Vol. 3 No. 3 (2017): VESTNIK of KSMA

In this article researches of testicular spermatozoons of the microsurgical MESA and TESE proce­dures received in the path at sick men are done with an azospermi. Morfofunctional characteristics spermato­zoons after cryofreezing for use in programs of the IVF.

Peyronie’s disease is the disease, which is hard amenable to conservative treatment. To cover a tunical defect associated with plaque treatment after, applying patch methods, using a different
kinds of graft materials autologous or non-autologous. Plaque removal with tunical replacement and plica­tion often results in additional penile shortening. Patch replacement of the scarred area does not have this disadvantage, but the ideal material has not yet been found.
In this paper we reviewed data over the last 10 years papers have been found. We observed and discussed different outcomes after patching procedures.

According to the literature, 13-19% of couples suffer from infertility. It is the male factor in 40­-50% of cases of infertile marriage that is the reason for the absence of children. This makes it necessary to conduct research aimed at identifying risk factors for the occurrence of reproductive disorders in men. In this paper results of treatment of patients with secondary infertility in men in anamnesis who underwent surgery for stricture of the urethra are given. The use of L-arginine has shown that the qualitative and quantitative indices of the spermogram are improved.

One of the most frequent, often fatal, complications after adenomectomy is thromboembolic com­
plications, which in half of patients develop during surgical treatment or in the nearest postoperative period.
Maintenance of indicators of general and central hemodynamics is the most important condition for the pre­vention of thrombosis. The publication reviews a comparative analysis of the use of anticoagulants of indi­rect action - fractiparin and antiplatelet agents - salicylic acid preparations in the prevention of thrombosis in patients who underwent surgical treatment for benign prostatic hyperplasia.

The article is devoted to the literature data analysis on the study of the relationship between microelementoses and various pathological conditions. As result of the study, it was found that it is expedient to study the prevalence of uroandrological pathology among the population of different regions of the Kyrgyz Republic, depending on the habitat characteristics and endogenous microelement status of the organism, and the development of new approaches in terms of their diagnosis, prevention and treatment.

MSCT with intracavernous contrasting in comparison with traditional pharmacocavernosography has more diagnostic value and allows to judge authentically about the state of the venous system of the penis. The construction of a three-dimensional image in various modes when performing a MSCT with intracavernous contrasting allows to clearly visualize the features of venous drainage of the penis and choose the optimal treatment option for each individual patient. The effectiveness of diagnosis of venous erectile dysfunction with the definition of the type of pathological venous drainage increases to 100% when using MSCT, which is accompanied an improvement in the results of treatment of this disease.

The paper presents the results of a comprehensive survey of 828 men suffering from male infertility living in Jalalabad region. The incidence of urogenital infections influence the reproductive system of males.

The article describes the results of the analysis conducted among 31 patients of different ages
with chronic renal failure at the terminal stage. The aim of the study is to identify sexual disorders in the form of libido and erectile dysfunction before and after kidney transplantation.
Result. After kidney transplantation in patients with erectile dysfunction, there is an improvement in more than 70% of cases, more often at the age of 20-40 years and less often at the age of 40-50, 50-60 and more than 60 years.

This article is made, a retrospective analysis of 815 medical records of patients diagnosed with benign prostatic hyperplasia with the 2012-2016 year, where patients were divided by region, age, complications, hospital stay days after surgery and treatment options.

Patients were stratified by region, for 3 age categories, surgery. Following the surgery, patients are divided into complications.

We propose a surgical correction of the penile curvature applying a technique based on the 16-dot placation technique modified by burying the knots in a shallow trough of incised tunica. We entitle this modification the “Kiel Knots”. Material and methods: 35 patients with a penile deviation, average age 36.8 years (24 - 52) were operated. Follow-up time was 26 months. In 12 patients the deviation was congenital, in 23 patients it was an acquired deviation. The deviation was >30˚in all patients. Surgical technique: Buck’s fascia was incised exposing the tunica albuginea opposite the curvature. 8 dots were marked bilaterally on the tunica albugineaand a 5 mm incision along the marks was made without cutting into the Corpus cavernosum. Instead of plicating with one suture for 4 dots, our modification uses one suture for two dots with the knot buried in a shallow trough created by a scalpel. Results: The average operation time was 64 minutes. We observed a loss of penile length in 30% of the patients (0.5 - 1 cm). There were no problems with erectile function. In a follow-up of 2 years, 90% of the patients remained without recurrence of deviation. None of patients reported problems with the suture knots.

