urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2023-11-4-128-140urovest-793Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS ARTICLEВлияние эндоскопической энуклеации гиперплазии предстательной железы на эректильную и эякуляторную функцииEffect of endoscopic enucleation of the prostate on erectile and ejaculatory functionhttps://orcid.org/0000-0003-3764-6131КотовС. В.KotovS. V.

Сергей Владиславович Котов — д-р мед. наук, профессор; заведующий кафедрой урологии и андрологии; врач-уролог урологического отделения; руководитель Университетской клиникой урологии, онкоурологии и андрологии

Москва

Sergey V. Kotov — M.D., Dr.Sc. (Med), Full Prof.; Head, Dept. of Urology and Andrology; Urologist, Urology Division; Head, University Clinic of Urology, Oncourology and Andrology

Moscow

 

urokotov@mail.ruhttps://orcid.org/0000-0002-6661-8570СеменовА. П.SemenovA. P.

Антон Павлович Семенов — аспирант кафедры урологии и андрологии; врач-уролог урологического отделения 

Москва

Anton P. Semenov— M.D.; Postgrad. Student, Dept. of Urology and Andrology; Urologist, Urology Division

Moscow

 

semenovap.uro@yandex.ruhttps://orcid.org/0000-0001-8202-3844ЮсуфовА. Г.YusufovA. G.

Анвар Гаджиевич Юсуфов — канд. мед. наук; доцент кафедры урологии и андрологии ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России; заведующий урологическим отделением 

Москва

Anvar G. Yusufov — M.D., Cand.Sc.(Med); Assoc.Prof., Dept. of Urology and Andrology; Head, Urology DivisionMoscow

 

anvar.yusufov@mail.ruhttps://orcid.org/0000-0002-2944-2668ГуспановР. И.GuspanovR. I.

Ренат Иватуллаевич Гуспанов — канд. мед. наук; доцент кафедры урологии и андрологии; врач-уролог урологического отделения; врач-онколог 4-го онкологического отделения (онкоурологии) 

Москва

Renat I. Guspanov — M.D., Cand.Sc.(Med); Assoc.Prof., Dept. of Urology and Andrology, Pirogov Russian National Research Medical University; Urologist, Urology Division; Oncologist, Oncology (Oncourology) Division No. 4

Moscow

 

uroguspanov@yandex.ruРоссийский национальный исследовательский медицинский университет им. Н. И. Пирогова; Городская клиническая больница № 1 им. Н. И. Пирогова; Московский многопрофильный клинический центр «Коммунарка»РоссияPirogov Russian National Research Medical University (Pirogov Medical University); Pirogov City Clinical Hospital No.1; “Kommunarka" Moscow Multidisciplinary Clinical CentreRussian FederationРоссийский национальный исследовательский медицинский университет им. Н. И. Пирогова; Московский многопрофильный клинический центр «Коммунарка»РоссияPirogov Russian National Research Medical University (Pirogov Medical University); “Kommunarka" Moscow Multidisciplinary Clinical CentreRussian Federation202322122023114128140Copyright © Котов С.В., Семенов А.П., Юсуфов А.Г., Гуспанов Р.И., 20232023Котов С.В., Семенов А.П., Юсуфов А.Г., Гуспанов Р.И.Kotov S.V., Semenov A.P., Yusufov A.G., Guspanov R.I.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/793

Доброкачественная гиперплазия предстательной железы (ДГПЖ) является распространённым заболеванием у пожилых мужчин, которое часто связано как с симптомами нижних мочевыводящих путей, так и со снижением качества сексуальной жизни. За последние три десятилетия исследователи были сосредоточены на усовершенствовании новых оперативных техник для снижения осложнений традиционных хирургических вмешательств при ДГПЖ, таких как стриктура уретры, стрессовое недержание мочи. Поскольку требование к минимизации негативных явления стало волновать большее количество пациентов у хирургов возрос интерес к исследованиям связи хирургического лечения и сексуальных нарушений в послеоперационном периоде, таких как эректильная и эякуляторная дисфункция. В связи с вышеизложенным, целью данной статьи стала систематизация информации по качеству сексуальной жизни пациентов после хирургического лечения ДГПЖ, которая показала, что данная проблема остаётся актуальной по настоящий день. Обращает на себя внимание малое количество хорошо спланированных, рандомизированных исследований по данной проблеме, что, вероятнее всего, обусловлено отсутствием единой методологии оценки сексуальной функции у пациентов с ДГПЖ, подвергающихся хирургическому лечению.

Benign prostatic hyperplasia (BPH) is a highly prevalent condition in older men, often associated with both lower urinary tract symptoms (LUTS) and reduced quality of sexual life. During the past three decades, researchers have focused on improving new operative techniques to reduce complications of traditional surgery for BPH, such as urethral stricture, stress urinary incontinence. Surgeons have increased interest in investigating the relationship between surgical treatment and postoperative sexual dysfunction such as erectile and ejaculatory dysfunction, as the demand to minimise adverse events has become a concern for more patients.  In view of the above, this paper aims to systematise information on the quality of sexual life of patients after surgical treatment of BPH. This work has shown that this problem remains topical to nowadays. It is noteworthy that only a limited number of well-designed, randomised studies exist on this issue. This is mainly due to the unavailability of a uniform methodology for assessing sexual function in surgically treated BPH-patients.

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