State-of-the-Art da Vinci Robotic Prostatectomy in New York, NY
The da Vinci robotic prostatectomy has become the leading surgical treatment for localized prostate cancer, combining the proven cancer-control principles of open surgery with the precision and recovery benefits of minimally invasive technology. At Prostate Cancer 911, Dr. David Samadi has performed more than 10,000 robotic prostate surgeries and has refined the procedure through published technical modifications designed to improve cancer control, continence, and sexual function.
The Benefits of da Vinci Robotic Prostatectomy
- Small keyhole incisions instead of a large abdominal incision
- Significantly less blood loss and a very low transfusion rate
- Less post-operative pain and reduced need for narcotic pain medication
- A short hospital stay, typically one night
- Faster return to work and normal activities
- Greater precision around the nerves and sphincter that control erections and continence
Recovery After Robotic Prostatectomy
Most patients walk the evening of surgery or the next morning and go home after one night in the hospital. A urinary catheter is typically kept in place for about one week while the bladder-urethra connection heals. Many men return to desk work within two to three weeks, while heavy lifting is restricted a bit longer. Continence and erectile function continue to improve over the following months. Review our surgical instructions to prepare.
How the da Vinci System Works
Manual movements translated into robotic movements: From the console, the surgeon’s hand movements are scaled down and filtered for tremor, allowing extremely fine, steady motions.
Controlled incisions: Wristed instruments rotate beyond the range of the human hand, and a magnified 3D view lets the surgeon see tissue planes that are difficult to see in open surgery.
da Vinci Robotic Prostatectomy Outcomes
Success is measured by the trifecta: removing all of the cancer, recovering urinary control, and preserving sexual function. In experienced hands, robotic prostatectomy delivers cancer control comparable to open surgery with faster recovery and strong functional results. Learn more about the prostate cancer treatment trifecta.
David B. Samadi, MD
Dr. Samadi is a urologic oncologist and robotic surgeon trained in open, laparoscopic, and robotic surgery. With more than 10,000 robotic prostate surgeries performed, he is one of the most experienced robotic prostate surgeons in the country and the developer of the SMART Surgery technique.
Case Study: Recent Technical Modifications in Robotic Prostatectomy
In a published review, Dr. Samadi and Dr. Hugh J. Lavery described their approach to robot-assisted prostatectomy, which preserves the tested cancer-control principles of open radical retropubic prostatectomy while incorporating evidence-based refinements. Their technique focuses on three areas of advancement.
Dorsal Vein Complex and Endopelvic Fascia
In the original robotic technique, the dorsal vein complex was stitched early in the procedure. That stitch can catch sphincter fibers or nerve bundles and distort anatomy near the prostate apex. Dr. Samadi’s approach divides the dorsal vein complex without early ligation and oversews it after the prostate is removed, and preserves the endopelvic fascia, helping protect continence, potency, and apical margins.
High Anterior Release Nerve Sparing
The nerve bundles are released from a higher, more anterior plane, allowing them to fall away from the prostate with minimal traction and without heat energy.
Bladder Neck Reconstruction
Careful reconstruction of the bladder neck creates a precise, watertight connection to the urethra, supporting earlier catheter removal and recovery of continence.
Schedule a Robotic Prostatectomy Consultation
Learn more about robotic surgery and prostatectomy, or call Prostate Cancer 911 at (212) 365-5000 to meet with Dr. Samadi.
Related Care and Resources at Prostate Cancer 911
da Vinci Robotic Prostatectomy FAQs
What is a da Vinci robotic prostatectomy?
It is minimally invasive surgery to remove the prostate using the da Vinci surgical system, which the surgeon controls from a console with magnified 3D vision and precise wristed instruments.
How long is the hospital stay?
Most patients stay one night in the hospital after robotic prostatectomy.
How long will I need a catheter?
A urinary catheter is typically kept in place for about one week while the connection between the bladder and urethra heals.
When can I return to work?
Many men return to desk work within two to three weeks. Jobs involving heavy lifting may require more time.
Does robotic surgery remove cancer as well as open surgery?
Yes. In experienced hands, robotic prostatectomy provides cancer control comparable to open surgery, with less blood loss and faster recovery.
What technical modifications does Dr. Samadi use?
His technique refines handling of the dorsal vein complex and endopelvic fascia, uses high anterior release nerve sparing, and includes bladder neck reconstruction.
How do I schedule a consultation?
Call (212) 365-5000 or request an appointment with Dr. Samadi.
Schedule Your Consultation With NYC’s Leading Urologist
Take control of your health today. Whether you are seeking a second opinion or experiencing symptoms like hematuria, Dr. David Samadi and the team at Prostate Cancer 911 are here to provide world-class care in Midtown Manhattan.
Request an AppointmentOffice Location: 485 Madison Ave, 21st Floor, New York, NY 10022
Phone: (212) 365-5000