urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2026-14-2-77-89urovest-1228Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS ARTICLEСовременные аспекты эректильной дисфункции: диагностика, терапия и инновационные подходы к лечениюThe landscape of erectile dysfunction: insights into diagnosis, management, and emerging interventionshttps://orcid.org/0000-0002-6212-3693АббосовШ. А. AbbosovS. A.

Шухрат Анварович Аббосов — канд. мед. наук 

Ташкент

Shukhrat A. Abbosov — Сand.Sc.(Med) 

Tashkent

shuhrat0770@mail.ruhttps://orcid.org/0000-0001-8453-5202МахмудовА. Т. MakhmudovA. T.

Аъзамжон Талатович Махмудов — д-р мед. наук 

Ташкент

Azamjon T. Makhmudov — Dr.Sc.(Med)

Tashkent

azamjon.makhmudov@gmail.comhttps://orcid.org/0000-0002-2591-1148ТулабоевА. К.TulaboevA. K.

Азамжон Курбонович Тулабоев — д-р экон. наук 

Ташкент

Azamjon K. Tulaboev — Dr.Sc.(Econ) 

Tashkent

a.tulaboev@tsue.uzhttps://orcid.org/0009-0002-4831-807XАлиевС. У.AlievS. U.

Cарвар Убайдуллаевич Алиев — канд. фарм. наук

Ташкент

Sarvar U. Aliev — Сand.Sc.(Pharm)

Tashkent

sarvaraliev1984@gmail.comhttps://orcid.org/0000-0001-9271-0808ШомаруфовА. Б.ShomarufovA. B.  

Азизбек Баходирович Шомаруфов — канд. мед. наук

Ташкент

Azizbek B. Shomarufov — Сand.Sc.(Med) 

Tashkent

shuhrat0770@mail.ruhttps://orcid.org/0000-0002-6212-3693ШавахабовШ. Ш.ShavakhabovS. Sh.

Шавкат Шонасирович Шавахабов — канд. мед. наук

Ташкент

Shavkat Sh. Shavakhabov — Сand.Sc.(Med)

Tashkent

dr_shavakhabov@mail.ruhttps://orcid.org/0000-0002-4434-5460АкиловФ. А.AkilovF. A.

Фархад Атауллаевич Акилов — д-р мед. наук, профессор

Ташкент

Farkhad A. Akilov — M.D., Dr.Sc.(Med) 

Tashkent

akilovmd@gmail.comТашкентский государственный медицинский университет; Республиканский специализированный научно-практический медицинский центр урологииУзбекистанTashkent State Medical University; Republican Specialized Scientific and Practical Medical Centre of UrologyUzbekistanТашкентский государственный медицинский университетУзбекистанTashkent State Medical University; Republican Specialized Scientific and Practical Medical Centre of UrologyUzbekistanТашкентский государственный экономический университетУзбекистанTashkent State Medical UniversityUzbekistanРеспубликанский специализированный научно-практический медицинский центр урологииУзбекистанRepublican Specialized Scientific and Practical Medical Centre of UrologyUzbekistanТашкентский государственный медицинский университетУзбекистанTashkent State Medical UniversityUzbekistan2026090720261427789Copyright © Аббосов Ш.А., Махмудов А.Т., Тулабоев А.К., Алиев С.У., Шомаруфов А.Б., Шавахабов Ш.Ш., Акилов Ф.А., 20262026Аббосов Ш.А., Махмудов А.Т., Тулабоев А.К., Алиев С.У., Шомаруфов А.Б., Шавахабов Ш.Ш., Акилов Ф.А.Abbosov S.A., Makhmudov A.T., Tulaboev A.K., Aliev S.U., Shomarufov A.B., Shavakhabov S.S., Akilov F.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/1228

Эректильная дисфункция — это широко распространённое состояние, затрагивающее миллионы мужчин по всему миру, с серьёзными последствиями для физического здоровья, психологического благополучия и качества жизни. Цель данного систематического обзора литературы — представить всестороннюю картинусовременного состояния в области диагностики, лечения и перспективных методов терапии эректильной дисфункции. Был проведён структурированный поиск рецензируемой литературы в нескольких базах данных, включая PubMed и Cochrane Library, с использованием заранее определённых критериев включенияи исключения. Обзор подчёркивает мультифакторную природу эректильной дисфункции и важность точной диагностики с применением таких инструментов, как Международный индекс эректильной функции (IIEF), допплерография сосудов полового члена и тестирование ночной спонтанной эрекции. Фармакотерапия,в частности ингибиторы фосфодиэстеразы 5-го типа (ингибиторы ФДЭ-5), остаётся основой лечения, тогда как немедикаментозная терапия, включая вакуумные эрекционные устройства и психотерапию, играет вспомогательную роль. Среди новых подходов перспективными считаются терапия стволовыми клетками, лечениеобогащённой тромбоцитами плазмой (PRP) и ударно-волновая терапия низкой интенсивности (LI-ESWT), особенно в случаях, устойчивых к традиционному лечению. Несмотря на достижения, сохраняются проблемы, такие как стигматизация, высокая стоимость и ограниченный доступ к инновационным методам. Настоящий обзор подчёркивает необходимость мультидисциплинарного подхода к ведению пациентов с эректильной дисфункцией, а также необходимость дальнейших исследований для совершенствования диагностических инструментов, оптимизации лечебных стратегий и расширения доступа к передовым технологиям. Устранение этих барьеров позволит улучшить исходы лечения и способствовать укреплению общего сексуального здоровья мужчин.

Erectile dysfunction is aprevalent condition affecting millions of men worldwide, with significant implications for physical health, psychological well-being, and quality of life. This systematic literature review aims to provide a comprehensive overview of the current landscape of ED, focusing on its diagnosis, management, and emerging interventions. A structured search of peer-reviewed literature was conducted across multiple databases, including PubMed and Cochrane Library, using predefined inclusion and exclusion criteria. The review highlights the multifactorial nature of erectile dysfunction, emphasizing the importance of accurate diagnosis through tools such as the International Index of Erectile Function, penile Doppler ultrasound, and nocturnal penile tumescence testing. Pharmacological treatments, particularly phosphodiesterase type 5 inhibitors, remain the cornerstone of management, while nonpharmacological options like vacuum erection devices and psychotherapy play complementary roles. Emerging therapies, including stem cell therapy, platelet-rich plasma therapy, and low-intensity extracorporeal shockwave therapy, offer promising avenues for refractory cases. Despite advancements, challenges such as stigma, cost, and limited access to innovative treatments persist. This review underscores the need for a multidisciplinary approach to erectile dysfunction care and calls for further research to refine diagnostic tools, optimize treatment strategies, and enhance accessibility to cutting-edge interventions. By addressing these gaps, we can improve outcomes for men with erectile dysfunction and promote holistic sexual health.

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The authors declare that there are no conflicts of interest present.