David B. Samadi - Career, Education and Training

Career, Education and Training

Samadi completed his postgraduate training in general surgery at Montefiore Medical Center and in urology at Albert Einstein College of Medicine and Montefiore Medical Center. He completed an oncology fellowship in urology at Memorial Sloan Kettering Cancer Center and a robotic radical prostatectomy fellowship at Henri Mondor Hospital Creteil in France under the mentorship of Professor Claude Abbou, MD. Along with Dr. Abbou, Samadi performed the first 11 da Vinci robotic prostate surgeries in the world. Dr. Samadi is fellowship trained in laparoscopy and robotic prostatectomy surgery and is an internationally recognized expert in both fields.

He is one of the very few urologic surgeons in the United States trained in oncology, open, laparoscopic, and robotic surgery. He is also the first surgeon in the United States to successfully perform a robotic surgery redo. To date, Samadi has performed over 4,000 successful da Vinci prostate surgeries, more than any other prostate cancer surgeon in all of New York. As a result of his surgical experience, Samadi is considered a leader and pioneer in robotic surgery performing 15 surgeries per week.

Having completed fellowship training in both urologic oncology and laparoscopy, Samadi's technique as described below builds on oncologic principles learned with open radical prostatectomy and transferred to a robotic approach. In the technique he uses at Mount Sinai, he recreates the classic open anatomic technique as closely as possible on the robotic platform.

The benefits of Dr. Samadi’s unique procedure are twofold. First, he does not suture the dorsal vein complex at the beginning of surgery, allowing him greater control over the length of the urethra at the completion of surgery. The longer the urethra, the less leaking and incontinence a man experiences after surgery. Dr. Samadi is able to achieve continence rates of 97% at one year.

Second, Dr. Samadi does not open the endopelvic fascia, thereby leaving this tissue intact and sparing the tiny nerve bundles that surround the prostate and control sexual function. As such, Dr. Samadi is able to achieve 87% sexual potency rates at 1 year.

Samadi developed his unique SMART (Samadi Modified Advanced Robotic Technique) surgical procedure after years of perfecting his successful robotic surgery method, to improve sexual function and urinary control results. The signature of Samadi's SMART Surgery program is that he personally performs the entire surgery from beginning to the end. For this reason, patients from all over the world seek his expertise.

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