ANDROLOGY

Purpose. In chronic forms of inflammation, the most frequent etiological agents in the occurrence of chronic prostatitis (CP) are conditionally pathogenicmicroorganisms (CPM), the detection of which by traditional diagnostic methodsis difficult due to the objective limitations of the methods. Real-time (RT-PCR) allows quick and reliable identification of CPM responsible for the occurrence of CP and other chronic inflammatory diseases of urogenital tract.

Purpose.Chronic prostatitis(CP)is one of the most debatable problemsin urology, due to the lack of common approaches to the interpretation of the pathogenesis of this disease, the objectification of patient testing and the complexity of therapy. For the treatment of CP proposed a wide range of physiotherapy treatments. One of the methods of physiotherapeutic effects that improve blood circulation in the pelvic organs and thereby increase the bioavailability of drugs is low-intensity shock-wave therapy (LI-ESWT).

Introduction. Problem of male infertility is undoubtedly relevant, and methods of its diagnostics and treatment are not studied in their entirety. Today it is supposed that 80% of idiopathic male infertility cases are due to oxidative stress. It is caused by an imbalance between reactive oxygen species (ROS) and antioxidant properties of semen.

Aim of the study – to demonstrate the feasibility of using biologically active supplement «BESTFertil» in treatment of patients with idiopathic decline of semen quality.

Introduction. According to data acquired in studies worldwide, erectile dysfunction (ED) incidence is about 16% to 52% among males aged 20-70 years. Vasculogenic ED is found in about 70% of all ED cases with 30% being arteriogenic, 20-40% being venogenic and 30% being combined arteriogenic-venogenic ED. Shock wave therapy (SWT) is a new and promising modality of treatment for patients with erectile dysfunction. Lack of consensus regarding SWT efficacy in various types of ED and duration of its effect necessitates further studies.

Introduction. the issue of choosing a proper method of treatment and diagnosticsfor chronic abacterial prostatitis/ chronic pelvic pain syndrome (CPPS) is a topic for extensive scientific discussion. Etiology of this condition isinsufficiently studied, and guidelines on itstreatment are controversial. Moreover, patients with CPPS and their partners experience negative impact of pain on sexual and interpersonal relations, sexual activity, satisfaction and quality of life.

Varicocele is a pathology, which is determined in 11.7% of adult men and in 25.4% of men, with abnormalities in the spermogram. the relevance of developing an optimal minimally invasive, safe and highly efficient operational method for performing varicocelectomy is associated with both clinical and medical-economic aspects.

Purpose: Evaluation of the efficacy and safety of the surgical treatment of varicocele using minimally invasive scrotal access and the use of microsurgical techniques.

Data of 414 patients with scrotal and testicular trauma who were treated by Moscow emergency andrology service in 2008-2017 is presented in this paper.

There was a trend towards uncomplicated course and organ preservation in group of patientswho underwent urgentsurgical intervention when compared to patients who were managed conservatively. In nonsurgical group there was a significantly higher incidence of orchitis when compared to surgically treated patients.

Varicocele is one of the most common diseases in men of reproductive age, and also the cause of male infertility. A lot of work has been devoted to the study of varicocele, but its impact on the functioning of the male reproductive system is still a subject of debate. There are both single studies and larger comparative studies devoted to the evaluation of the effect of varicocele on the hormonal background and reproductive system of a man. Most of these studies demonstrate the negative impact of varicocele on male development, the hormonal profile and the possibility of paternity.

The review article includes a modern view on the relationship between age-related hypogonadism, metabolic syndrome, and lower urinary tract symptoms (LUTS) in males. As a rule, LUTS in older men are considered as a manifestation of benign prostatic hyperplasia. A correlation between prostate volume and components of MS was identified, however, LUTS is considered as a polyetiological problem. According to meta-analyzes, a decrease in testosterone levels, dyslipidemia, and insulin resistance are considered as a cause of impaired urination quality in older men.

In the structure of reason of erectile dysfunction venous insufficiency of the penis is prevails. These patients are most often offered for prosthesis of penis. X-ray surgical embolization of the veins of the prostatic plexus began to be used since 1984. According to the literature, it is effective on average in 85% of cases. The operation is performed antegradely through incision or puncture of the dorsal vein of the penis or retrograde through transfemoral X-ray surgical access. In 2018 A.A. Kapto et al.