Dr Samadi New York: What Most People Get Wrong About Robotic Prostate Surgery

Finding out you have prostate cancer is a gut punch. Honestly, the room kinda goes silent when the doctor says the words. You’re sitting there in a thin paper gown in some office in Manhattan or Long Island, and suddenly your brain is flooded with a million "what ifs." Will I be okay? What happens to my sex life? Am I going to be wearing pads for the rest of my life?

These are the heavy, awkward questions that lead a huge number of men to seek out Dr Samadi New York—specifically Dr. David Samadi.

He’s one of those names that pops up everywhere in the urology world. You’ve probably seen him as a medical contributor on Fox News or Newsmax, or maybe you've heard about his "SMART" surgery technique. But in 2026, the landscape of robotic surgery is more crowded than ever. Everyone claims to have the latest robot. Every hospital has a "center of excellence."

So, what’s the real deal?

The High-Volume Factor

Most people don't realize that robotic surgery is a lot like flying a plane. You don't want a pilot who only flies once a month. You want the guy who lives in the cockpit.

Dr. David Samadi has performed over 10,000 robotic laparoscopic prostatectomies. That is a massive number. To put it in perspective, many urologists might do 20 or 30 of these a year. Samadi has been known to do 15 in a week. That kind of repetition builds a specific type of "muscle memory" that you just can't get from a textbook.

Currently, he serves as the Director of Men's Health at St. Francis Hospital in Roslyn, NY. He also maintains a primary practice at 485 Madison Avenue in Midtown. It’s a high-end setup, but the meat of the work happens in the operating room.

Why the "SMART" Technique Isn't Just Marketing

You’ll hear the term SMART Surgery (Samadi Modified Advanced Robotic Technique) a lot if you look him up. It sounds like a catchy acronym, and it is. But there’s a technical reason it exists.

Most robotic surgeons approach the prostate from the outside in. Samadi does the opposite. He goes from the inside out.

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• No Suturing of the Dorsal Vein: This is a big one. By not stitching this vein complex, there's less trauma to the surrounding nerves.
• Cold Scissors: He uses "cold" (non-electric) scissors for the delicate nerve-sparing parts. Why? Because heat from electrical tools can "cook" or damage the tiny nerves responsible for erections.
• Bladder Neck Preservation: He’s obsessive about how he reconstructs the connection between the bladder and the urethra. This is the "secret sauce" for getting urinary control back quickly.

It’s about the "Trifecta"—getting rid of the cancer, keeping the bladder under control, and preserving sexual function. If you miss one, the surgery might be a technical success, but the patient’s life is miserable.

A Different Path to the Robot

One thing that makes the Dr Samadi New York experience different is his background. He wasn't just trained on a joystick.

Samadi is one of the few surgeons who is fellowship-trained in three distinct areas:

1. Open Surgery: The old-school way.
2. Laparoscopic Surgery: The "keyhole" way without the robot.
3. Robotic Surgery: The modern way.

Why does this matter in 2026? Because if things get complicated during a robotic procedure—and they sometimes do—you want a surgeon who knows how to handle a "traditional" situation without panicking. He did his urology residency at Montefiore and a fellowship at Memorial Sloan Kettering. He even went to France to train under Claude Abbou, who was a pioneer in the field.

It’s a pedigree that’s hard to argue with.

The Reality of the "Celebrity Doctor" Tag

Let's be real: Samadi is a "celebrity doctor." He’s polished. He’s on TV. He’s written a book called The Ultimate MANUAL. Some people find that reassuring—they want the "best" and they want someone who is a recognized authority.

Others are skeptical. Does the TV stuff take away from the medicine?

The data suggests otherwise. His patients often talk about the "Samadi touch," which basically means he doesn't hand the surgery off to a resident. In many big teaching hospitals in NYC, the "big name" surgeon might start the case, but a trainee finishes it. Samadi is known for being there from the first incision to the last stitch. He’s a bit of a control freak about it, which, if it’s your prostate on the line, is probably exactly what you want.

What to Expect if You Call the Office

If you're looking into Dr Samadi New York, you're likely headed to Madison Avenue or the St. Francis facility on Long Island.

The process is usually pretty fast. They know that once a man hears he has cancer, he wants it out yesterday.

• The Consultation: It’s usually direct. He’s going to look at your PSA levels, your Gleason score (which tells how aggressive the cancer is), and your overall health.
• The Surgery: Most of his robotic cases are done in under two hours.
• The Recovery: This is the part that surprises people. Most guys are out of the hospital in less than 24 hours. You'll have a catheter for about a week—nobody likes it, but it’s part of the deal—and then the focus shifts to rehab.

The 2026 Perspective on Prostate Care

We are seeing a lot of "Active Surveillance" these days. This is the "watch and wait" approach. Not every prostate cancer needs to be cut out immediately.

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Dr. Samadi has been vocal about this. While he is a surgeon, he’s also a proponent of early detection through PSA screening. The goal isn't to operate on everyone; it's to find the guys who need surgery before the cancer jumps outside the prostate. Once it spreads to the bones or lymph nodes, the robot can't fix it.

Actionable Steps for Men Facing a Diagnosis

If you are considering seeing Dr. Samadi or any high-volume surgeon in New York, don't just take their word for it.

1. Get Your Pathology Slides: If you had a biopsy elsewhere, have the slides sent to a top-tier lab like Johns Hopkins or MSK for a second opinion. Misdiagnosis or "upgrading" of cancer happens more than you think.

2. Ask for the "Resident Policy": Ask your surgeon point-blank: "Will you be the one performing the entire operation, or will a resident be doing parts of it?"

3. Check the Volume: Don't be shy. Ask how many of these specific surgeries they have done in the last 12 months. You want a number in the hundreds, not the dozens.

4. Focus on the Recovery Plan: Ask about their specific protocol for "penile rehabilitation" post-surgery. Nerve-sparing is great, but those nerves need blood flow to wake back up. A good surgeon will have a plan for Cialis, vacuum devices, or other therapies starting almost immediately.

Choosing a surgeon is arguably the most important decision you'll make for your long-term quality of life. Whether it’s Dr. Samadi or another expert at a place like NYU or Mount Sinai, the key is the surgeon's hands, not just the name on the building.