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Varicocele is one of the most common diseases among men, the frequency of ed sildenafil trial pack and which, according to various authors, reaches 30 %. The urgency of the problem of varicocele emphasizes the difficult demographic situation in most developed countries at least 40 % of infertile marriages due to male infertility, and 30 to 40 % of men examined for infertility, varicocele find. The method of choice for treatment of varicocele is recognized as microsurgical ligation of the veins of the spermatic cord at the external ring of the inguinal canal - surgery Marmara, where is the inguinal access in the projection of the external opening of the inguinal canal. However, after applying the access patients remains visible cosmetic defect in the form of postoperative scar.

Comparative analysis of ed sildenafil trial pack and the bacteriological results of urine, catheters, drainages nephrostomies between the groups presented in the table.

Testimony to EPA are large BPH (>80 cm3 ) size, the presence of ed sildenafil trial pack and severe comorbidity, high anaesthetic risk, the lack of effect of conservative therapy or the refusal of a patient from a traditional surgery.

A promising way of solving this problem in patients with dysuria and can be used in selective analgesic for the urinary tract of ed sildenafil trial pack and phenazopyridine, which can relieve the burning, pain and reduce the frequency of urination . According to a study conducted Deepalatha C and Narayan Deshpande in 2011, the use of phenazopyridine in monotherapy reduced the intensity of pain during urination in 80% of patients during the first two days of therapy.

In recent years significantly increased the use of ed sildenafil trial pack and minimally invasive technologies for the treatment of vesicoureteral reflux.

In the City geriatric centre developed and put into practice effective methods for the treatment and rehabilitation of ed sildenafil trial pack and such patients. Dynamic observation on the outpatient basis, selection in need of surgical treatment, the choice of optimum treatment tactics, with minimal complications to treat elderly patients with BPH and incontinence and to improve their ability to self-care and to improve the quality of life.

Benign prostatic hyperplasia (BPH) is one of ed sildenafil trial pack and the most common urological diseases in men of ed sildenafil trial pack and elderly and senile age. More than 50% of men aged 60 and above suffer from BPH. The choice of treatment of BPH depends on a number of factors, including the size of the prostate and the presence of concomitant somatic pathology. Contraindications to conventional surgical treatment of BPH are severe concomitant diseases, high anesthesiological risk, nekorrigiruemye coagulopathy. For the treatment of such patients use a variety of minimally invasive techniques. The advantages of minimally invasive techniques are the lack of need for General anesthesia, minimal risk of postoperative complications, reduce the duration of hospital stay. Such practices include prostatic artery embolization (EPA). The principle of the method based on the reduction of arterial inflow to the prostate gland, leading to a fairly rapid reduction in volume and reduction in symptoms of the lower urinary tract. In-room is performed puncture of the common femoral artery, the holding of a special microcatheter to the arteries of the prostate gland and is a selective embolization of microparticles with a diameter of 250 to 500 microns.

Performed a bibliographic search in the databases Medline and Embase by using key words and their combinations: lities, stone, kidney transplantation. Articles were selected according to their methodology, the language of ed sildenafil trial pack and publication (English/French), attitude to the subject and date of publication (last 10 years). Considered only prospective or retrospective French and English studies, literature review, metaanalysis and recommendations. The search revealed 58 articles. After selection by title, and realestate left 37 articles.

In uncomplicated urinary tract infections are encouraged to nominate phenazopyridine in the first hours and days of ed sildenafil trial pack and treatment as symptomatic drug in combination with antibiotics. Phenazopyridine not intended for relief of the inflammatory syndrome, but because of the rapid and quite pronounced analgesic effect, contributes to a significant relief of a condition of patients, improving their quality of life. An important advantage of phenazopyridine that he is a good addition to pathogenetic therapy for cystitis, helping the patient to reduce the pain, burning and frequent urination at that time, while antibiotics only develop its effect. Study of the effectiveness of phenazopyridine in combination with antibiotics in patients with uncomplicated form of infection of the urinary tract was conducted Deepalatha C. And Deshpande N. in 2011 and demonstrated the highest efficiency that is combination therapy: patients reported a reduction in pain intensity (89%) and severity of burning sensation when urinating (in 91% of cases).

