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Inpatient procedures, and lower costs. ” but because even open prostatatectomy is performed through “a relatively small incision that is infrequently associated with significant pain and has relatively short lengths of stay,” comparisons with minimally invasive technology are more difficult to discern. Hu and colleagues identified 1,938 men who had minimally invasive prostatectomy and 6,899 who had open procedures. They compared 30 day-complications, anastomotic stricture 31 to 365 days after surgery, long-term incontinence, and erectile dysfunction more than 18 months postoperatively. generic viagra They also compared the rates of additional cancer surgery between the two groups. Among the findings: * based on propensity score adjusted analysis, the median length of stay was two days for the men who had minimally invasive surgery versus three days for those who had open procedures (p<0. 001). generic viagra online * transfusion rate was 2. 7% in the minimally invasive group versus 20. 8% with open surgery (p<0. why does viagra last longer 001). * postoperative respiratory complication rate also favored minimally invasive surgery — 4. 3% versus 6. 6%, p=0. 004. viagra online forsale * anastomotic stricture rate was 5. generic viagra shipped overnight 8% with minimally invasive surgery versus 14. 0% with open procedures (p<0. 001). * rate of genitourinary complications was 4. 7% for men who had minimally invasive surgery versus 2. 1% (or, 2. canadian viagra without a doctor prescription 28, 95% ci 1. 61-3. 2, p=0. 001). * rate of urinary incontinence diagnosis was 15. 9 versus 12. 2 per centred person-year (p=0. 02) and the rate of erectile dysfunction diagnosis was 26. 8 versus 19. 2 per one c person-years (p=0. 009), both favoring open procedures. The authors cautioned that the study had a number of limitations, including the reliance on claims data that are designed to provide billing rather than clinical information. generic viagra without prescription They also noted that regardless of surgical technique, prostate cancer survival is high, which suggests the need for longer follow-up. They also cautioned that the finding about erectile dysfunction was subject to observer bias, since some men with erectile dysfunction may not seek medical care, thus the real rate of erectile dysfunction may not be captured by medicare records. Moreover, the minimally invasive procedures included surgeries performed “with and without robotic assistance because both share a common cpt code. ” they said, however, that estimates of “u. viagra 20 mg precio S. Robotic-assisted [minimally invasive radical prostatectomy] range from 50% to 70%, whereas a recent survey revealed a 25% to 75% decline in radical prostatectomy volume among urologists performing [minimally invasive and open surgery]. using viagra recreationally ” visit medpagetoday. Com for more prostate cancer news. Email print tagged as: cancer, hospital, patients, specialist, surgery related stories localized prostate cancer treatment: is surgery no longer an option? viagra mg sizes


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