The article reflects the history of treatment of benign prostatic hyperplasia from the age of antiquity to the present day. Approaches to surgical treatment have undergone significant changes in the last century – from traumatic open operations to minimally invasive surgical interventions using innovative endoscopic technologies. However, some issues in the treatment of benign prostatic hyperplasia remain unresolved which leads to the search for new, safer and more effective methods of surgical treatment of the disease.

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This work presents a clinical case of a successful surgical treatment of arteriogenic erectile dysfunction by antegrade retroperitoneoscopic penile revascularization. This method has been developed, tested, patented and clinically implemented in the center of urology and andrology of State Scientific Center - A.I. Burnazyan Federal Medical Biophysical Center of the Federal Medical and Biological Agency of Russia. The method was developed on the basis of a thorough analysis of the complications and disadvantages of previous revascularization methods.