Difference Between RARP And ORP

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As managed care becomes more prevalent, evaluating the economic aspect of the urological practice becomes increasingly important especially in medium or low volume centers. Data from the nationwide inpatient sample reported in 2009 that 61% of prostatectomies were RARP. In recent years RARP has replaced ORP as the most common surgical approach to prostate cancer despite the lack of evidence demonstrating superior oncologic or functional outcomes. Among comparative studies of ORP, LRP, and RARP, Novara et al reported no significant differences in BCR-free survival estimates between ORP and RARP or between LRP and RARP.

A recent study by Bolenz et al. compares ORP, LRP, and RARP costs. Without considering robot purchase costs or maintenance

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