An analysis of prevalence and associated common risk factors of ED and lower urinary tract symptoms (LUTS) was performed in Russian Federation by cross-sectional multicenter survey. International Index of Erectile Function (IIEF) score and International Prostate Symptom Score (IPSS) were used for data collection in 1225 men between 20 and 77 years interviewed in six regions of Russian Federation. In addition, each participant's social, demographic, lifestyle, sexual and medical history was taken with special emphasis on risk factors for ED. Upon the basis of IIEF erectile domain score interpretation, ED was found in 530 (48.9%) men, consisting of mild and mild to moderate, moderate and severe ED in 375 (34.6%), 78 (7.2%) and 77 (7.1%) respondents, respectively. According to IPSS assessment, LUTSs were present in 649 (59.9%) responders; inclusive 370 (34.2%), 216 (19.9%) and 63 (5.8%) men with mild, moderate and severe LUTS, respectively. Men with both ED and LUTS shared common co-morbidities and lifestyle risk factors with age-adjusted odds ratio between 1.2 and 5.2. In logistic regression model (R(2)=0.361), the strongest associated with ED factor found was IPSS symptom score, followed by hypertension, IPSS-related quality of life, age, diabetes mellitus, obesity and unmotivated fatigue.
ОбзорыФакторы риска развития и методики коррекции послеоперационного стеноза везикоуретрального анастомоза (обзор литературы)
ВведениеРак предстательной железы (РПЖ) является наи-более распространенным злокачественным новообра-зованием у пожилых мужчин (старше 70 лет), которое в странах Европы и США опережает по заболеваемо-сти рак легких и колоректальный рак [1]. РПЖ -важ-ная проблема здравоохранения, особенно в развитых странах с большой долей пожилых людей в общей популяции. По данным как Европейской, так и Аме-риканской ассоциаций урологов, в течение жизни диагноз РПЖ будет поставлен каждому 7-му мужчине. При этом у 80 % заболевших будет диагностирован локализованный РПЖ (стадии T1-2N0M0) [2]. В Рос-сии ситуация, к сожалению, значительно хуже, и на начальные стадии РПЖ приходится лишь 50 % слу-чаев.С тенденцией к увеличению продолжительности жизни мужчин и известной положительной корре-
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