Andrology and Genital Surgery最新文献

{"title":"A case of penoscrotal ring incarceration: lesson from experience","authors":"P. Mugialan, O. Fahmey, Cks Lee, J. Arvind, M. Z. Saiful Azli, M. K. Khairul Asri","doi":"10.17650/2070-9781-2022-23-4-110-112","DOIUrl":"https://doi.org/10.17650/2070-9781-2022-23-4-110-112","url":null,"abstract":"Penoscrotal incarceration is a rare complication commonly caused by penile ring application for sexual enhancement. Due to rarity of this condition, managing this condition is still a challenge for many urologists. Here, we present a 31 years old man who presented to our centre with two days history of penile and scrotal swelling after fitting penile ring. We will present method used by our team in managing this rare condition.","PeriodicalId":368206,"journal":{"name":"Andrology and Genital Surgery","volume":"194 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131701406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of extracorporeal shock wave therapy along with other non-drug methods in the treatment of chronic prostatitis from the standpoint of modern evidence-based medicine","authors":"M. Epifanova, A. Kostin, E. Gameeva, E. Slavkina, S. Artemenko, A. Epifanov","doi":"10.17650/2070-9781-2022-23-4-46-54","DOIUrl":"https://doi.org/10.17650/2070-9781-2022-23-4-46-54","url":null,"abstract":"","PeriodicalId":368206,"journal":{"name":"Andrology and Genital Surgery","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125993300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Markers of lithogenic activity in kidney stone disease","authors":"A. Alfimov, I. A. Shaderkina, D. Korolev, D. M. Gorinova, M. Enikeev, D. G. Tsarichemko, L. Rapoport","doi":"10.17650/2070-9781-2022-23-4-36-45","DOIUrl":"https://doi.org/10.17650/2070-9781-2022-23-4-36-45","url":null,"abstract":"","PeriodicalId":368206,"journal":{"name":"Andrology and Genital Surgery","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124141790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anatomical features of the malformation, methods and results of bladder exstrophy primary closure. Literature review","authors":"A. Rudin, Y. Rudin, Y. Sokolov","doi":"10.17650/2070-9781-2022-23-4-55-63","DOIUrl":"https://doi.org/10.17650/2070-9781-2022-23-4-55-63","url":null,"abstract":"","PeriodicalId":368206,"journal":{"name":"Andrology and Genital Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115526883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evolution of the views on the role of testosterone in prostate cancer. Literature review","authors":"N. Akhvlediani, M. Babaev, V. Solovyev","doi":"10.17650/2070-9781-2022-23-4-26-35","DOIUrl":"https://doi.org/10.17650/2070-9781-2022-23-4-26-35","url":null,"abstract":"","PeriodicalId":368206,"journal":{"name":"Andrology and Genital Surgery","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124303181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence in reproductive medicine","authors":"O. Zhukov, V. Chernykh","doi":"10.17650/2070-9781-2022-23-4-15-25","DOIUrl":"https://doi.org/10.17650/2070-9781-2022-23-4-15-25","url":null,"abstract":"","PeriodicalId":368206,"journal":{"name":"Andrology and Genital Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129029838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sperm agglutination and ejaculate liquefaction time as negative prognostic factor in ICSI","authors":"N. Naumov, T. Shatylko, S. Gamidov, A. Popova, R. Safiullin","doi":"10.17650/2070-9781-2022-23-3-61-71","DOIUrl":"https://doi.org/10.17650/2070-9781-2022-23-3-61-71","url":null,"abstract":"Background. Not all pathological mechanisms of fertility disorders in men are currently the correct diagnostic tests, this significantly reduces the prognostic value of the spermogram and makes the question of assessing spermogram character disorders and its impact on the effectiveness of assisted reproductive technologies (ART) procedures extremely relevant. In our study, we retrospectively evaluated the parameters of ejaculate and their effect on ART outcomes.Aim. To assess the effect of sperm agglutination and ejaculate liquefaction time on in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI) results.Materials and methods. The selection of married couples was carried out on the basis of the V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology of the Ministry of Health of Russia. The study included 6,416 married couples who sought IVF-ICSI in the period from December 2012 to December 2016. Ages of men varied between 23 and 74 years, ages of women between 17 and 53 years. Examination data of the patients were extracted from the BABE software. In the study, sperm analysis parameters were evaluated during preparation to the IVF program, IVF-ICSI, and on the day of transvaginal ovarian puncture. Using univariant and regression analysis, prognostic factors of clinical pregnancy and childbirth after IVF-ICSI were determined.Results. Sperm agglutination rates adversely affect the incidence of clinical pregnancy (probability ratio (PR) 0.701; 95 % confidence interval (CI) 0.589–0.834; p <0.001) and childbirth (PR 1.719; 95 % CI 1.220–2.422; p = 0.002) in IVF-ICSI assisted reproductive technologies. Ejaculate liquefaction has a negative effect on the incidence of clinical IVF-ICSI pregnancy (PR 0.967; 95 % CI 0.949–0.986; p = 0.001).Conclusion. Andrologists should seek to improve the above ejaculate parameters with various treatments to improve the effectiveness of ART programs.","PeriodicalId":368206,"journal":{"name":"Andrology and Genital Surgery","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128045786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel method of bladder neck fixation during robot-assisted radical prostatectomy","authors":"M. S. Mosoyan, D. Fedorov, A. A. Vasiliev","doi":"10.17650/2070-9781-2022-23-3-115-121","DOIUrl":"https://doi.org/10.17650/2070-9781-2022-23-3-115-121","url":null,"abstract":"Background. Appearance of new surgical techniques are aimed to improve not only oncological, but also functional outcomes of radical prostatectomy. A good urinary continence after radical surgical treatment remains an