Raj Satkunasivam, MD, MS, FRCSC

Miles Family Chair in Urologic Surgery, Department of Urology
Associate Professor of Urology, Academic Institute
Associate Clinical Member, Research Institute
Houston Methodist
Weill Cornell Medical College


Biography

Dr. Raj Satkunasivam is a fellowship-trained urologic oncologist with a focus on minimally invasive and robotic approaches to the treatment of genito-urinary malignancies. His practice includes minimally invasive and robotic surgical techniques for kidney, bladder, prostate, adrenal and testicular cancers. He is the Director of Advanced Laparoscopic and Robotic Surgery at the Houston Methodist Institute for Technology, Innovation, and Education (MITIE).

Dr. Satkunasivam received his medical degree from the University of Toronto and completed his urology residency also at the University of Toronto. He pursued sub-specialty fellowship training in urologic oncology, advanced robotic and laparoscopic surgery at the University of Southern California, where he developed novel techniques for robotic kidney-sparing surgery (partial nephrectomy) and robotic bladder cancer surgery with entirely robotic (intra-corporeal) urinary reconstruction.

Description of Research

Prior to joining Houston Methodist Hospital, Dr. Satkunasivam was an Assistant Professor and Surgeon Investigator at the University of Toronto's Odette Cancer Center at Sunnybrook Hospital. He holds a Master of Science in Health Services Research from the Department of Preventive Medicine, University of Southern California. His research is focused on the clinical epidemiology of genito-urinary malignancies, specifically in identifying novel risk factors, improving individualized risk assessment and in assessing the comparative effectiveness of treatments. His research also examines outcomes and quality of surgical care, and novel strategies to improve the care of complex surgical patients. He is currently an Assistant Professor in the Houston Methodist Academic Institute and a Health Services Researcher in the Center for Outcomes Research at Houston Methodist Hospital.

Areas Of Expertise

Urologic oncology
Publications

Association Between Anesthesiologist Sex and Patients' Postoperative Outcomes: A Population-based Cohort Study
Jerath, A, Satkunasivam, R, Kaneshwaran, K, Aminoltejari, K, Chang, A, MacDonell, DSY, Kealey, A, Ladowski, S, Sarmah, A, Flexman, AM, Lorello, GR, Nabecker, S, Coburn, N, Conn, LG, Klaassen, Z, Ranganathan, S, Riveros, C, McCartney, CJL, Detsky, AS & Wallis, CJD 2024, , Annals of surgery, vol. 279, no. 4, pp. 569-574. https://doi.org/10.1097/SLA.0000000000006217

Comparative real-world survival outcomes of muscle-invasive bladder cancer treated with bladder-only vs. whole-pelvis concurrent chemoradiation
Riveros, C, Ranganathan, S, Haque, W, Huang, E, Xu, J, Kulkarni, GS, Geng, M, Anis, M, Muhammad, T, Chan, KS, Farach, A, Teh, BS, Miles, BJ, Klaassen, Z, Sonpavde, GP, Wallis, CJD & Satkunasivam, R 2024, , Journal of the Canadian Urological Association, vol. 18, no. 2, pp. 17-24. https://doi.org/10.5489/cuaj.8386

Efficacy and Effectiveness: Bridging the Gap Between Clinical Trials and Real-world Practice
Nguyen, DD, Satkunasivam, R & Wallis, CJD 2024, , European Urology Oncology, vol. 7, no. 1, pp. 25-26. https://doi.org/10.1016/j.euo.2023.06.010

Surgeon Sex and Health Care Costs for Patients Undergoing Common Surgical Procedures
Christopher, CJ, Jerath, A, Aminoltejari, K, Kaneshwaran, K, Salles, A, Buntin, MB, Coburn, NG, C.wright, F, Conn, LG, Heybati, K, Luckenbaugh, AN, Ranganathan, S, Riveros, C, McCartney, C, Armstrong, KA, Bass, BL, Detsky, AS & Satkunasivam, R 2024, , JAMA Surgery, vol. 159, no. 2, pp. 151-159. https://doi.org/10.1001/jamasurg.2023.6031

