Prostate Cancer Treatment in New York, NY
No two prostate cancers are exactly alike, and the best treatment depends on how far the cancer has progressed, how aggressive it is, and what matters most to you. At Prostate Cancer 911, Dr. David Samadi has performed more than 10,000 robotic prostate surgeries and helps men weigh every option, from active surveillance to robotic prostatectomy, radiation, and systemic therapies, so they can choose a plan that offers the best chance of a cure with the fewest side effects.
Localized Prostate Cancer
Localized prostate cancer is confined to the prostate gland. It is the stage at which most cancers are diagnosed today, and it offers the highest chance of a cure.
Treatment Options for Localized Prostate Cancer
- Active surveillance: For low-risk, slow-growing cancers, close monitoring with regular PSA tests, MRI, and repeat biopsies allows men to avoid or delay treatment and its side effects. Treatment begins only if the cancer shows signs of progressing. See our active surveillance FAQs.
- Robotic radical prostatectomy: Surgical removal of the entire prostate using the da Vinci system. Dr. Samadi’s SMART Surgery technique is designed to remove the cancer completely while protecting urinary continence and sexual function.
- Radiation therapy: External beam radiation, including stereotactic body radiation therapy, or brachytherapy (radioactive seed implants) can treat cancer without surgery.
- Focal therapies: Treatments such as HIFU or cryotherapy target only the cancerous area in carefully selected men.
Surgery vs. Radiation: Which Is Right for You?
Both surgery and radiation can cure localized prostate cancer. Surgery provides complete pathology staging, makes PSA monitoring straightforward, and keeps radiation available as a backup if needed. Radiation avoids an operation but may involve hormone therapy and has its own long-term effects. Dr. Samadi explains the differences in this video.
Locally Advanced Prostate Cancer
Locally advanced cancer has grown through the prostate capsule or into the seminal vesicles but has not spread to distant organs.
Treatment Options for Locally Advanced Prostate Cancer
- Robotic prostatectomy with lymph node removal, sometimes followed by radiation
- External beam radiation combined with hormone therapy
- Hormone therapy (androgen deprivation therapy) to slow cancer growth
A combined approach is often used to improve long-term control. Your care team will tailor the plan to your PSA, Grade Group, and imaging results.
Advanced Prostate Cancer
Advanced, or metastatic, prostate cancer has spread to lymph nodes, bones, or other organs. Although it is usually not curable, many men live for years with good quality of life thanks to modern therapies.
Treatments to Control Advanced Prostate Cancer
- Hormone therapy, including newer agents such as abiraterone, enzalutamide, apalutamide, and darolutamide
- Chemotherapy with docetaxel or cabazitaxel
- Radiopharmaceuticals such as Lu-177 PSMA therapy and radium-223 for bone metastases
- PARP inhibitors for men with BRCA or other DNA repair mutations
- Immunotherapy in select cases
Treatments to Manage Symptoms
Radiation to painful bone sites, bone-strengthening medications, pain management, and supportive care help relieve symptoms and protect quality of life.
Choosing Your Treatment
The right decision balances cancer control with your age, health, and priorities around continence and sexual function. Learn more about your stage and risk group, read about robotic surgery, and plan ahead for life after treatment. Call Prostate Cancer 911 at (212) 365-5000 to discuss your options with Dr. Samadi.
Related Care and Resources at Prostate Cancer 911
Prostate Cancer Treatment FAQs
What is the most effective treatment for prostate cancer?
For localized prostate cancer, both radical prostatectomy and radiation therapy offer excellent cure rates. The best choice depends on your cancer’s characteristics, age, health, and personal priorities.
Is active surveillance safe?
For men with low-risk, slow-growing prostate cancer, active surveillance with regular monitoring is a safe, widely recommended option that avoids treatment side effects unless the cancer progresses.
What are the benefits of robotic prostatectomy?
Robotic surgery offers magnified 3D vision, precise movements, smaller incisions, less blood loss, and a faster recovery. Learn about Dr. Samadi’s SMART Surgery technique.
Can I have radiation after surgery?
Yes. If PSA rises after prostatectomy, radiation can still be used as salvage therapy. Having surgery first keeps radiation available as a backup option.
Does hormone therapy cure prostate cancer?
Hormone therapy does not cure prostate cancer on its own, but it lowers testosterone to slow or shrink the cancer. It is often combined with radiation or used for advanced disease.
What treatments are available for metastatic prostate cancer?
Options include advanced hormone therapies, chemotherapy, PSMA-targeted radioligand therapy, radium-223, PARP inhibitors, and immunotherapy in selected patients.
How do I discuss treatment options with Dr. Samadi?
Call (212) 365-5000 or request an appointment at our Midtown Manhattan office.
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