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Robotic Prostatectomy Outcomes

Published studies on the treatment of prostate cancer can often be controversial in many aspects; however, there is one consistent theme: the expertise and experience of the surgeon evaluating and treating the cancer patient is one of the keys to the overall outcome and cure of the patient.

At the GRI, our approach to prostate cancer treatment is about achieving the “trifecta”: allowing for cancer removal while quickly regaining urinary continence and sexual function. Our goal is to deliver the trifecta and return the patient to a healthy and long life free of cancer. The potential to achieve this is dependent upon each individual patient.

Our significant experience has led us to develop, publish and teach some key technical innovations in the surgical approach to prostatectomy that help us increase the chances of achieving the trifecta. The goal of the trifecta is to remove the cancer, achieve urinary continence and return of potency. These unique modifications specific to our approach have helped us achieve our high standards.


Perioperative and early oncological outcomes after robot-assisted radical prostatectomy (RARP) in morbidly obese patients: a propensity score-matched study. Abdul-Muhsin H, Giedelman C, Samavedi S, Schatloff O, Coelho R, Rocco B, Palmer K, Ebra G, Patel V. BJU Int. 2013 Mar 5. doi: 10.1111/j.1464-410X.2013.11798

Retrograde Versus Antegrade Nerve Sparing During Robot-assisted Radical

Prostatectomy: Which Is Better for Achieving Early Functional Recovery? Young Hwii Ko, Vipul Patel, European Urology, Ref. EURURO4787, 10.1016/j.eururo.2012.09.051

Current Status of Robot-Assisted Radical Prostatectomy: Progress Is Inevitable,

Vipul R. Patel, Ananthakrishnan Sivaraman, Pro and Con: Open Vs Roboticradical Prostatectomy in 2012, July 2012 (Pg 616-635)

Factors affecting return of continence 3 months after robot-assisted radical prostatectomy: analysis from a large, prospective data by a single surgeon. Ko YH, Coelho RF, Chauhan S, Sivaraman A, Schatloff O, Cheon J, Patel VR. J Urol. 2012 Jan; 187(1):190-4. Epub 2011 Nov 23

Pentafecta: A New Concept for Reporting Outcomes of Robot-Assisted Laparoscopic Radical Prostatectomy- V. Patel, A. Sivaraman, R. Coelho, S. Chauhan, K. Palmer, M.. Orvieto, I. Camacho, G. Coughlin, B. Rocco, European Urology 2011; 59: 702-707

Optimizing Outcomes of Robotic-Assisted Prostatectomy, Coelho, R, Patel, V, Minimally Invasive Urology- Endourology & Video Laparoscopy, 2nd ed, SBU/RJ Dec 20

Continence, Potency And Oncological Outcomes After Robotic-Assisted Radical Prostatectomy: Early Trifecta Results Of A High-Volume Surgeon. Patel VR, Coelho RF, Chauhan S, Orvieto MA, Palmer KJ, Rocco B, Sivaraman A, Coughlin G. BJU Int. 2010 Sep;106(5):696-702. doi: 10.1111/j.1464-410X.2010.09541.x. Epub 2010 Aug 12.

Continence, potency and oncological outcomes after robotic-assisted radical prostatectomy: early trifecta results of a high-volume surgeon.