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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">urovest</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник урологии</journal-title><trans-title-group xml:lang="en"><trans-title>Urology Herald</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2308-6424</issn><publisher><publisher-name>Rostov State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21886/2308-6424-2022-10-1-121-127</article-id><article-id custom-type="elpub" pub-id-type="custom">urovest-530</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS ARTICLE</subject></subj-group></article-categories><title-group><article-title>Использование обогащённой тромбоцитами плазмы при интерстициальном цистите и эректильной дисфункции</article-title><trans-title-group xml:lang="en"><trans-title>Platelet-rich plasma: application for interstitial cystitis and erectile dysfunction</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1597-4196</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хамедов</surname><given-names>Р. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Khamedov</surname><given-names>R. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рафи Гюлахмед оглы Хамедов — врач-уролог урологического отделения </p><p>г. Санкт-Петербург</p></bio><bio xml:lang="en"><p>Rafi G. Khamedov — M.D.; Urologist, Urology Division</p><p>St. Petersburg</p></bio><email xlink:type="simple">khamedov89@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7860-0626</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Горгоцкий</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gorgotsky</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Иван Александрович Горгоцкий — кандидат медицинских наук; врач-уролог урологического отделения </p><p>г. Санкт-Петербург</p></bio><bio xml:lang="en"><p>Ivan A. Gorgotskiy — M.D., Cand.Sc.(Med); Urologist, Urology Division</p><p>St. Petersburg</p></bio><email xlink:type="simple">igorgotsky@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7243-4172</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шкарупа</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Shkarupa</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Андрей Григорьевич Шкарупа — заведующий урологическим отделением </p><p>г. Санкт-Петербург</p></bio><bio xml:lang="en"><p>Andrey G. Shkarupa — M.D.; Head, Urology Division</p><p>St. Petersburg</p></bio><email xlink:type="simple">shag_doc@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0489-3451</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шкарупа</surname><given-names>Д. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Shkarupa</surname><given-names>D. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дмитрий Дмитриевич Шкарупа — доктор медицинских наук; заместитель директора по организации медицинской помощи </p><p>г. Санкт-Петербург</p></bio><bio xml:lang="en"><p>Dmitry D. Shkarupa — M.D., Dr.Sc. (Med); Deputy CEO for Medical Care Organization</p><p>St. Petersburg</p></bio><email xlink:type="simple">shkarupa.dmitry@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6255-0193</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гаджиев</surname><given-names>Н. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Gadzhiev</surname><given-names>N. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нариман Казиханович Гаджиев — доктор медицинских наук; заместитель директора по медицинской части (урология)</p><p>г. Санкт-Петербург</p></bio><bio xml:lang="en"><p>Nariman K. Gadzhiev — M.D., Dr.Sc.(Med.); Deputy CEO for Medical (Urology)</p><p>St. Petersburg</p></bio><email xlink:type="simple">nariman.gadjiev@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Санкт-Петербургский государственный университет» — Клиника высоких медицинских технологий им. Н.И. Пирогова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Petersburg State University – Pirogov Clinic of Advanced Medical Technologies</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>30</day><month>03</month><year>2022</year></pub-date><volume>10</volume><issue>1</issue><fpage>121</fpage><lpage>127</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Хамедов Р.Г., Горгоцкий И.А., Шкарупа А.Г., Шкарупа Д.Д., Гаджиев Н.К., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Хамедов Р.