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Many SRALP patients have localised disease recurrence and therefore potentially curable disease [2]. The key to decreased morbidity SRALP outcomes are to have experienced centers and fellowship training, a standardisation of training [2]. The robotic surgery curriculum is welcomed as part of this. These centre have demonstrated the advantages of the robotic platform in the performance of salvage radical prostatectomy. This includes decreased blood loss, short length of stay and improved haptic feedback. This was confirmed with a decreasing positive surgical margin rate with each consecutive group of 50 cases, including pT3 and high-risk patients [7]. The 3-year, 5-year, and 7-year BCR-free survival rates were 79.2%, 75.3%, and 70.2%, respectively [7]. 250 cases have become a landmark for lowest positive surgical margin rates, although, it may take more experience than this to manage SRALP cases [7].

Salvage prostatectomy and high risk disease: push your limits - robotics is better