More than 90 percent of Dr. Samadi's patients who undergo surgery at Lenox Hill Hospital return home by the second night, but some may require a longer recovery period. After Samadi Modified Advanced Robotic Technique (SMART) surgery, patients may feel well enough to return to work and regular activity in two to three weeks. Most other activities are comfortably resumed within four to six weeks.
Erectile dysfunction (ED) symptoms and urinary incontinence after robotic prostate surgery is common and usually short-term. Dr. Samadi and his staff remain dedicated and ready to help all patients and their families during the recovery process. Should a patient need an expert in sexual or urinary function after surgery, Dr Samadi’s staff is able to make referrals to a network of dedicated colleagues and specialists.
The benefits of robotic surgery cannot be guaranteed as surgery is both patient and procedure specific. Previous surgical results do not guarantee future outcomes.
Urinary incontinence after robotic prostate surgery is almost always short term. The majority of patients who experienced normal continence prior to surgery regain urinary control within 12 to 13 months. Dr. Samadi’s unique SMART surgery methods significantly improve urinary control outcomes, often with much faster results than other prostate removal procedures.
Still, patients should expect some urinary control impairment that’s similar to the stress incontinence women experience after childbirth. This is the result of temporary disruption or damage to the sphincter muscles that control the release of urine.
Patients can expect minor dripping or leaking of urine after the procedure, particularly during strenuous activity. This short-term incontinence after prostate cancer may also be triggered with a cough, sneeze or laugh.
Treatment options for any temporary urinary incontinence that follows robotic prostate surgery include:
Collagen injections: By expanding the urinary sphincter through a series of collagen injections, urinary control can be enhanced.
Surgery for incontinence: Patients may consider this option if urinary issues persist for more than a year after surgery.
The time it takes a patient to resume sexual function after robotic prostate surgery varies based on the individual. Some ED symptoms are a normal part of recovery after prostate removal and should not be interpreted as permanent change. With Dr. Samadi's support, most patients who experienced normal sexual function before surgery - and were candidates for nerve-sparing techniques - regained sexual function within one year after robotic prostate surgery. Younger patients may experience faster or improved results.
Oral erectile dysfunction medications
Patients may find the use of oral ED medications an easy step for help achieving and maintaining an erection. Dr. Samadi will help patients explore prescriptions including Viagra (sildenafil citrate), Levitra (vardenafil) and Cialis (tadalafil). Most patients experience very positive results with these ED drugs, and they can help speed the return of natural erections.
Penile injection therapy
For some, ED medication may not be successful. It may take time for a patient’s nerves to regenerate to the point that ED medications become effective. During this time, patients may consider penile injection therapy as a reliable option for achieving an erection.
Certain patients may not regain erectile function after prostate removal surgery. Dr. Samadi encourages these men to consider penile implant surgery. This permanent solution to ED delivers high satisfaction rates for both patients and their partners.
Orgasm and ejaculation
Patients will no longer produce ejaculate once their prostate is removed. Most patients who experienced normal sexual function before surgery are still able to achieve and enjoy orgasms after robotic prostate surgery.