My name is Dr. Brian J. Miles and I’m a board-certified urologist.  I am a Professor of Urology at Weill Cornell Medical College of Cornell University (The Methodist Hospital) and Baylor College of Medicine.  I specialize in urologic oncology, especially cancer of the prostate.  I am the Medical Director of Robotic Surgery at The Methodist Hospital and the physician in charge of Surgical Robot Training.  Having served as the Director of the Urology Residency Program at Baylor College of Medicine, I continue to educate and provide professional direction to medical students, urology residents, and fellow urologists.

My primary focus and interest in clinical practice and research is in the detection and surgical treatment of prostate cancer, bladder cancer and kidney cancer.  As one of the leading authorities in Texas and the country in the use of the daVinci robot surgical system, I have performed over 1,500 robotic prostatectomies (removal of the prostate), and many robotic cystectomies (removal of the bladder), and partial nephrectomies (removal of part of the kidney) procedures.  In addition, I am the physician instructor for surgeons wishing to learn this procedure in the Houston metropolitan area.  I also travel widely as a lecturer, surgeon, and consultant on urological cancers to many foreign countries.

I have authored of over one hundred peer reviewed scientific papers and book chapters, and have worked with Dr. Peter Scardino as the associate editor of the landmark textbook, Comprehensive Textbook of Genitourinary Oncology.  As a physician who is consistently listed in, Best Cancer Doctors in America, America’s Top Doctors, Best Doctors in America and Texas Super Doctor in Texas Monthly, I assure you that the care and treatment that you will receive from my staff and me will be of utmost quality and professionalism.

Thank you for visiting my website and please do not hesitate to contact us with any questions

My Mission
I look forward to seeing you in consultation and discussing your particular cancer questions. We will have a lengthy discussion regarding your diagnosis, grade of cancer (Gleason score), stage of cancer, and all the various treatment options including watchful waiting, external beam radiation therapy, brachytherapy (radioactive seeds implants into the prostate), cryosurgery (freezing the prostate) and removal of the prostate either by the robotic surgery or open techniques. I am, first and foremost, a cancer surgeon. It is important to understand the parameters that define your cancer because they will be used to individualize your treatment and your operation. Each prostate and each cancer of the prostate should be viewed as individual and different; therefore, each operation should be tailored to the individual patient and their needs. This is why I am a strong proponent of each biopsy core being individually sent so that I know where the cancer is located. There are some men in whom open prostatectomy may be more prudent, but, as my experience has expanded, I am able to perform a high-quality cancer operation in essentially all men using the robotic technique. Some will require the removal of pelvic lymph nodes in association with their cancer. These are generally men with a Gleason score of 3+4 or higher. Those with very high Gleason scores, 4+4 or higher, are patients in whom I will do an extended pelvic lymph node dissection, that is to get as many lymph nodes as possible, both for diagnostic but also for therapeutic reasons. This again will be discussed in great detail during your consultation.

I have performed a substantial number of open radical prostatectomies, in excess of 2,000 of these operations. Recognizing the important contribution robotic surgery could bring to the treatment of men with prostate cancer I quickly embraced this technology. I started out slowly, being certain the quality of the operation I was performing robotically was at least as good as what I could provide using the traditional open technique. After four years of increasing experience, I know that I can provide excellent “quality of life conserving” cancer care with either technique. To date, I performed over 1,000 robotic prostatectomies. There are some who say that the robotic technique is not as good as the open. As a cancer surgeon with over 23 years of open experience, I can assure you that this is not true. This is an operation that within the next 10 years will be by far the primary way of managing adenocarcinoma of the prostate. The cancer control outcomes in the hands of experienced surgeons such as myself are certainly as good as those done when using the open technique. Recovery of urinary control is quicker because of
some additional techniques we can bring to bear during that operation. Preservation of potency is the same as in a well done nerve-sparing open prostatectomy, but I found that the recovery of normal sexual activity tends to be quicker in the robotically performed prostatectomy.

I encourage you to continue to educate yourself regarding your prostate cancer and its management. I look forward to seeing you in person to discuss your cancer and the different ways to treat it and which might be most appropriate for you.