important aspect with not only medical but also social significance, since it can significantly reduce the patient’s quality of life.Aim. To describe a new surgical technique of lateral fixation of the bladder neck using autotissue during robotic- assisted radical prostatectomy, to evaluate its effecacy and safety.Materials and methods. From February till November 2020, 20 patients with localized prostate cancer underwent radical robot-assisted prostatectomy. All operations were performed in one medical center, by one experienced robotic surgeon (more than 1000 operations). After the imposition of vesicourethral anastomosis the reconstruction of pelvis was performed by lateral fixation of the vesical cervix with auto-tissue flaps of the intrapelvic fascia. A prerequisite was the preservation of the puboprostatic ligaments, endopelvic fascia and puboperineal muscles. The duration of the operation (console time and time of reconstruction), the volume of intraoperative blood loss, perioperative complications according to Clavien–Dindo, the duration of urethral catheter and the patient’s length of hospital stay, oncological results (pT stage, presence/absence of a surgical margin), the presence of immediate continence, as well as continence 3 months postoperatively were assessed.Results. The mean operative time was 142 (115–168) minutes, mean console time – 64 (50–98) minutes. The mean duration of lateral fixation stage was 3,5 (2–5,5) minutes. Urethral catheter was removed at 7th day postoperatively. There were no Clavien–Dindo group III–V complications registered. Immediate continence rate – 75 % (15 patients), early continence rate – 25 % (5 patients).Conclusion. The use of a new technique of lateral reconstruction during robotic-assisted radical prostatectomy using endopelvic fascia flaps is safe and effective, it improves functional outcomes without affecting oncological results.","PeriodicalId":368206,"journal":{"name":"Andrology and Genital Surgery","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132206964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Classification of pathozoospermia in infertile men","authors":"R. V. Nazarenko, V. M. Zdanovskiy","doi":"10.17650/2070-9781-2022-23-3-54-60","DOIUrl":"https://doi.org/10.17650/2070-9781-2022-23-3-54-60","url":null,"abstract":"Background. Since its growing social significance, the male infertility arouses much interest in medical and scientific communities. Nevertheless, it’s hardly possible to evaluate the contribution of male factor in all infertility cases. Basic infertility test in men is routine semen analysis. But its parameters often fluctuate vastly even among healthy fertile men. Also, there is lack of strong evidence concerning influence of different pathological conditions on conventional sperm parameters.Aim. To analyze causes (diseases and/or pathological conditions) that lead or might lead to decline of conventional sperm parameters, i. e. to pathozoospermia, and to evaluate varicocele impact at this parameters.Materials and methods. The study group consisted of 383 men (mean age 35,5 years) with pathozoospermia whose partners were unable to conceive more than 12 months (mean duration of infertility 4 years). Also, we have tested control group of 31 men with normozoospermia and varicocele of different grades. All men were undergoing standard physical examination, scrotal and prostate ultrasound and semen analysis according to WHO manual. Hormonal and genetic examination was performed if needed. The classification based of summary of conventional sperm parameters scores was proposed for evaluation of severity of pathozoospermia.Results. All patients were divided in 5 groups of pathozoospermia according to the classification: mild (n = 106; 27,7 %), intermediate (n = 46; 12 %), moderately severe (n = 19; 4,5 %), severe (n =147; 38,4 %) and azoospermia (n = 65; 17 %). Such differentiation allows to reveal pathological factors proven to lead to pathozoospermia. Among factors that might lead to pathozoospermia varicocele was a point of special interest. It was shown that grade of varicocele corresponds to the severity of pathozoospermia. Mild and intermediate pathozoospermia prevailed in grade I varicocele (n = 20; 65 %), in grade II mild + intermediate pathozoospemia was almost equivalent to moderately severe + severe (n = 84; 50 and 45,24 % respectively), in grade III moderately severe + severe prevailed over mild + intermediate pathozoospemia (n = 22, 54,55 % vs 36,37 % respectively). In control group, varicocele I and II grades prevailed over III grade (I grade – 48,4 %, II grade – 41,9 %, III grade – 9,7 %).Conclusion. Suggested classification of pathozoospermia has shown its efficacy and can be used by urologists, andrologists for assessment of men’s fertility and revealing indications for varicocele repair.","PeriodicalId":368206,"journal":{"name":"Andrology and Genital Surgery","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128811565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current and promising methods of idiopathic male infertility treatment","authors":"E. A. Efremov, E. V. Kasatonova","doi":"10.17650/2070-9781-2022-23-3-48-53","DOIUrl":"https://doi.org/10.17650/2070-9781-2022-23-3-48-53","url":null,"abstract":"For a significant number of couples around the world, male infertility is a serious ordeal. The truth is that this is also a major clinical challenge for the andrologist – up to 50 % of men with infertility have no identifiable etiology and there is no effective, available evidence-based treatment. For a long time, antioxidant supplements have been used as empiric therapy, but there is still no conclusive evidence that fertility and live birth rates actually improve after this approach has been used. This review is an attempt to summarize current and prospective treatments for idiopathic male infertility. Particular attention is paid to regulatory peptides as promising candidates for improving male fertility.","PeriodicalId":368206,"journal":{"name":"Andrology and Genital Surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128843891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}