According to some authors, the men who come to the hospital for infertility, is found in 20-40% of varicocele, ie on average 2 times more often than in the entire male population. In our study we present the results of evaluation of the effectiveness of microsurgical subinguinal varicocelectomy in 52 patients on the background left-hand oligoasthenozoospermia varicocele 2 degrees. Treatment efficacy was assessed by the results of ultrasound of the scrotum and spermogram within 75 days. In the main group oligoasthenozoospermia method of surgical treatment in patients with varicocele grade 2, showed good efficacy. In the control group no significant changes were noted. Microsurgical subinguinal varicocelectomy shown good results in treating patients with oligoastenozospermiey. In particular there was an increase of sperm concentration and motility of sperm viscosity reduction, increased time dilution dynamics. Conservative therapy, complexes of trace elements and antioxidants in patients with oligoasthenozoospermia on the background left-hand varicocele grade 2 showed that there may be a moderate positive changes in mobility, but does not have a positive effect on sperm concentration.

Long-term results of the use of stents made of niti with the strictures of the ureters of various localization-own experience of 6 years offollow-up. For the period from April 2009 to March 2011 completed installation of 20 stents of Nickel titanium in 15 patients. Of them 6 women, 9 men from 28 to 80 years, mean age was 54 years. The stents used included with the delivery device produced by Meath Russia. Of the 15 patients 5 patients (33.3%), the stent was removed due to complications, the remaining 10 patients (66,6%) are observed to the present time with a stent without complications.

The study conclusions:

1. The study of remote results of treatment of patients with obstructions of the ureter through the stent made of niti showed a positive result in 66% of cases, indicating the effectiveness of this minimally invasive method of treatment.

2. Installation stents of Nickel titanium in the field of vesicoureteral anastomosis after the TOUR can be a method of temporary extended drainage, which requires careful clinical observation and does not constitutea radical method of treatment.

3. The stent for the purpose of removal of obstruction caused by the deviation of the ureter may lead to migration of the stent and requires further research in this direction.

4. When established strictures of ureteral calculi of any localization stent made of niti is the method of choice of effective and minimally invasive treatment, especially in somatically complicated patients.

Bladder outlet obstruction due to benign prostatic hyperplasia (BPH) remains one of the most common problems of men in the advanced age group. Open prostatectomy for patients with large BPH is still the standard treatment recommended by the European Association of Urology and is performed quiet often. Disadvantages of this method of treatment are significant surgical trauma and high rate of perioperative complications . Laparoscopic modification of simple prostatectomy presents a worthy minimal invasive alternative to open surgical treatment of BPH. From November 2014 to December 2015, laparoscopic adenomectomy was performed for 16 patients. 7 (43.5%) patients had transperitoneal (TP) and 9 (56.25%) patients had extraperitoneal (EP) laparoscopic simple prostatectomy. None of the cases required conversion . All patients were discharged in satisfactory condition with complete restoration of free micturation. Laparoscopic prostatectomy as a method of surgical treatment for BPH can be easily reproducible. It can be adopted as a routine urological practice for large-sized BPH with the aim of minimizing operative trauma and achieving short hospital stay.

The prevalence of Peyronie's disease is about 10% of the male population of 100 thousand. Since, according to the polls 77% of men suffering from this disease, the deterioration of the quality of life in general, which is connected not only with the existing deviation of the penis, causing an aesthetic dissatisfaction and technical difficulties during coitus, but also the associated erectile dysfunction, according to a 25% -80% of cases. The object of the study were 24 patients with Peyronie's disease. The patients were divided into 2 groups according to the degree painful erections. Subsequently, all patients were survey using the hospital anxiety and depression questionnaire, including two sub-scales of anxiety (A) and depression (D).When interpreting the data, consider the total figure for each subscale (A and D), while the values of the area allocated 3: 0-7 points norm; 8-10 subclinical expressed anxiety / depression; 11 points or more clinically severe anxiety / depression. Group 1 patients with an average intensity of pain during an erection, there was subclinical anxiety and depression. A group 2 patients with an average intensity of pain during an erection, clinically severe anxiety and depression. Patients with Peyronie's disease revealed depression and anxiety, having a correlation dependence of the degree of pain during erection. Severe depression and anxiety, can be the cause of psychogenic erectile dysfunction.

To study the prevalence of androgenic deficit, its relationship with urination disorders and erectile dysfunction in the Republic of Dagestan A pilot observational study involving 780 men over 30 years was held. For detection of deficiency of androgens Aging Males’ Symptoms scale, urination – the scale of I-PSS, erectile function ICEF were used. Evaluation of the results of the studies was conducted according to generally accepted criteria. On the basis of statistical processing of the results the symptoms of androgenic deficit identified at 51, 15% of men in Dagestan. The greatest contribution to the development of symptoms has made the sexual problems of patients. Every 5 man in the population notes the disorders of urination, every 3 man has a violation of erectile function average and severe degrees of severity and every 8-9 notes the combination of both disorders.

The paper describes the main pathogenetic mechanisms of forming persistent neurogenic voiding and sexual function in patients with acute and chronic cerebrovascular disease. Neuroanatomy and neurophysiology described urination and sexual function in normal and vascular disease of the brain. Possibilities different centers urination brain to reorganize functions by associative or contralateral areas of innervation. The role of lower urinary tract symptoms and sexual disorders in the diagnosis level and nature of damage to the central nervous system. Revealed the most important clinical and pathogenetic correlation between urinary and reproductive disorders, the most common in acute and chronic ischemia centers urination and sexual function. The possible common ways of pharmacological correction of functional disorders.

The article presents a review of the literature, which indicate the current understanding of the clinical significance of late onset hypogonadism and types of its correction. The results of studies demonstrate the efficacy and safety of hormone replacement therapy. The authors point to the need for health care professionals to understand and see the benefits of substitution treatment. But the priority in the appointment and monitoring of therapy should be for the urologist and endocrinologist.

This article presented a rare clinical case in Urology - Dirofilariasis of the penis. Filaria are biohelminths, which are most common in tropical countries. Dirofilariasis is the only human filariasis, found in the territory of the Russian Federation. Mosquitoes are carriers of the disease. Changing climate conditions in the direction of warming, the availability of international travel, non-compliance with preventive measures lead to an increase in the number of cases of infection by helminths, including rare species.

In March 2016 the urological clinic of the Moscow Regional Research and Clinical Institute named after M.F. Vladimirskiy is 85 years old. The article presents the history of the clinic, described the main stages of the scientific activities of its staff and the contribution to the development of modern science, eminent scientists working in the clinic walls in different years, and working in it today.