ANDROLOGY

Introduction. Human papillomavirus (HPV) is often found in the sperm of sexually active men and is associated with a violation of sperm parameters, which negatively affects sperm motility and plays a possible role in male infertility.

Introduction. The mechanism of impaired spermatogenesis in case of varicocele is still unknown, and the connection between male infertility and varicocele is based only on the statistical data, which gives not always unambiguous results. Nevertheless, the presence of male infertility is a defining indication for varicocele surgical treatment. At the same time, the surgical treatment of varicocele itself can in 28% cases have a depressing effect on spermatogenesis in men.

Introduction. It is estimated that Peyronie's disease (PD) affects approximately 3–9% of men worldwide and may be associated with pain, erectile dysfunction, and penile deformity, including shortening of the penis. This condition has a significant negative impact on the quality of life, self-esteem and psychological well-being of men. Purpose. Еvaluate the data published on May 2020 on the most effective and safe methods of medical and other non-surgical treatment of Peyronie's disease.

Introduction. Currently, despite the availability of a large Arsenal of different ways to treat prostate cancer, radical prostatectomy remains its «gold standard». Erectile dysfunction is one of the most common postoperative complications that significantly reduces the patient's quality of life. Currently, the world is searching for new effective methods of prevention and treatment of this complication.

Introduction. Changes in the lower urinary tract in elderly and senile people include a decrease in the capacity and loss of elasticity of the bladder, as well as the occurrence of detrusor hyperactivity. The causes of these morphological and functional disorders have not been fully studied to date and are described in the literature inconsistently. However, the main role in these processes, according to most authors, is assigned to circulatory hypoxia.

Introduction. One of the causes of male infertility is a violation of the patency of the vas deferens with the development of obstructive azoospermia. Often the cause of such infertility is epididymal cysts. Various methods have been proposed for the treatment of cysts. One of them is the use of sclerotherapy, the results of which are not fully evaluated and systematized.

The aim. Evaluation of the clinical efficacy and safety of sclerotherapy in the treatment of epididymal cysts.

Introduction. Basic testosterone concentrations are directly related to the risk of benign prostatic hyperplasia (BPH), its growth and progression. The lower the level of testosterone, the higher the likelihood of developing prostatic hyperplasia, the higher the growth rate of the annual volume and the higher the risk of developing acute urinary retention. However, this dependence is not linear and directly depends on a combination of other individual factors, for example, the presence of concomitant prostatitis or chronic infections.

Background. Male infertility is an acute issue in modern andrology, being registered in 45% of infertile couples. Aer the exclusion of exogenous factors and systemic diseases leading to male infertility (MI), a significant part of MIcases among the remaining patients in the cohort with idiopathic infertility is associated with genetic pathologies.

Aim. To generalize data on genetic disorders that lead to a decrease in male fertility and to review methods of their diagnostics.

Introduction. The article shows that effective treatment of abacterial (non-infectious) prostatitis (AP) or chronic pelvic pain syndrome (CSTB) is based on multimodal tactics taking into account the urological clinical phenotype of the patient (according to the UPOINT system), comorbid mental disorders and psychosocial risk factors (disease-oriented strategy of coping with pain, catastrophization, changes in social support).

Introduction. Many authors have shown that perineal muscles training improves erectile function. We decided to perform our research of the effectiveness of perineum muscle training in the treatment of erectile dysfunction (ED).