Examining Gender Disparities Among Physicians When Sample Sizes Differ - Reply
Wallis, CJD, Jerath, A & Satkunasivam, R 2024, , JAMA Surgery, vol. 159, no. 4, pp. 468-469. https://doi.org/10.1001/jamasurg.2023.7027

Contemporary morbidity and mortality of open versus robotic cystectomy for bladder cancer: An analysis of the National Surgical Quality Improvement Program (NSQIP) procedure targeted cystectomy database
Melchiode, Z, Hu, S, Xu, S, Riveros, C, Farooq, S, Ranganathan, S, Huang, E, Miles, BJ, Kaushik, D, Wallis, CJD & Satkunasivam, R 2024, , Urologic Oncology: Seminars and Original Investigations. https://doi.org/10.1016/j.urolonc.2024.03.017

Chemotherapy, immunotherapy, or combination first-line treatment for metastatic urothelial carcinoma of the bladder: A large real-world experience
Ranganathan, S, Riveros, C, Xu, S, Hu, S, Geng, M, Huang, E, Melchiode, Z, Zhang, J, Efstathiou, E, Chan, KS, Wallis, CJD, Sonpavde, G & Satkunasivam, R 2024, , Urologic Oncology: Seminars and Original Investigations. https://doi.org/10.1016/j.urolonc.2024.04.006

Surgeon Sex and Long-Term Postoperative Outcomes Among Patients Undergoing Common Surgeries
Wallis, CJD, Jerath, A, Aminoltejari, K, Kaneshwaran, K, Salles, A, Coburn, N, Wright, FC, Conn, LG, Klaassen, Z, Luckenbaugh, AN, Ranganathan, S, Riveros, C, McCartney, C, Armstrong, K, Bass, B, Detsky, AS & Satkunasivam, R 2023, , JAMA Surgery, vol. 158, no. 11, pp. 1185-1194. https://doi.org/10.1001/jamasurg.2023.3744

Postoperative Discharge Destination Impacts 30-Day Outcomes: A National Surgical Quality Improvement Program Multi-Specialty Surgical Cohort Analysis
Riveros, C, Ranganathan, S, Shah, YB, Huang, E, Xu, J, Geng, M, Melchiode, Z, Hu, S, Miles, BJ, Esnaola, N, Kaushik, D, Jerath, A, Wallis, CJD & Satkunasivam, R 2023, , Journal of Clinical Medicine, vol. 12, no. 21, 6784. https://doi.org/10.3390/jcm12216784

Industry Relationships in Urology: Characterizing the High-payment Urologists. Letter.
Nguyen, DD, Nguyen, ALV, Khondker, A, Kwong, JCC, Xuan-Lan Nguyen, A, Labban, M, Stone, BV, Sayyid, R, Bhojani, N, Satkunasivam, R, Trinh, QD & Wallis, CJD 2023, , Journal of Urology, vol. 210, no. 4, pp. 586-588. https://doi.org/10.1097/JU.0000000000003641

Editorial Comment
Nguyen, DD, Satkunasivam, R & Wallis, CJD 2023, , Journal of Urology, vol. 210, no. 3, pp. 428-429. https://doi.org/10.1097/JU.0000000000003594.01

Open vs. robot-assisted radical cystectomy with extracorporeal or intracorporeal urinary diversion for bladder cancer A pairwise meta-analysis of outcomes and a network meta-analysis of complications: A pairwise meta-analysis of outcomes and a network meta-analysis of complications by urinary diversion approach
Riveros, C, Ranganathan, S, Nipper, C, Lim, K, Brooks, M, Dursun, F, Miles, BJ, Goh, AC, Desai, M, Klaassen, Z, Kulkarni, GS, Wallis, CJD & Satkunasivam, R 2023, , Journal of the Canadian Urological Association, vol. 17, no. 3, pp. E75-E85. https://doi.org/10.5489/cuaj.8096

