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Signs of Prostate Cancer Often Asymptomatic Says Dr. David Samadi

One of the most common questions presented to urology specialist, Dr. David Samadi is what are the symptoms of prostate cancer? Unfortunately, mostly none at all. Since malignant tumors in the prostate often occur in the outer part of the prostate, where they do not press on any relevant other tissues, they often grow unnoticed for many years.

The prostate is a gland, positioned in front of the rectum and produces a part of the seminal fluid released during ejaculation. Under normal conditions, it has the size of a walnut, but over the years, or due to some diseases, can swell up to give some urinary disorders. According to Dr. Samadi, the prostate gland is very sensitive to the action of hormones, especially the male ones, such as testosterone, which affect their growth. Prostate cancer originates from the cells inside the gland that are starting to grow uncontrollably.

When the tumor mass grows, it gives rise to urinary symptoms: difficulty urinating (in particular to start) or need to urinate often, pain when urinating, blood in the urine or in the sperm, or feeling unable to urinate completely. However, Dr. Samadi says often the urinary symptoms described may be related to benign prostatic problems, but in any case it is useful to contact a urologist to decide whether further in-depth examinations are necessary.

Determining If It’s Cancer

A biopsy is performed to determine if a patient is suffering from prostate cancer . This means removing very small fragments of the prostate that are then analyzed in the laboratory to study the types of cells extracted. Under local anesthesia, the doctor collects at least 12 fragments of tissues from different parts of the prostate. They are examined under a microscope by an anatomist who will confirm the presence of cancer.

If cancer is the diagnosis, it will be classified by grade , which indicates the aggressiveness of the disease, and at the stage, which instead indicates the state of the disease, explains Dr. David Samadi, Chairman of Urology at Lenox Hill Hospital.

Several treatment options for prostate cancer are available, each with its own benefits and side effects. Upon analysis of the patient’s characteristics, and grade of the disease, specialists like Dr. Samadi then recommend the most suitable and personalized strategy.

Dr. David Samadi was raised in Rosslyn, New York, and then attended Stony Brook University, earning a B.A. and M.D. from the university. After completing his medical degree, he began his residency at Montefiore and Albert Einstein Hospitals in New York. Dr. Samadi also completed an oncology fellowship at Memorial Sloan Kettering Cancer Center.

Today, Dr. Samadi is known internationally for his expertise in urologic diseases, and robotic laparoscopy surgery. He’s been honored with “Best Doctor,” “Top Doctor,” and Most Compassionate Doctor awards, and continues his research into minimally invasive therapeutic treatments.

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