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In addition he reported a very short refractory period after ejaculation

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Hirayama and Suzuki proposed a classification based on histopathological features: superficial dominant, diffuse, deep dominant, and deep [14]

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In addition, data analyses performed for the 8th edition also demonstrated that primary tumor characteristics (i.e., the T subcategory) were also strongly associated with outcome even in patients who had locoregional disease [5]