Г., Горгоцкий И.А., Шкарупа А.Г., Шкарупа Д.Д., Гаджиев Н.К.</copyright-holder><copyright-holder xml:lang="en">Khamedov R.G., Gorgotsky I.A., Shkarupa A.G., Shkarupa D.D., Gadzhiev N.K.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.urovest.ru/jour/article/view/530">https://www.urovest.ru/jour/article/view/530</self-uri><abstract><p>На сегодняшний день метод лечения обогащённой тромбоцитами плазмой (ОТП) активно применяется во многих областях медицины. В травматологии ОТП используется для лечения костных и хрящевых дефектов, связочного аппарата. В комбустиологии для заживления ожогов, в хирургии — трофических язв. Есть данные о целесообразности применения ОТП при некоторых дерматологических заболеваниях, а также в стоматологической практике. Для урологии метод является новым и только начинает изучаться. В статье рассмотрены методы лечения интерстициального цистита (ИЦ) и эректильной дисфункции (ЭД) с помощью ОТП. В ходе обзора мы опирались на существующие данные об эффективности внутрипузырных инъекций ОТП при лечении ИЦ, а также об успешном лечении ЭД активированной, не активированной ОТП и ОТП с применением ингибиторов фосфодиэстеразы-5 (ФДЭ-5). </p></abstract><trans-abstract xml:lang="en"><p>Up-to-date, the platelet-rich plasma (PRP) treatment method is actively used in many fields of medicine. In traumatology, PRP is used to treat bone and cartilage defects, ligamentous apparatus. In combustiology for the healing of burns, in surgery ¾ trophic ulcers. There is evidence of the feasibility of using PRP in some dermatological diseases, as well as in dental practice. For urology, the method is new and is just beginning to be studied. The article discusses the methods of treatment of interstitial cystitis (IC) and erectile dysfunction (ED) using PRP. During the review, we relied on existing data on the effectiveness of intravesical injections of PRP in the treatment of IC, as well as on the successful treatment of ED with activated, nonactivated PRP and PRP augmented phosphodiesterasetype 5 (PDE-5) inhibitors.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>обогащённая тромбоцитами плазма</kwd><kwd>интерстициальный цистит</kwd><kwd>эректильная дисфункция</kwd></kwd-group><kwd-group xml:lang="en"><kwd>platelet-rich plasma</kwd><kwd>interstitial cystitis</kwd><kwd>erectile dysfunction</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Fall M, Baranowski AP, Elneil S, Engeler D, Hughes J, Messelink EJ, Oberpenning F, de C Williams AC; European Association of Urology. EAU guidelines on chronic pelvic pain. Eur Urol. 2010;57(1):35-48. DOI: 10.1016/j.eururo.2009.08.020.</mixed-citation><mixed-citation xml:lang="en">Fall M, Baranowski AP, Elneil S, Engeler D, Hughes J, Messelink EJ, Oberpenning F, de C Williams AC; European Association of Urology. EAU guidelines on chronic pelvic pain. Eur Urol. 2010;57(1):35-48. DOI: 10.1016/j.eururo.2009.08.020.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Jhang JF, Lin TY, Kuo HC. Intravesical injections of platelet-rich plasma is effective and safe in treatment of interstitial cystitis refractory to conventional treatment-A prospective clinical trial. Neurourol Urodyn. 2019;38(2):703-9. DOI: 10.1002/nau.23898.</mixed-citation><mixed-citation xml:lang="en">Jhang JF, Lin TY, Kuo HC. Intravesical injections of platelet-rich plasma is effective and safe in treatment of interstitial cystitis refractory to conventional treatment-A prospective clinical trial. Neurourol Urodyn. 2019;38(2):703-9. DOI: 10.1002/nau.23898.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Jhang JF, Wu SY, Lin TY, Kuo HC. Repeated intravesical injections of platelet-rich plasma are effective in the treatment of interstitial cystitis: a case control pilot study. Low Urin Tract Symptoms. 2019;11(2):O42-O47. DOI: 10.1111/luts.12212.</mixed-citation><mixed-citation xml:lang="en">Jhang JF, Wu SY, Lin TY, Kuo HC. Repeated intravesical injections of platelet-rich plasma are effective in the treatment of interstitial cystitis: a case control pilot study. Low Urin Tract Symptoms. 2019;11(2):O42-O47. DOI: 10.1111/luts.12212.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Епифанова М.В. Применение аутоплазмы, обогащенной тромбоцитарными факторами роста, в лечении эректильной дисфункции. Диссертация. Москва; 2015.