal activities: 2–3 weeks

○      Full recovery of function: varies, often within 3–6 months

Real Patient Results

“After consulting several surgeons, I chose Dr. Samadi for his confidence and experience. I was back to work within two weeks and cancer-free.”
 — Michael D., Boston, MA

“His SMART technique preserved both my health and my manhood. I’m grateful every day I chose Dr. Samadi.”
 — Thomas R., New York, NY

Schedule Your Consultation with Dr. Samadi Today

A prostate cancer diagnosis doesn’t have to mean uncertainty. With the right knowledge and the right surgeon, you can take control of your health and your future.

📍 Prostate Cancer 911
 485 Madison Ave, 21st Floor, New York, NY 10022
  📞 Call Now: (212) 365-5000
  🌐 www.prostatecancer911.com

Final Thoughts

Prostate cancer is a serious disease—but it’s also highly treatable, especially with early detection and expert care. Whether you’re looking for a cure, preserving your quality of life, or weighing your options, Dr. David Samadi is here to help you make the most informed, confident decision possible.

Experience matters. Precision matters. Your life matters.

Choose the best. Choose Dr. Samadi.