Inclusion Criteria:  Age > 18 Undergoing RARP at VMMC Consent to participate in the study  Exclusion Criteria:  Long-term opioid use defined as use of opioids on most days for >3 months History of drug or alcohol dependence Concurrent surgery during radical prostatectomy History of allergy to opioid analgesics, NSAIDs, acetaminophen or local anesthetics Inability or unwillingness to give written informed consent