The demand for improved surgical performance and reduced health care c
osts have led to the evaluation of surgical robotic systems. Robotic d
evices to assist urologists with transurethral resection of the prosta
te, percutaneous renal access, and laparoscopy are currently in develo
pment or are already in clinical use. The rapid advances made in telec
ommunication technology also have allowed for the development of teles
urgical systems that permit surgeons to participate in surgery from a
remote location. In the twenty-first century, surgical robots will be
efficient, invaluable, and safe adjuncts to urologic practice.