Combined antibacterial preparation containing in its composition ofloxacin 200 mg and Ornidazole 500 mg meets all the requirements of ed sildenafil trial pack and today to the antibiotics used for prophylaxis and treatment of infections in urology. Ofloxacin the representative of the 2nd generation fluorinated quinolone with high bactericidal activity against more than 90% of pathogens that cause infections of the urogenital tract, including intracellular microorganisms has several advantages.

The study included 58 (24 males and 34 females) patients aged from 35 to 76 years with residual stones after PNL. All patients underwent low-dose CT of ed sildenafil trial pack and the urinary tract in the first days after surgery. The size of residual fragments from 6 to 15 mm. Second look nephroscopy held on 2 7 th day after surgery. Used tools: polozhenie the ureteroscopes 7 and 9.5 Ch (Karl Storz), laser lithotripter Dornier Medilas H Solvo (30 W), tongs, baskets of Dormia 2,2 Ch. If it is impossible to reach the stone plurigenus the ureteroscope used a flexible ureteroscope Litho-Vue (Boston Scientific) 7,5 9,6 Ch.

Further, depending on the predominant symptoms, urodynamic and neurophysiological indicators, patients were assigned to the test courses of treatment with botulinum toxin type A (BTA), ингибиторовфосфодиэстеразы5 type, muscle relaxants of ed sildenafil trial pack and Central action (agonist of GABAB receptors), psychotherapy.

Prostatic symptoms on the International scale decreased after EPA from 25.3 to 10. The value of Qmax increased from 8 to 15 ml/sec. the Average value of ed sildenafil trial pack and prostate volume decreased from 86 to 56 cm3 . The most pronounced effect noted in regard to residual urine volume.

Autosomal dominant polycystic kidney disease is the first among the genetic damage of ed sildenafil trial pack and the kidney (incidence of ed sildenafil trial pack and 1/1000 in France) and in half of the cases result in end-stage renal failure, requiring methods of renal replacement therapy or transplantation. In addition, the disease is a source of many urological abnormalities, such as gross hematuria, abscess cysts, pain, kidney stones. In the study, before transplantation, the question is discussed, is it necessary to remove the native kidney of the recipient, the indication for what are recurrent complications of polycystic and lack of space for a transplant. Optimal time of nephrectomy are chosen based on several criteria (whether the patient is on hemodialysis, the severity of complications, anuria, primary whether this transplantation a potential living donor).

The study level in 367 men from St. Petersburg and the Leningrad region in the age from 18 to 69 years (mean age 36 years) seeking outpatient help. The sample of ed sildenafil trial pack and men older than 60 years were insufficient for statistical processing, therefore this age group was excluded from the analysis. Selected for the study, the patients were divided into 3 age groups: 1) 18 29 (n = 110), 2) 30 44 (n = 216), 3) 45 59 years (n = 69) and 2 subgroups according to the seasons: summer subgroup (with 01.06.2016 for 14.10.2016 and 15.04.2017 for 31.05.2017) and a winter group (with 15.10.2016 for 14.04.2017). All patients to receive biomaterial produced blood sampling from a peripheral vein in the morning on an empty stomach. Analysis was performed using electrochemiluminescence immunoassay analyzers on the ARCHITEST. Hypogonadism was diagnosed if the level of < 12.1 nmol/L. Analysis of quantitative trait (ON) was performed according to student's t-test using the software Statistica 13.3. Statistically significant differences were considered when p < 0,05.

The study level in 367 men from St. Petersburg and the Leningrad region in the age from 18 to 69 years (mean age 36 years) seeking outpatient help. The sample of men older than 60 years were insufficient for statistical processing, therefore this age group was excluded from the analysis. Selected for the study, the patients were divided into 3 age groups: 1) 18 29 (n = 110), 2) 30 44 (n = 216), 3) 45 59 years (n = 69) and 2 subgroups according to the seasons: summer subgroup (with 01.06.2016 for 14.10.2016 and 15.04.2017 for 31.05.2017) and a winter group (with 15.10.2016 for 14.04.2017). All patients to receive biomaterial produced blood sampling from a peripheral vein in the morning on an empty stomach. Analysis was performed using electrochemiluminescence immunoassay analyzers on the ARCHITEST. Hypogonadism was diagnosed if the level of < 12.1 nmol/L. Analysis of ed sildenafil trial pack and quantitative trait (ON) was performed according to student's t-test using the software Statistica 13.3. Statistically significant differences were considered when p < 0,05.