ROBOTIC SURGERY IN UROLOGY: FACTS AND REALITY: Edited by Alexandre de la Taille and Jim C. HuReview of optimal techniques for robotic-assisted radical prostatectomyKasabwala, Khushabu; Patel, Neal A.; Hu, Jim C.Author Information Department of Urology, New York Presbyterian Hospital, Weill Cornell Medical College, New York, New York, USA Correspondence to Jim C. Hu, MD, MPH, Department of Urology, New York Presbyterian Hospital, Weill Cornell Medical College, 525 East 68th Street, 9th Floor Starr Pavilion, Room 900, New York, NY 10065, USA. E-mail: email@example.com Current Opinion in Urology: March 2018 - Volume 28 - Issue 2 - p 102-107 doi: 10.1097/MOU.0000000000000473 Buy Metrics Abstract Purpose of review Robotic-assisted radical prostatectomy has been rapidly adopted and is now the standard of care in the surgical management of prostate cancer. Since the initial description in 2001, the technique has evolved to optimize oncological functional outcomes. Herein, we review key techniques for the robotic-assisted radical prostatectomy. Recent findings With the current influx of new technology such as focal therapy, stereotactic body radiation therapy and prostate-sparing treatments, there is greater emphasis on maximizing outcomes of robotic-assisted radical prostatectomy. The evidence-based techniques of optimizing oncological outcomes including the lymph node dissection and improving cancer control through minimizing positive surgical margins are reviewed. Improvements in functional recovery has also been seen with technical modifications such as nerve sparing, preservation of the urethral support structures and the bladder neck and the urethra-vesical reconstruction. Summary Robotic prostatectomy has demonstrated adequate long-term oncologic success and satisfactory functional recovery. As technology and techniques in robotic-assisted surgery evolve, surgeons will continue to optimize techniques to maximize functional outcome recovery and cancer control. Further studies are actively being conducted to provide level one evidence in multiple aspects of the robotic-assisted radical prostatectomy. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.