Гусакова Д.А.

The frequency of the urolithiasis in the world according to some cross-sectional studies stays at the level of 3.5-9.6%. In the last 10 years the urolithiasis in many countries shows a tendency for growth. Metabolic syndrome (MS) is a pathologic complex of the symptoms, which includes different metabolic and hormonal disturbances. The frequency of the MS in the population is rather high, and according to scientific data is at the level of 14-39%. Recently it was supposed, that urolithiasis and MS share common entities.

Relevance. In males with sexual dis­orders hyperprolactinemia is deter­mined in 0,4-11% of cases, and in some studies achieves 20%, due to which assessment of the prolactin level in blood is an important part of erectile dysfunction diagnostics. Objective. To study frequency of oc­currence and general clinical presen­tation of hyperprolactinemia in pa­tients with erectile dysfunction (ED). Materials and methods. We have ex­amined a big group of patients with ED of different etiology. Hyperpro­lactinemia was detected in 69 (9%) patients of general group.

Current International statistical classification of diseases and related health problems, 10th edition (ICD- 10), is a legislative document that provides integration and comparability of national healthcare data, epidemiological situation and healthcare facilities' activity. Unfortunately the given classification suffers from inaccuracies in clinical sections structural appearance either in coding of numerous diseases. There is an intricacy in different polygenic diseases and syndromes placement in various sections.

This article is dedicated to the history of Russian andrology, that appeared as a part of urology. Separation of urology from clinical surgery took place in the early fifties of 19th century and was connected with a name of medical surgery academy professor P.P. Zabolovskij– Desjatovskij. This article emphasizes that formation of urology as an independent discipline led to organization of first Russian urological department under the Moscow university in 1866.

A problem of early detection of prostate cancer (PC) is still actual and practically valuable. There are a number of programs for PC screening in some regions of the Russia (Moscow region, Sverdlovskaya region). Regional target program «Men’s Health» has been approved by the regional authorities in Kaluzhskaya region. For standardization of order and extent of the patient examination an algorithm was developed, considering the lack of outpatient urologists in medical facilities and equipment deficiency in city hospitals and outpatient clinics.