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This study investigated the factors that contribute to surgical satisfaction in robot-assisted radical prostatectomy (RARP). We assessed a total of 208 patients who underwent RARP for prostate cancer between May 2020 and April 2022 and completed the Expanded Prostate Cancer Index Composite (EPIC) questionnaire. The EPIC questionnaire was evaluated in the first and second year after surgery. We examined how treatment outcomes, such as urinary continence, sexual function, resection margins, and PSA recurrence, were associated with patient satisfaction. In the first year, 22, 52, 21, 3, and 2% of the patients were very satisfied (5 points), satisfied (4 points), neither satisfied nor dissatisfied (3 points), dissatisfied (2 points), and very dissatisfied (1 point), respectively ; the corresponding patient satisfaction in the second year was 24, 46, 27, 1, and 2%. Urinary continence was a significant factor contributing to patient satisfaction in the first and second postoperative years. Other outcomes were not statistically associated with patient satisfaction in the first or second year. In conclusion, postoperative urinary continence was the most significant factor contributing to patient satisfaction.