Patients and methods: we retrospectively evaluated a prospectively maintained and authorised cystectomy database; the presence or absence of lvi was determined by pathological examination of the rc specimen. can buy viagra england Cox regression analysis and kaplan-meier tables were developed to evaluate the contribution of lvi to clinical outcomes. Results: in all, we analysed 356 patients treated with rc and urinary diversion between 1988 and 2006, with a mean follow-up of 45. 6 months. Of these patients, 242 (68%) had no evidence of lvi in the rc specimen, whereas 114 (32%) had lvi. Patients with lvi tended to present with higher pathological stage; 84 (74%) had pt3 or pt4 disease. On univariable analysis the presence of lvi conferred a significant risk for decreased overall, cancer-specific and recurrence-free survival (p<0. ordering generic viagra 001); the mean values for lvi-negative patients were 96. viagra levitra cialis comparison
8, 157. 4, and 135. is viagra available over the counter in thailand 0 months, respectively, vs lvi-positive patients, whose survival times were 52. 3, 82. 7 and 75. 2 months, respectively. The multivariable analysis showed significant independent risk for cancer-specific and overall survival for patients who were lvi-positive and had no lymph-node metastases. The hazard ratios (95% confidence interval) were 1. 63 (1. 06-2. 51, p<0. 026) and 1. 81 (1. canada cialis generic
06-3. cialis online
08, p<0. 03) for overall and disease-specific survival, respectively. Conclusions: the presence of lvi in the pathological rc sp. buycheapgenericcialisonlinefromcanada.com
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