</mixed-citation><mixed-citation xml:lang="en">Epifanova M.V. The use of autoplasm enriched with platelet growth factors in the treatment of erectile dysfunction. Dissertation. Moscow; 2015. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Пушкарь Д.Ю., Камалов А.А., Аль-Шукри С.Х., Еркович А.А., Коган М.И., Павлов В.Н., Журавлев В.Н., Берников А.Н. Анализ результатов эпидемиологического исследования распространенности эректильной дисфункции в Российской Федерации. Урология. 2012;(6):5-9. eLIBRARY ID: 18225232.</mixed-citation><mixed-citation xml:lang="en">Pushkar D.Yu., Kamalov A.A., Al-Shukri S.Kh., Erkovich A.A., Kogan M.I., Pavlov V.N., Zhuravlev V.N., Bernikov A.N.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Аляев Ю.Г., Григорян В.А., Чалый М.Е. Нарушения половой и репродуктивной функции у мужчин. Москва: Литтерра; 2006.</mixed-citation><mixed-citation xml:lang="en">Analysis of the results of an epidemiological study of the prevalence of erectile dysfunction in the Russian Federation. Urologiia. 2012;(6):5-9. (In Russ.). eLIBRARY ID: 18225232.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Foster TE, Puskas BL, Mandelbaum BR, Gerhardt MB, Rodeo SA. Platelet-rich plasma: from basic science to clinical applications. Am J Sports Med. 2009;37(11):2259-72. DOI: 10.1177/0363546509349921.</mixed-citation><mixed-citation xml:lang="en">Alyaev Yu.G., Grigoryan V.A., Chaly M.E. Disorders of sexual and reproductive function in men. Moscow: Litterra; 2006. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Sánchez M, Anitua E, Azofra J, Aguirre JJ, Andia I. Intra-articular injection of an autologous preparation rich in growth factors for the treatment of knee OA: a retrospective cohort study. Clin Exp Rheumatol. 2008;26(5):910-3. PMID: 19032827.</mixed-citation><mixed-citation xml:lang="en">Foster TE, Puskas BL, Mandelbaum BR, Gerhardt MB, Rodeo SA. Platelet-rich plasma: from basic science to clinical applications. Am J Sports Med. 2009;37(11):2259-72. DOI: 10.1177/0363546509349921.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Медведев В.Л., Коган М.И., Михайлов И.В., Лепетунов С.Н. Аутологичная плазма обогащённая тромбоцитами: что это и для чего? Вестник урологии. 2020;8(2):67-77. DOI: 10.21886/2308-6424-2020-8-2-67-77.</mixed-citation><mixed-citation xml:lang="en">Sánchez M, Anitua E, Azofra J, Aguirre JJ, Andia I. Intra-articular injection of an autologous preparation rich in growth factors for the treatment of knee OA: a retrospective cohort study. Clin Exp Rheumatol. 2008;26(5):910-3. PMID: 19032827.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Аминова З.М., Емелин А.Л., Овечкина М.В., Калянова Е.В. Применение богатой тромбоцитами плазмы в ортопедии Технология PlasmoliftingТМ Процедура Orthoplasma: методическое пособие для врачей. Москва; 2012.</mixed-citation><mixed-citation xml:lang="en">Medvedev V.L., Kogan M.I., Mihailov I.V., Lepetunov S.N. Platelet-rich autologous plasma: what is it and for what? Vestnik Urologii. 2020;8(2):67-77. (In Russ.). DOI: 10.21886/2308-6424-2020-8-2-67-77</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Marx RE. Platelet-rich plasma: evidence to support its use. J Oral Maxillofac Surg. 2004;62(4):489-96. DOI: 10.1016/j.joms.2003.12.003.</mixed-citation><mixed-citation xml:lang="en">Aminova Z.M., Emelin A.L., Ovechkina M.V., Kalyanova E.V. Application of platelet-rich plasma in orthopedics Plasmolifting technology, Orthoplasma procedure: methodical manual for doctors. Moscow; 2012. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Filardo G, Kon E, Della Villa S, Vincentelli F, Fornasari PM, Marcacci M. Use of platelet-rich plasma for the treatment of refractory jumper's knee. Int Orthop. 2010;34(6):909-15. DOI: 10.1007/s00264-009-0845-7.</mixed-citation><mixed-citation xml:lang="en">Marx RE. Platelet-rich plasma: evidence to support its use. J Oral Maxillofac Surg. 2004;62(4):489-96. DOI: 10.1016/j.joms.2003.12.003.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Maniscalco P, Gambera D, Lunati A, Vox G, Fossombroni V, Beretta R, Crainz E. The "Cascade" membrane: a new PRP device for tendon ruptures. Description and case report on rotator cuff tendon. Acta Biomed. 2008;79(3):223-6. PMID: 19260383.