ANDROLOGY

The article provides an overview of the current literature on the subject of the most common dishormonal status of men over 40 years old age-related androgen deficiency. To date, the criteria for setting VAD diagnosis, despite many studies remain controversial. It should be noted that the laboratory criteria of a low testosterone level is still causing debate in the scientific community because Various clinical manifestations of age-related androgen deficiency can be observed, including in the normal level of total testosterone.

Introduction. Prevention of reproductive disorders implies monitoring of the reproductive health of the population, especially in the regions with high level of anthropogenic pollution of the environment. Male fertility (the ability to conceive) is mainly determined by the quality of sperm cells, so that sperm studies is a prominent stage in clinical andrology, reproductive toxicology and epidemiology. The aim of this study was to evaluate the reproductive capacity and its hormonal correlates in a group of young males from Kemerovo.

Erectile dysfunction (ED) is a constant or temporary inability to achieve or maintain erection sufficient enough to perform sexual intercourse. The problem of diagnostics and treatment of ED has not only medical but also social importance.

The risk of the development of ED increases with age due to serious associated diseases; in particular, due to arterial hypertension, heart diseases and diabetes mellitus. Most causes of ED are considered to be organic, which are subdivided into neurogenic, hormonal, vasculogenic, iatrogenic and mixed.

Summary. Purpose of the study. To study the nature and frequency of the manifestations of endothelial dysfunction and to clarify their relationship with pain syndrome in patients with exacerbation of chronic bacterial prostatitis (CBP).

Due to implementation of minimally invasive techologies (laparoscopic surgery, Da vinci roobot) over the last 10 years, there are several publications for the nuances and effectiveness of extraperitoneoscopic adenomectomy (EA) in patients with large volume (>80 cm3) benign prostatic hyperplasia (BPH). e analysis of scientific literature showed that EA becomes more entrenched among urologists, however, resulting from lack of data for long-term treatment outcomes and a retrospective format of studies, this surgery is still being investigated (level of evidence 2).

Introduction. Prostatic lithiasis complicates the courses of prostatitis and benign prostatic hyperplasia. The aim of the study is to evaluate the effectiveness of complex treatment of patients with chronic prostatitis (CP) associated with prostate stones by combining extracorporeal shock wave therapy (ESWT) with a phytotherapeutic drug Canephron.

Study design. This is an open prospective randomized comparative study.

Introduction. One of the most common multifactorial disease states, which is caused by certain systemic diseases, as well as the reception of drugs and psycho-emotional status of the person is insomnia.

Introduction. The article presents the results of a comparative study of the evaluation of the effectiveness and safety of a combination of Levofloxacin and Tamsulosin with IndigalPlus.

Urethral stricture disease is a widespread disease, significantly influencing the quality in life in affected patients. Rehabilitation of the patients with this pathology is linked with substantial costs for healthcare providers. In the last years the terminology of this disease anf the therapeutic approaches were significantly reviewed. The preoperative diagnostical steps, surgical experience and adequate operative planning are crucial for the success of the intervention. In the last two decades endourethral modalities are skeptically regarded.

Problem of varicocele is characterized by the presence of conflicting data and the lack of a unified views at the definition, etiology, pathogenesis, diagnosis, classification and treatment of this disease. In the presented work we analyze the known and little-known data about the etiology, pathogenesis and diagnosis of varicocele. We express a new term "venous anastomotic site of the testis and epididymis", defining the anatomical relationship between the testicular vein, vein of cremaster and a vein of the vas deferens.