We greatly appreciate the editor's insight and supportive comments. As the editorial mentions, and is stated in our discussion, we definitely agree that there has been a changing trend in technique for radical prostatectomy from open surgery to both robotic and laparoscopic approaches. 1 Heidenreich A. Bellmunt J. Bolla M. et al. EAU guidelines on prostate cancer part 1: Screening, diagnosis, and treatment of clinically localised disease. Eur Urol. 2011; 59: 61-71 Abstract Full Text Full Text PDF PubMed Scopus (1231) Google Scholar , 2 Vickers A.J. Great meaningless questions in urology: which is better, open, laparoscopic, or robotic radical prostatectomy?. Urology. 2011; 77: 1025-1026 Abstract Full Text Full Text PDF PubMed Scopus (11) Google Scholar , 3 Wilson T. Torrey R. Open versus robotic-assisted radical prostatectomy: which is better?. Curr Opin Urol. 2011; 21: 200-205 Crossref PubMed Scopus (30) Google Scholar , 4 Kowalczyk K. Yu H. Ulmer W. et al. Outcomes assessment in men undergoing open retropubic radical prostatectomy, laparoscopic radical prostatectomy, and robotic-assisted radical prostatectomy. World J Urol. 2011; (In press) Google Scholar , 5 Coelho R.F. Rocco B. Patel M.B. et al. Retropubic, laparoscopic, and Robot-assisted radical prostatectomy: a critical review of outcomes reported by high-volume centers. J Endourol. 2010; 24: 2003-2015 Crossref PubMed Scopus (222) Google Scholar Similar changes have been made in postoperative pain management. Although effective, the administration of opioids is associated with a number of side effects. Recent studies have emphasized the beneficial effects of procedure-specific multimodal “opioid-sparing” analgesic techniques. 6 White P.F. Kehlet H. Improving postoperative pain management: what are the unresolved issues?. Anesthesiology. 2010; 112: 220-225 Crossref PubMed Scopus (248) Google Scholar Editorial CommentUrologyVol. 78Issue 6PreviewThe current study evaluates the potential benefit of wound infiltration with local anesthetic (bupivacaine) and intramuscular analgesia in the form of a nonsteroidal antiinflammatory drug (NSAID, diclofenac) on postoperative narcotic requirements within the first 24 hours after radical retropubic prostatectomy (RRP). Patients were randomized to the combination of bupivacaine and diclofenac vs a placebo saline injection. This well-designed study demonstrated that the combination did decrease postoperative narcotic requirements in the first 24 hours after surgery. Full-Text PDF