</mixed-citation><mixed-citation xml:lang="en">Filardo G, Kon E, Della Villa S, Vincentelli F, Fornasari PM, Marcacci M. Use of platelet-rich plasma for the treatment of refractory jumper's knee. Int Orthop. 2010;34(6):909-15. DOI: 10.1007/s00264-009-0845-7.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Сычевский М.В. Эффективность модифицированной повязки на основе коллагена типа I при лечении обширных ожоговых ран III А степени: Дис. канд. мед. наук. Москва; 2010.</mixed-citation><mixed-citation xml:lang="en">Maniscalco P, Gambera D, Lunati A, Vox G, Fossombroni V, Beretta R, Crainz E. The "Cascade" membrane: a new PRP device for tendon ruptures. Description and case report on rotator cuff tendon. Acta Biomed. 2008;79(3):223-6. PMID: 19260383.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Froum SJ, Wallace SS, Tarnow DP, Cho SC. Effect of platelet-rich plasma on bone growth and osseointegration in human maxillary sinus grafts: three bilateral case reports. Int J Periodontics Restorative Dent. 2002;22(1):45-53. PMID: 11922217.</mixed-citation><mixed-citation xml:lang="en">Sychevsky M.V. The effectiveness of a modified type I collagen-based bandage in the treatment of extensive burn wounds of the III A degree. [dissertation]. Moscow; 2010. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Lee JW, Kwon OH, Kim TK, Cho YK, Choi KY, Chung HY, Cho BC, Yang JD, Shin JH. Platelet-rich plasma: quantitative assessment of growth factor levels and comparative analysis of activated and inactivated groups. Arch Plast Surg. 2013;40(5):530-5. DOI: 10.5999/aps.2013.40.5.530.</mixed-citation><mixed-citation xml:lang="en">Froum SJ, Wallace SS, Tarnow DP, Cho SC. Effect of platelet-rich plasma on bone growth and osseointegration in human maxillary sinus grafts: three bilateral case reports. Int J Periodontics Restorative Dent. 2002;22(1):45-53. PMID: 11922217.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Lopez-Vidriero E, Goulding KA, Simon DA, Sanchez M, Johnson DH. The use of platelet-rich plasma in arthroscopy and sports medicine: optimizing the healing environment. Arthroscopy. 2010;26(2):269-78. DOI: 10.1016/j.arthro.2009.11.015.</mixed-citation><mixed-citation xml:lang="en">Lee JW, Kwon OH, Kim TK, Cho YK, Choi KY, Chung HY, Cho BC, Yang JD, Shin JH. Platelet-rich plasma: quantitative assessment of growth factor levels and comparative analysis of activated and inactivated groups. Arch Plast Surg. 2013;40(5):530-5. DOI: 10.5999/aps.2013.40.5.530.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Stellos K, Kopf S, Paul A, Marquardt JU, Gawaz M, Huard J, Langer HF. Platelets in regeneration. Semin Thromb Hemost. 2010;36(2):175-84. DOI: 10.1055/s-0030-1251502.</mixed-citation><mixed-citation xml:lang="en">Lopez-Vidriero E, Goulding KA, Simon DA, Sanchez M, Johnson DH. The use of platelet-rich plasma in arthroscopy and sports medicine: optimizing the healing environment. Arthroscopy. 2010;26(2):269-78. DOI: 10.1016/j.arthro.2009.11.015.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR. Platelet-rich plasma: Growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;85(6):638-46. DOI: 10.1016/s1079-2104(98)90029-4.</mixed-citation><mixed-citation xml:lang="en">Stellos K, Kopf S, Paul A, Marquardt JU, Gawaz M, Huard J, Langer HF. Platelets in regeneration. Semin Thromb Hemost. 2010;36(2):175-84. DOI: 10.1055/s-0030-1251502.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Weiser L, Bhargava M, Attia E, Torzilli PA. Effect of serum and platelet-derived growth factor on chondrocytes grown in collagen gels. Tissue Eng. 1999;5(6):533-44. DOI: 10.1089/ten.1999.5.533</mixed-citation><mixed-citation xml:lang="en">Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR. Platelet-rich plasma: Growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;85(6):638-46. DOI: 10.1016/s1079-2104(98)90029-4.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Weiser L, Bhargava M, Attia E, Torzilli PA. Effect of serum and platelet-derived growth factor on chondrocytes grown in collagen gels. Tissue Eng. 1999;5(6):533-44. DOI: 10.1089/ten.1999.5.533</mixed-citation><mixed-citation xml:lang="en">Weiser L, Bhargava M, Attia E, Torzilli PA. Effect of serum and platelet-derived growth factor on chondrocytes grown in collagen gels. Tissue Eng. 1999;5(6):533-44. DOI: 10.1089/ten.1999.5.533</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
