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RoboticOncology.com: Robotic Surgeon Dr. David Samadi, MD Introduces His SMART Surgery Technique for Prostate Cancer Treatment
Date:7/26/2010

and bagged and the DVC is sewn up. The bladder neck is reconstructed and the procedure is finalized.

"What's important to note is that since there is no suture in the DVC, it results in a longer length of urethra, which results in better continence and less chance of nerve damage," explains Dr. Samadi. "Since there is minimum dissection performed on the sides of the prostate, there is less chance of damaging the nerves responsible for sexual function, which means a better sex life because the sexual function is ultimately improved."

Because of the intricacy of this technique, surgical experience is paramount. As evidenced in a report by Dr. Samadi in the July issue of the Journal of Endourology ("Improvements in Robot-Assisted Prostatectomy: The Effect of Surgeon Experience and Technical Changes on Oncologic and Functional Outcomes"), "increased surgeon experience with RALP results in improvements in oncologic and functional outcomes." Also aiding the positive outcomes are modifications to the robotic technique, such as with the SMART technique, as well as nerve sparing techniques. "However, these techniques also add to the learning curve of the surgeon, which again highlights the importance of volume and experience in this type of surgery," explained Samadi, "even difficult operations become routine with the robot and the SMART Technique."

The benefits of da Vinci robotic prostatectomy are inarguable: shorter hospital stay, key-hole incisions, little pain, low risk of bleeding and infection, quick healing, small scars, and minimal risk of becoming impotent or incontinent.  "This robot and my SMART Technique allows me to be even
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SOURCE RoboticOncology.com
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