urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2018-6-1-48-54urovest-191Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS ARTICLEВАКУУМ ИНДУЦИРОВАННАЯ ЭРЕКЦИЯ – ПРОФИЛАКТИКА ГИПОКСИИ КАВЕРНОЗНОЙ ТКАНИ У ПАЦИЕНТОВ ПОСЛЕ РАДИКАЛЬНОЙ ПРОСТАТЭКТОМИИVACUUM THERAPY – PREVENTION OF HYPOXIA OF CAVERNOUS TISSUE PATIENTS AFTER RADICAL PROSTATECTOMYhttps://orcid.org/0000-0003-2892-5665ОсадчинскийА. Е.OsadchinskiiA. E.

ведущий специалист Управления организации стационарной медицинской помощи,

Москва

Chief specialist of Management of the organization of inpatient medical care,

Moscow

osadchinskiy@gmail.comhttps://orcid.org/0000-0001-7469-3952ВиноградовИ. В.VinogradovI. V.

д.м.н., профессор, заведующий кафедрой клинической андрологии ФПКМР,

Москва

DM, Professor, Head of the Department of Clinical Andrology,

Moscow

ivvinogradov@mail.ruhttps://orcid.org/0000-0002-3797-7160ДаренковС. П.DarenkovS. P.

д.м.н., профессор, заведующий кафедрой урологии,

Москва

MD, Professor, Head of the Department of Urology,

Moscow

darenkov@list.ruДепартамент здравоохранения города МосквыРоссияDepartment of Health of MoscowRussian FederationФГАОУ ВО «Российский университет дружбы народов»РоссияPeoples Friendship University of RussiaRussian FederationФГБУ ДПО «ЦГМА»РоссияCentral State Medical Academy of department of presidential affairsRussian Federation201831032018614854Copyright © Осадчинский А.Е., Виноградов И.В., Даренков С.П., 20182018Осадчинский А.Е., Виноградов И.В., Даренков С.П.Osadchinskii A.E., Vinogradov I.V., Darenkov S.P.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/191

Пациенты, перенесшие радикальную простатэктомию с применением нервосберегающей техники по поводу рака предстательной железы без проведения соответствующей программы пенильной реабилитации в послеоперационном периоде, подвержены риску формирования кавернозного фиброза с возникновением последующей стойкой эректильной дисфункции. С целью минимизации повреждения кавернозной ткани и раннего восстановления эректильной функции во время периода нейропраксии необходимо обеспечение достаточного уровня оксигенации. Роль применения вакуума в пенильной реабилитации для профилактики гипоксии кавернозной ткани до конца не ясна из-за отсутствия данных о газовом составе крови в момент достижения вакуум-индуцированной эрекции. Целью данной работы являлся обзор научных исследований, посвященных изучению вакуум-индуцированной эрекции полового члена на животных или людях, свидетельствующий о высоких результатах за счет увеличения оксигенации кавернозной ткани.

Patients, after radical prostatectomy with the use of nerve-sparing techniques, without carrying out penile rehabilitation, are at risk of forming cavernous fibrosis with the emergence of subsequent persistent erectile dysfunction. In order to minimize damage to cavernous tissue and early restoration of erectile function during the period of neuropraxia, it is necessary to ensure a sufficient level of oxygenation. The role of applying vacuum in penile rehabilitation for the prevention of hypoxia of cavernous tissue is not fully understood, due to the lack of data on the gaseous composition of the blood at the time of reaching the vacuum of erection. The purpose of this work was to review the scientific studies devoted to the study of vacuum induced penile erection in animals or humans, which indicates high results due to increased oxygenation of cavernous tissue.

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