For many men, a prostate cancer diagnosis is immediately followed by a singular, paralyzing fear: that the surgery required to save their life will end their sexual vitality. While traditional robotic surgery often considers erectile dysfunction an “acceptable trade-off,” David Babak Samadi, MD—Director of Men’s Health at St. Francis Hospital and a national medical contributor for Fox News and Newsmax—has spent over 20 years proving that cancer control and sexual potency can coexist.
The cornerstone of this success is the SMART Surgery (Samadi Modified Advanced Robotic Technique). By utilizing a revolutionary “inside-out” surgical philosophy, Dr. Samadi provides a level of nerve preservation that standard robotic procedures simply cannot match.
The “Inside-Out” Advantage: Protecting the Micro-Anatomy
Standard robotic prostatectomies typically approach the gland from the outside in. This often requires the surgeon to cut through protective layers of tissue to reach the prostate, inadvertently risking damage to the delicate neurovascular bundles that control erections.
Dr. Samadi’s SMART technique flips this approach. By entering from the inside out, he is able to remove the walnut-sized prostate with minimal disruption to the surrounding “functional zones.” Specifically, the SMART approach protects three critical areas:
The Endopelvic Fascia: This protective layer is left completely intact, providing the structural support necessary for the surrounding nerves to remain stable.
The Neurovascular Bundles: These “erection nerves” are spared using a strictly atherimal (no-heat) technique. By using cold scissors and clips rather than electric cautery, Dr. Samadi eliminates the risk of thermal injury that often “stuns” or kills these nerves in standard surgeries.
The Urinary Sphincter: Preservation of the sphincter ensures that the anatomical foundation for both continence and potency remains strong.
Clinical Excellence and National Leadership
High-net-worth and international patients choose the Samadi Robotics Center because they demand predictable, elite outcomes backed by a record of over 10,000 successful robotic procedures. Dr. Samadi’s expertise has earned him consistent placement on the Castle Connolly “America’s Top Doctors” and New York Magazine’s “Best Doctors” lists.
His “hands-on” philosophy means he performs every SMART surgery himself from start to finish, ensuring his 20+ years of “muscle memory” is applied to every millimeter of the dissection. This dedication is why his patients see results that far exceed the national average:
Potency Recovery: 85% of patients regain sexual function within 12 months, with that number rising to 96.6% after 18 months for younger men following post-operative guidelines.
Zero Thermal Damage: By strictly avoiding heat near the nerves, Dr. Samadi ensures the biological “circuitry” for erections remains live and capable of healing.
Speed of Procedure: Dr. Samadi typically completes the SMART procedure in under 90 minutes, reducing anesthesia time and accelerating the overall healing timeline.
Frequently Asked Questions
How does the “Inside-Out” approach help with erections?
By starting the dissection from the inside of the pelvic floor and working outward, Dr. Samadi avoids the “blind” cutting often associated with traditional techniques. This allows him to see and protect the nerve bundles with 10x 3D magnification before any tissue is removed.
What is the “Cold-Cut” technique?
Most surgeons use cautery (heat) to stop bleeding. However, heat travels through tissue and can permanently damage nerves located just 1-2mm from the prostate. Dr. Samadi uses cold scissors and clips, ensuring zero heat reaches your delicate nerves.
Is there a Penile Rehabilitation program?
Yes. Dr. Samadi authored the book Prostate Cancer Now What? to guide patients through every stage of recovery. His team provides a personalized rehabilitation plan to optimize blood flow and nerve health immediately following the removal of the catheter (usually 7 days post-op).
Prioritize Your Future with the World Leader in SMART Surgery
Don’t settle for a “standard” outcome. Dr. David Samadi offers the proprietary technology and a 10,000-case track record of success required to protect both your health and your identity.
Contact the Samadi Robotics Center:
Surgeon: Dr. David Samadi
Website: https://roboticoncology.com
Phone: 212-365-5000
Manhattan Address: 485 Madison Avenue, 21st Floor, New York, NY 10022
Long Island Address: 2200 Northern Blvd, Suite 120, East Hills, NY 11548
212-365-5000