Conclusion: Our technique achieves penile straightening with minimal loss of length and no erectile dysfunction.

About half of patients with BPH have OAB symptoms. Nevertheless, anticholinergics do not find wide application for medication treatment of BPH, due to the risk of development of such an undesirable complication, as an acute urinary retention. The combination treatment with alpha-blockers and anticholinergics is promising and leads to significant improvement of quality of life of BPH patients with OAB symptoms.

A comparative assessment of the patients' state after transvesical adenomectomy in the postoperative period in the usual management and with the use of m–cholinolytics was performed.

The current situation regarding the problem of male health in Kyrgyzstan remains relevant due to the increase of andrological diseases associated with the annual growth of the population of the republic, the unfavorable environmental situation and the socioeconomic problems of patients. The article analyzes the results of the action "Week of Urology and Male Health", held annually in the Kyrgyz Republic for the last 10 years.

The work is about the analysis of the results of surgical treatment in 178 patients with benign prostatic hyperplasia with method of retropubic and transvesicaladenomectomy. The period of time of irrigation and drainage of the bladder, bed days after transvesicaladenomectomy were worse compared to retropubicadenomectomy.

the results of laparoscopic treatment of 35 patients with varicocele are presented. The analysis of the results of the treatment showed the high efficiency of laparoscopic technologies, which have such advantages as low traumatism, excellent cosmetic effect, rapid patient recovery, low recurrence rate.

this article presents the role and the effectiveness of interventional sonographia in the treatment of 281 patients with abscess of the kidney, perinephric tissue and retroperitoneal space.

The aim of this article is a retrospective comparative analysis of case histories of the patients operated on an occasion of BPH by the different methods of surgical treatment. Case histories of 187 patients with BPH at the age of 50 and more years (with the conclusion of histological elamination of remote sites of adenoma) were studied. Connection of level of PSA (general) is conducted to the operation depending on age and pathological changes prostate in patients with proposed and reasonable diagnosis of BPH and indications for operation are made.

In 55,6% cases the diagnosis of BPH is set without his divergence after histological research, in 42,2% in combination with prostatitis and in 2,1% there is divergence with prostate cancer.

The purpose of our research was studying efficiency of laparoscopic methods of a belly cavity surgery.

Advantages of laparoscopic operations are obvious - less traumatism, a significant reduction in postoperative complications and the terms of rehabilitation of patients, if necessary, the possibility of simultaneous surgery on the urinary tract.

Summary. It is assessedthe condition of the nervous system in children with neurogenic dysfunction of urinarybladder and the influence on the type of dysfunction of urinary bladder.

In the work were presented the results of surgical treatment of 96 patients with paroxysmal forms
of hypospadias, aged from 3 to 26 years. Of all patients, we divided into 3 groups: the first group of 30 patients was operated with the method of buccalurethroplasty in the modification of the clinic, the second group of 35 patients was operated by the Dupley method and the third group of 31 patients were operated using the Landerer method. In the analysis of complications in 3 groups of patients, the next were established, we noted both early and late postoperative complications. The main complications that have been observed in patients are: urethral fistulas, hair growth in the urethral lumen, urethritis and the remote postoperative period there was psychogenic erectile dysfunction. Summing up the evaluation of the results of surgical treatment of hypospadias, it is important to note the next. Using three techniques for surgical correction of hypospadias, we obtained a significantly greater number of complications in the Dupley and Landerer operation compared with the operation of buccalurethroplasty with the use of a continuous screw-in sealed joint.

Summary: there was analyzed the comparative dynamic of the functional condition of a liver at patients in the postoperative period in urolithiasis combined with chronic constipation and without it.

Resume.This article presents the current situation on actual problems of urolithiasis in KR with an emphasis on epidemiological aspects and comparison of physico-chemical properties of uroliths, water and soil in one of the most problematic areas with high frequency of urolithiasis (Batken region). The main current methods of treatment and metaphylactics considering the morphological and functional relationship with the urolithiasis and gastrointestinal tract diseases are presented below.

