William Bihrle

Papers

Total Citations

149

H-Index

About

William Bihrle is a pioneering urological surgeon whose research has shaped the adoption of robotic-assisted surgery, particularly in prostate cancer care. His key contributions center on the economics and clinical implementation of robotic-assisted radical prostatectomy (RAP) using the da Vinci system. In his landmark 2008 study, “The Cost of Learning Robotic-Assisted Prostatectomy” (110 citations), Bihrle provided the first rigorous analysis of the financial and operational burdens associated with transitioning from traditional laparoscopic techniques. He demonstrated that while the initial investment is substantial, the learning curve can be managed effectively within a mature laparoscopic program, making robotic surgery a viable and strategic upgrade. His follow-up work (39 citations) offered evidence-based recommendations for hospitals considering this transition, emphasizing cost-benefit trade-offs and institutional readiness. Bihrle’s research has been instrumental in guiding surgical departments worldwide, helping them navigate the complexities of adopting robotic platforms. By quantifying both the hidden costs and long-term advantages, he has empowered clinicians and administrators to make informed decisions, ultimately improving patient outcomes through minimally invasive techniques. His work remains a cornerstone for studies on surgical innovation and healthcare economics.