Comparative real-world survival outcomes of metastatic papillary and clear cell renal cell carcinoma treated with immunotherapy, targeted therapy, and combination therapy
Riveros, C, Ranganathan, S, Xu, J, Chang, C, Kaushik, D, Morgan, M, Miles, BJ, Muhammad, T, Anis, M, Aghazadeh, M, Zhang, J, Efstathiou, E, Klaassen, Z, Brooks, MA, Rini, B, Wallis, CJD & Satkunasivam, R 2023, , Urologic Oncology: Seminars and Original Investigations, vol. 41, no. 3, pp. 150.e1-150.e9. https://doi.org/10.1016/j.urolonc.2022.11.022

Prognostic impact of biologically equivalent dose in stereotactic body radiotherapy for renal cancer
Tran, KT, Chevli, NC, Messer, JA, Haque, W, Farach, AM, Satkunasivam, R, Zhang, J, Darcourt, J, Lo, SS, Siva, S, Butler, EB & Teh, BS 2023, , Clinical and Translational Radiation Oncology, vol. 39, 100592, pp. 100592. https://doi.org/10.1016/j.ctro.2023.100592

Comparative real-world survival outcomes of metastatic papillary and clear cell renal cell carcinoma treated with immunotherapy, targeted therapy, and combination therapy
Riveros, C, Ranganathan, S, Xu, J, Chang, C, Kaushik, D, Morgan, M, Miles, BJ, Muhammad, T, Anis, M, Aghazadeh, M, Zhang, J, Efstathiou, E, Klaassen, Z, Brooks, MA, Rini, B, Wallis, CJD & Satkunasivam, R 2023, , Urologic Oncology: Seminars and Original Investigations, vol. 41, no. 3, pp. 150.e1-150.e9. https://doi.org/10.1016/j.urolonc.2022.11.022

Morbidity and mortality of multivisceral resection with radical nephrectomy for locally advanced renal cell carcinoma: An analysis of the National Surgical Quality Improvement Program (NSQIP) database
Lim, K, Riveros, C, Ranganathan, S, Xu, J, Patel, A, Slawin, J, Ordonez, A, Aghazadeh, M, Morgan, M, Miles, BJ, Esnaola, N, Klaassen, Z, Allenson, K, Brooks, M, Wallis, CJD & Satkunasivam, R 2023, , Urologic Oncology: Seminars and Original Investigations. https://doi.org/10.1016/j.urolonc.2023.01.003

Robotic Versus Open Cystectomy for Bladder Cancer: Synthesizing the Data from Current Systematic Reviews and Meta-Analyses
Aminoltejari, K, Hird, AE, Klaassen, Z, Satkunasivam, R, Kulkarni, GS, Luckenbaugh, AN, Laviana, AA, Wallis, CJD & Clark, R 2023, , Annals of Surgical Oncology, vol. 30, no. 5, pp. 2976-2987. https://doi.org/10.1245/s10434-022-12692-w

Morbidity and mortality of multivisceral resection with radical nephrectomy for locally advanced renal cell carcinoma: An analysis of the National Surgical Quality Improvement Program (NSQIP) database
Lim, K, Riveros, C, Ranganathan, S, Xu, J, Patel, A, Slawin, J, Ordonez, A, Aghazadeh, M, Morgan, M, Miles, BJ, Esnaola, N, Klaassen, Z, Allenson, K, Brooks, M, Wallis, CJD & Satkunasivam, R 2023, , Urologic Oncology: Seminars and Original Investigations, vol. 41, no. 4, pp. 209.e1-209.e9. https://doi.org/10.1016/j.urolonc.2023.01.003

Adjuvant immunotherapy in renal cell carcinoma: a systematic review and meta-analysis
Riveros, C, Huang, E, Ranganathan, S, Klaassen, Z, Rini, B, Wallis, CJD & Satkunasivam, R 2023, , BJU International, vol. 131, no. 5, pp. 553-561. https://doi.org/10.1111/bju.15981

Association between RCT methodology and disease indication with mineralocorticoid-related toxicity for patients receiving abiraterone acetate for advanced prostate cancer: A meta-analysis of RCTs
Hall, ME, Padgett, WJ, Klaassen, Z, Magee, DE, Luckenbaugh, AN, Laviana, AA, Satkunasivam, R, Schaffer, K & Wallis, CJD 2023, , Clinical Genitourinary Cancer, vol. 21, no. 5, pp. e370-e377. https://doi.org/10.1016/j.clgc.2023.04.007