Failure rates smaller for radical prostatectomy compared to radiotherapy

Every medical procedure patients undergo in order to treat prostate cancer has it dangers and side effects

Failure rates smaller for radical prostatectomy compared to radiotherapy

Every medical procedure patients undergo in order to treat prostate cancer has it dangers and side effects. According to a comprehensive research published in European Urology, on 118,830 patients and consolidated by 19 studies, surgery holds an unmistakable favorable position as far as medical procedures go.

The technical aspects of open and robotic radical prostatectomy have been the subject of an important session conducted by Dr. Graefen and Dr. van der Poel. The failure rate for surgery was at 3.2%, whilst radiotherapy reached up to 10%.

All results considered, the European Association of Urology (EAU) guidelines obviously express that none of the treatment methodologies has demonstrated predominance over some other. 

What is robotic radical prostatectomy?

Robotic radical prostatectomy is the least invasive type of surgery where the surgeon removes the prostate with the help of robotics and computer technology. This system is also known as the da Vinci robotic prostatectomy. David Samadi’s SMART Surgery is his own patented version of the da Vinci radical prostatectomy, with a high success rate and achievement of the 3 essential success factors: complete removal of the tumor, urinary continence and sexual potency.

The difference between classic open surgery and robotic prostatectomy lies within the measure of success. Open surgery is considered successful even if the patient experiences high levels of incontinence and erectile dysfunction, as a result of the procedure. Robotic surgery aims at achieving the full trifecta: complete removal of the prostate, full urinary continence and normal sexual function.

The research focused on tips and tricks for performing this medical procedure, with a focus on urinary self control. The experience of most men after surgery is similar to that of women’s, after they give birth. Dr. David Samadi recommends male specific Kegel activities to strengthen the muscles, after having the prostatectomy. The exercises are a simple repetition of clenching and relaxing the urinary muscles that stop the stream of pee. Performing these exercises before the medical procedure has also been proven to reduce the necessary time for recovery.

Dr Samadi always takes into account the age of his patient when choosing the right type of treatment for prostate cancer. Older men have a higher risk for urinary incontinence, due to medical issues such as a short membranous urethra or having had a TURP procedure (transurethral resection of the prostate is a surgery used to treat urinary problems due to an enlarged prostate). They should be guided towards other procedures such as focal therapy and radiotherapy.

The Rocco stitch, which is the posterior reconstruction of the Denonvilliers’ musculofascial plate, is a more or less controversial procedure. This means that urologists are still debating whether it has an effect on urinary incontinence rates.

The resumption of sexual capacity after prostate medical procedure is another important factor for patients. It is vital to abstain from energy of traction around the neurovascular bundles. With Dr. Samadi's one of a kind SMART Surgery, most patients can resume their sexual experiences at the same levels as before the surgery, within 12 to 24 months. Success rates are higher as the patients are younger.

In conclusion, the more precise the anatomical dissection and reconstruction are, the more favorable the results tend to be. Doctor David Samadi has dedicated his entire career to help men diagnosed with prostate cancer to not suffer a lifetime of side effects after successfully treating the terrible disease. For more information on his patented procedure, visit

Updated Date: 19 November 2018, 14:24

Recep Karaca

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