DIAGNOSTIC APPROACHES, METHODS OF TREATMENT AND MONITORING OF PATIENTS WITH ERECTILE DYSFUNCTION IN THE RUSSIAN FEDERATION: RESULTS OF A MULTICENTER RUSSIAN STUDY

The risk of erectile dysfunction (ED) increases with age due to the occurrence of serious opportunistic diseases, particularly hypertension, heart disease, diabetes, and hypogonadism. Detection and treatment of erectile dysfunction and related diseases at an early stage can prevent their progression. As a result, disability of patients can be prevented, we can save their health and performance, and achieve budget savings. In our opinion, currently, most urologists diagnose erectile dysfunction mainly in case of complaints of the patient, without direct survey for the presence of symptoms of ED. In addition, even in case of diagnosis of ED, entire complex of surveys aimed at identifying the accompanying, sometimes very dangerous to the health of patients, diseases is often not carried out. The aim of this study was to find out what methods of diagnosis and treatment of these diseases are used in various medical centers in the Russian Federation, to trace the possible relationships and correlations between the methods of examination and treatment of patients with the above pathology, as well as center and professional experience. According to the results of questioning 783 urologist of 12 centers in Moscow, European Russia, the Urals and Western Siberia, portrait of the typical Russian urologist is made, and information about the methods of examination and treatment of patients with ED, used in various medical centers of Russia are received. Based on these data, we can conclude that further standardization of examination and treatment of patients with ED is required, in order that patients in any region of the Russian Federation could receive high-quality medical care.

erectile dysfunction, endothelial dysfunction, hypogonadism, phosphodiesterase type 5blockers, testosterone replacement therapy, population-based study