The burden of prostate cancer in society is substantial and has increased since the PSA testing was introduced, but patients often question should you go with surgery or radiation to treat this disease. Dr. David Samadi, leading expert and Chairman of Urology at Lenox Hill Hospital dedicated a full show on his morning radio broadcast, and has a Youtube video discussing the benefits of surgery vs radiation.There are various alternative therapies available for the treatment. Depending on the stage of the disease, surgery, radiotherapy, and in some cases, simply waiting may be used. Especially in older patients, postponing the treatment to a later date is a possible alternative. For patients it is often not easy to decide on a therapy. Especially between surgery and radiotherapy, many factors often influence the decision-making process, but Dr. David Samadi says surgery is by far a better choice than radiation.
Several studies have examined both procedures and concluded that between surgery and radiotherapy, there was a clear benefit to operation versus radiotherapy. Dr. Samadi addressed this question on his radio broadcast, and he remarked that “with surgery, the outcome is great…and radiation should be considered a Plan B.”Also with surgery, there is a shorter recovery time. Doctors also note that when treating a prostate carcinoma, there are also different stages that may require a different treatment method. Family history also plays a role in determining the best treatment method. It appears that prostate cancer patients with family history may have a worse outcome after treatments by radiotherapy prostatectomy compared with patients without a family history.Genetic factors are also responsible in 5 to 10 percent of prostate cancer cases, and in this scenario, patients often opt for surgery.
The hardship of prostate cancer will increase due to our aging population.A clear understanding of risk factors, including factors like family history, race, and aging, and diet and environmental agents will help design strategies for the best treatment, not to mention diminish risk.Dr. David Samadi has been researching and treating urological diseases like prostate cancer for nearly two decades. Born in Iran, Dr. Samadi and his family immigrated to the United States where he attended high school then Stony Brook University in New York. After earnin his Bachelor’s and Medical degrees he completed his residency at local New York hospitals.Dr. Samadi developed the groundbreaking SMART surgery technique, and today is a internationally recognized surgeon, based in New York where he heads the Urology department at Lenox Hill Hospital.