Resume: The article discusses the results of using surgical interventions in the treatment of urolithiasis and calculous hydronephrosis. The efficacy of using the surgical method, remote lithotripsy and contact lithotripsy in the treatment of calculous hydronephrosis is indicated. In the catamnesis, patients underwented surgical treatment were examined.

This article discusses the state of morbidity and fatality of patients with prostate carcinoma in the Kyrgyz Republic. It is identified, that there is high level of fatality along with low morbidity of prostate carcinoma. More than 2/3 of initially detected carriers of prostate carcinoma are registered in III-IV stage of neoplastic process. Introduction of prostate-specific antigen (PSA) in the country led to increase of the level of patients with I and II stage of illness. In Kyrgyzstan, there are all pre-conditions and possibilities for carrying out the screening of prostate carcinoma. Application of screening in Kyrgyzstan creates condition for active detection of patients with prostate carcinoma, in this turn it will lead to growth of number of patients with early stages of illness. Thus, in order to improve the results of treatment of prostate carcinoma, it is necessary to detect patients with early stages of prostate carcinoma. Therefor, this poses the question of active search of this category of patients.

Summary: Prostate biopsy is the main diagnostic method of a prostate cancer, which not only confirms the fact of a disease but also defines a stage of a disease and the choice tactics of cancer therapy. Studying of prostate biopsy results of a prostate cancer became the purpose of our article.

Resume: Despite the development of high-tech methods for treatment of urethral strictures, the frequency of recurrence of urethral strictures is not decreasing today. As a rule, with traumatic damages of the urethra, in most cases, due to the lack of timely, qualified surgical treatment, cicatrical narrowing and obliteration of the urethra develop. In this paper, the main ethiopathogenetic factors of urethral strictures are.

Resume: Retrospective analysis of 95 women delivery case histories with anomalies of placental implantation, taking place in Urban Perinatal Centre in 2016 year is given in this article. Analysis of literary findings, frequency of placental implantation anomalies, outcome of pregnancy and deliveries is carried out. 

Summary: The clinical features studied of congenital and neonatal pneumonia. In this article are covering the clinical manifestations, radiological findings of newborn children with congenital and neonatal pneumonia.

Abstract: the article focuses the quality of patient’s informing on the rational druguse (RDU). As a result of the study it was found that, according to the patients opinion, the informingquality is generally satisfactory, but there are disadvantagesin terms of information providing on side effects and drug storage. It was also marked a low level of therapeutic communication skills of physicians and a high degree of patient adherence to drug therapy.

Abstract: Introduced a comparative analysis on cytomorphological indicators of epithelium between  the control and  the experimental groups. The first alteration cytomorphology of vaginal epithelium in laboratory rats with experimental polycystic ovaries at disturbance estrus cycle was studied. The laboratory rats of the experimental groups have deviations in indicators of vaginal epithelium cytomorphology in comparison with laboratory rats of control groups.

Abstract. In this study we present a results of ethiopatogenetic and surgical treatment of 146 patients with kidney tuberculosis complicated by tuberculosis ureteritis. It was defined that a long term ethiopatogenetic therapy of kidney and ureter tuberculosis didn’t lead to regress of retention and functional death of organ in majority of cases. Percutaneous nephrostomy performed timely allowed to preserve kidneys function in 84,3% of cases and increased the opportunities of bacteriological verification up to 21,4%. The early kidney drainage combined with chemotherapy is sufficiently better than only antimicobacterial treatment. This method leads to fast reduction of chronical kidney failure, subsequently allows to perform more reconstructive operations. Thus, decompression of kidney in tuberculosis ureteritis, performed timely, improves its function and urinodynamics and also leads to decreasing amount of nephrectomy but increases the amount of reconstructive surgeries.

Resume. In this article, there is an observation of distribution of congenitalabnormalities of urinary system in Kyrgyzstan, and comparative characteristic of structure of these pathological conditions in Russia and Central Europe. Due to close embriogenic link between urinary and genital systems, in 15-30% of cases there are simultaneous abnormalities of two systems, in -30% – CAKUT-syndrome, in 28-42% there are combined abnormalities of urinary system with other systems.

