scholarly journals Vascular conflicts in andrology. Part 2. Lower level arteryovenous conflicts

2019 ◽  
Vol 9 (3) ◽  
pp. 49-56
Author(s):  
Alexandr А. Kapto ◽  
Zoja V. Smyslova

This paper presents a review of the literature on the prevalence, classification, symptoms, diagnosis and treatment of lower level arteriovenous conflicts. New approaches in the treatment of both arteriovenous conflicts and comorbid diseases such as varicocele, varicose veins of the pelvic organs, venogenic erectile dysfunction, chronic pelvic pain syndrome are presented. The data of the literature review can form the basis for the revision of approaches to the management of patients with varicocele, erectile dysfunction and chronic recurrent prostatitis. It is shown that x-ray surgical embolization of prostatic plexus veins alone or in combination with testicular vein embolization, angioplasty and iliac vein stenting is possible only at the junction of urology, andrology and x-ray surgery.

2019 ◽  
Vol 51 (12) ◽  
pp. 2093-2106 ◽  
Author(s):  
Junaid Wazir ◽  
Rahat Ullah ◽  
Shihong Li ◽  
Md Amir Hossain ◽  
Maladho Tanta Diallo ◽  
...  

2019 ◽  
Vol 20 (3) ◽  
pp. 66-71
Author(s):  
V. V. Evdokimov ◽  
Sh. R. Satybaldyev ◽  
E. Sh. Satybaldyeva

The study objective is to evaluate the effectiveness of rehabilitation complex in treatment of chronic pelvic pain syndrome in men.Materials and methods. At the Kyrgyz Scientific Research Institute of Balneology and Rehabilitation, Ministry of Health of the Kyrgyz Republic, 86 patients aged between 18 and 55 years with chronic prostatitis, chronic pelvic pain syndrome in remission and erectile dysfunction (ED) were examined. In the treatment group (n = 56), rehabilitation complex (balneotherapy, physiotherapy, ultraviolet irradiation of autologous blood, psychotherapy) was used; in the comparison group (n = 30), only standard therapy was used. Blood and urine were tested; total testosterone, luteinizing, follicle-stimulating hormones were measured; ultrasound and rheography of the prostate and penis, color Doppler ultrasonography of the penile vessels, prostatic fluid cultures, spermogram analysis were performed.Results. In the treatment group, pain syndrome was diagnosed in 52 % of patients, severe ED – in 55 %; in the comparison group, pain syndrome was diagnosed in 33 % of patients, ED – in 23 %. Ultrasound of the prostate in both groups showed diffuse changes of moderate severity. After the rehabilitation complex, all patients of the treatment group showed improvement in general condition and microscopic content of the prostatic fluid, decreased pain syndrome, dysuria, sperm viscosity, increased sperm count, number of sperm with normal morphology and motility. Rheography showed increased volume of pulse blood filling of the lower pelvic organs, venous outflow to the prostate. Frequency of severe ED decreased in the treatment group from 55 to 26 %, in the comparison group – from 23 to 16 %.Conclusion. The results show the positive effect of rehabilitation complex on chronic nonbacterial prostatitis, especially in case of improvement of erectile function.


Urologiia ◽  
2019 ◽  
Vol 3_2019 ◽  
pp. 108-113
Author(s):  
A.A. Churakov Churakov ◽  
E.A. Bezrukov Bezrukov ◽  
A.B. Dolgov Dolgov ◽  
D.V. Butnaru Butnaru ◽  
G.A. Martirosyan Martirosyan ◽  
...  

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