urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2020-8-2-78-92urovest-333Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS ARTICLEНовые технологии и подходы в диагностике и лечении эректильной дисфункцииErectile dysfunction: new technologies and approaches in diagnostics and treatmenthttps://orcid.org/0000-0003-2767-7153ПоповС. В.PopovS. V.

Сергей Валерьевич Попов ‒ д.м.н.; профессор кафедры урологии 

главный врач СПб 

Sergey V. Popov – M.D., Dr.Sc. (M); Prof., Dept. of Urology

Chief Medical Officer

doc.popov@gmail.comhttps://orcid.org/0000-0001-5566-9789ОрловИ. Н.OrlovI. N.

Игорь Николаевич Орлов ‒ к.м.н.; заведующий урологическим отделением №1 

ассистент кафедры урологии 

Igor N. Orlov ‒ M.D., Cand.Sc. (M); Head, Urology Division №1, City Centre of Endoscopic Urology and New Technologies

Assist. of Prof., Dept. of Urology

doc.orlov@gmail.comhttps://orcid.org/0000-0002-8685-6525ГриньЕ. А.Grin’Ye. A.

Евгений Александрович Гринь ‒ врач уролог-андролог отделения урологии №1 

тел.:+7 (991) 013-03-50

Yevgeny A. Grin’ ‒ M.D.; Urologist and Andrologist, Urology Division №1, City Centre of Endoscopic Urology and New Technologies

tel.:+7 (991) 013-03-50

sv.lukaendouro@gmail.comhttps://orcid.org/0000-0002-9175-2261МалевичС. М.MalevichS. M.

Сергей Михайлович Малевич ‒ врач-уролог отделения урологии №1

Sergey M. Malevich ‒ M.D.; Urologist, Urology Division №1, City Centre of Endoscopic Urology and New Technologies,

malevichsm@gmail.comhttps://orcid.org/0000-0003-4847-9519ГулькоА. М.Gul’koA. M.

Александр Михайлович Гулько ‒ врач уролог-андролог отделения урологии №1

Alexander M. Gul’ko ‒ M.D.; Urologist, Urology Division №1, City Centre of Endoscopic Urology and New Technologies

agoolko@mail.ruhttps://orcid.org/0000-0002-5040-5546ТопузовТ. М.TopuzoT. M.

Тимур Марленович Топузов ‒ к.м.н.; врач-уролог отделения урологии №1

Timur M. Topuzov ‒ M.D., Cand.Sc. (M); Urologist, Urology Division №1, City Centre of Endoscopic Urology and New Technologies

ttopuzov@gmail.comhttps://orcid.org/0000-0003-1050-6198КызласовП. С.KyzlasovP. S.

Павел Сергеевич Кызласов ‒ д.м.н.; заведующий отделением, руководитель Центра урологии и андрологии

Pavel S. Kyzlasov – M.D., Dr.Sc. (M); Head, Urology and Andrology Center

dr.kyzlasov@mail.comhttps://orcid.org/0000-0003-4390-5590ПовелицаЭ. А.PovelitsaE. A.

Эдуард Анатольевич Повелица ‒ к.м.н.; врач-уролог

Eduard A. Povelitsa – M.D., Cand.Sc. (M); Urologist

povelitsaed@gmail.comСПб ГБУЗ «Клиническая больница Святителя Луки»; ФГБВОУ ВО «Военно-медицинская академия им. С.М. Кирова» МО РФРоссияSt. Luke Clinical Hospital; Kirov Military Medical AcademyRussian FederationСПб ГБУЗ «Клиническая больница Святителя Луки»; ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава РоссииРоссияSt. Luke Clinical Hospital; Mechnikov North-Western State Medical UniversityRussian FederationСПб ГБУЗ «Клиническая больница Святителя Луки»РоссияSt. Luke Clinical HospitalRussian FederationФГБУ «Государственный научный центр Российской Федерации – Федеральный медицинский биофизический центр имени А.И. Бурназяна»РоссияRussian Federation State Research Center - Burnasyan Federal Medical Biophysical CenteRussian FederationГУ «Республиканский научно-практический центр радиационной медицины и экологии человека»РоссияRepublican Scientific and Practical Center of Radiation Medicine and Human EcologyRussian Federation202001072020827892Copyright © Попов С.В., Орлов И.Н., Гринь Е.А., Малевич С.М., Гулько А.М., Топузов Т.М., Кызласов П.С., Повелица Э.А., 20202020Попов С.В., Орлов И.Н., Гринь Е.А., Малевич С.М., Гулько А.М., Топузов Т.М., Кызласов П.С., Повелица Э.А.Popov S.V., Orlov I.N., Grin’ Y.A., Malevich S.M., Gul’ko A.M., Topuzo T.M., Kyzlasov P.S., Povelitsa E.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/333

Представлен анализ данных литературы (базы данных PubMed и РИНЦ), посвящённый новым подходам и технологиям в диагностике и лечении различных форм эректильной дисфункции (ЭД). ЭД на современном этапе представляет из себя весьма значимую клинико-социальную проблему, оказывающую значительное отрицательное влияние на качество жизни мужчин. Важность и актуальность проблемы ЭД диктует необходимость поиска и разработок новых, более эффективных технологий верификации и лечения ЭД. Данное обзорное исследование констатирует тот факт, что основной диагностической задачей при ЭД является установление её истинной этиологической составляющей. Рациональным подходом является использование методов исследований с доказанной эффективностью, поскольку именно данное обстоятельство позволит обеспечить эффективное лечение ЭД. В настоящее время имеется необходимость в создании персонифицированного диагностического алгоритма, направленного на оценку состояния кардиоваскулярной системы, эндотелия, андрогенного статуса, ангиоархитектоники и др. Это повысит эффективность и безопасность лечения мужчин, страдающих различными формами ЭД. Рентгенэндоваскулярные, клеточные и новые технологии в области фаллопротезирования являются весьма перспективными с обнадёживающими первичными результатами.

The analysis of literature data (PubMed and RSCI databases) is presented, which is devoted to new approaches and technologies in the diagnosis and treatment of various forms of erectile dysfunction (ED). ED is a very significant clinical and social problem at the present stage, which has a significant negative impact on the quality of life of men. The importance and relevance of the ED problem dictate the need to search for and develop new, more effective technologies for ED verification and treatment. This review study confirms the fact that the main diagnostic task in ED is to establish its true etiological component. A rational approach is to use research methods with proven effectiveness since this circumstance will ensure effective treatment of ED. Currently, there is a need to create a personalized diagnostic algorithm aimed at assessing the state of the cardiovascular system, endothelium, androgen status, angioarchitectonics, etc. This will increase the effectiveness and safety of treatment for men suffering from various forms of ED. X-ray endovascular, cellular and new technologies in the field of falloprosthesis are very promising with encouraging primary results.

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