ANDROLOGY

The function of the urinary bladder is decompensated in 15-32% of patients with benign prostatic hyperplasia leading to the chronic urinary retention, two-sided hy-dronephrosis and chronic kidney disease. Disturbances in the bladder and kidney hemodynamics and consecutive tissue hypoxia are the main pathogenetic factors in the development of these complications.

Prostatitis and varicocele are the most frequent diseases of urological system, which have a potential to decrease male fertility. The influence of varicocele and prostatitis on the spermogram parameters is still understudied. Especially important is this problem in men of active reproductive age, which tend nowadays to postpone the childbirth. The aim of this study was to investigate the effects of varicocele and prostatitis on the reproductive function in young men (mean age 24.5±6.1 years) living in Novosibirsk.

In article on the basis of modern literary data and results of own clinical researches one of the major system pathogenetic factors sperm oxidative stress at male infertility – Insulin Resistance – is considered. Development and progressing of Insulin Resistance mechanisms are closely connected with obesity and androgen deficiency which make the proved negative impact on a man's reproduction.

Inhibited or retarded ejaculation (RE) is one of the least understood of the male sexual dysfunctions. RE has a relatively low prevalence (< 3%). RE is one of the diminished ejaculatory disorders, which is a subset of male orgasmic disorders. This pathology results in depression, anxiety, lack of sexual confidence. Failure of ejaculation may be a lifelong (primary) of acquired (secondary) problem. In some instances, a somatic condition can cause the disorder of ejaculation.

One hundred and thirty five patients with chronic non-bacterial prostatitis were under control in this study with different severity of inflammation (incomplete remission and latent inflammation, active inflammation). Based on the clinical-laboratory and functional parameters the integral assessment of clinical state and the dynamics of these parameters were evaluated during the treatment.

Introduction: Levofloxacin is widely used antibiotic for the treatment of chronic bacterial prostatitis. A number of recent studies suggest the possibility of reducing the duration of treatment by increasing the daily dose of the drug.

Many clinical studies have shown, that α1А selective alpha blockers are more tolerable to patients with benign prostatic hyperplasia (BPH), than non-selective ones. is is especially important consideration in patients with the risk of adverse cardio-vascular effects. One of the new α1А selective alpha blockers is silodosin. ere is enough evidence, related to the efficacy and safety of silodosin in patients with lower urinary tract symptoms (LUTS) due to BPH.

Chronic prostatitis (CP) is well known for its recurrent wavelike course with interchange of remissions and recurrences. Prostate could be especially sensitive to the effects of risk factors during periods of seasonal recurrences. Many medications and biologically active supplements are used for recurrence prevention. One of the medications, which shows multiple organotropic actions with regard to prostate is Afala, purified antibodies to PSA. The aim of the study was to estimate efficacy of prevention in patients with chronic prostatitis.

In this article a classification of the urological diseases, which could cause sexual dysfunctions, based on the principle of the copulative constituents’ disturbances (according to Vasilchenko G.S.) adopted in the Russian sexology, could be seen the first time. The mechanisms of development are systemized symptomatic sexual disturbances. Specific mechanisms are being realized via the disturbances, generated by pathogenetic factors of the disease at the neurohumoral, erectile and ejaculatory parts of the copulative cycle.

Cardiovascular disease is the leading cause of death in the male population all over the world. Therefore the search for ways of early diagnosis and primary prevention of cardiovascular disease is a top priority for many academic institutions. At the same time, erectile dysfunction – is one of the most common problems among men of middle-aged and elderly. Com- mon risk factors (such as smoking, poor diet, lack of physical activity, etc.) allow dysfunction disease have a common pathogenesis.