Resume: Surgical correction of the pathologically lowered kidney in combination with the omission of the internal organs is at the junction of several specialties - urology, surgery, gynecology, but these problems are solved disconnected, which negatively affects the condition of patients and worsens their quality of life. The publication presents an analysis of the clinical and functional state of the kidneys in patients with nephroptosis against visceroptosis, diagnostic and prognostic criteria for possible complications of nephroptosis are determined depending on the degree of omission of internal organs.

Resume: This article presents a review of literature on the peculiarities of wound process, given the characteristics of the restructuring of the organism in adapting processes and readaptation at high altitudes.

Resume: At first was held morphological analyses cells of mucosa vaginal epithelium of 52 women's, living at the zone of uranium tailings. During analyses were registered cells with atypical nucleus and micronucleusin persons of main group, which in norm are absent.

Summary. In epidemiological studies of last years, it was mandatory to study the incidence rates depending on the living conditions. In many works, including foreign ones, it is shown that living conditions of people can affect the frequency of the prevalence of many malignant tumors. In the foreign literature scientific researches concerning a way of life, social conditions, a food, and others where epidemiological results spent in large megacities or rural regions are now widely distributed.

This article presents intensive and extensive ratings of the incidence of pancreatic cancer in Kyrgyzstan, residing in the city or village of the country.

Resume: Every year, the number of women entering the menopause increases. One of the most common inflammatory diseases among women in the postmenopausal period is cystitis, which equal to 30-40% of the total number of Uropathologies.

Diagnostics and treatment of disorders of women urination during menopause represent one of the major problems of modern urogynecology.

Resume: Despite the current achievements in the field of health, the problem of the development of infection associated with the provision of medical care (ISMP) in the postoperative period, does not tend to decrease. The use of perioperative antibiotic prophylaxis can reduce the incidence of IMS. In this paper, we show a reduction in the incidence of ISMP with perioperative antibiotic prophylaxis in patients with benign prostatic hyperplasia.

Summary: Intraoperative trauma urogenital’s organs can have the mostvarious character, which in some cases impresses with the extensiveness.The late diagnostics damage of urogenital way leads to formation fistulas which through that passing urinabrings to development hydroureteronephrosis, chronic pyelonephritis and chronic kidney insufficiency which worsens result of reconstructive and recovery operation which complicate postoperative rehabilitation of patients.

Abstract. Teeth are of great importance for full digestion. That is why it is very is very important to take care of teeth. In lesion of tooth hard tissue with caries, they need to be filled, but due to caries disease complications they will be extracted. The defects occur in dentition due to teeth extraction. Defects may be included and terminal. In terminal defects there are constructed removable prostheses such as laminar and clasp. In included defects bridge and cantilevered prostheses are constructed. This article demonstrates complications which may be as the result of incorrect modeling the body of bridge prosthesis. More over the patient may suffer from pains and it leads to untimely removing of these prostheses.

Summary: the article considers case of successful simultaneous laparoscopic treatment of a patient with multiple organ anomalies of internal organs (multicystic dysplasia of the left kidney with pelvic dystopia, unicorn uterus) combined with gallbladder polyposis and adhesive disease of the abdominal cavity. Simultaneous laparoscopic surgery was carried out - adhesiolysis, cholecystectomy, left nephrectomy, tubectomy. The postoperative period proceeded without complications. Postoperative inpatient stay of the patient was 4 days. High diagnostic and therapeutic efficacy of laparoscopic technologies in simultaneous surgery is shown.

Summary: The article presents the results of treatment of 4 patients with Fournier's disease. This is a disease with a high level of mortality. All patients were male; all of them were operated on emergency basis after the preoperative preparation and stabilization. Two patients enrolled in the state of infectious - toxic shock. One patient died. The main method of treatment of the disease Fournier is a surgical method.

Summary. The article describes the results of using the technique of chemoembolization to patients with prostate cancer. Was performed superselective chemoembolization of prostatic arteries loaded microspheres. The results of treatment were assessed one month. The efficiency of endovascular techniques in the treatment of prostate cancer in the form of recovery of spontaneous urination, decrease residual urine, and decrease in prostate specific antigen.

Summary: In the article on clinical example demonstrates the safety and efficacy of radiofrequency ablation of tumors of the transplanted kidney in a patient with chronic renal failure.