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Multiple-modality treatment (antibiotics, immunocorrectors, vascular medication, physiotherapy) for chronic chlamydial prostatitis (CCP) was conducted in 141 patients. They were assigned to two groups which differed only by physical methods applied. Group 1 patients (n = 84) were exposed to electrolaser radiation (Yarilo unit), group 2 patients (n = 57) were treated by conventional physiotherapeutic methods. The advantages were reported in the group treated simultaneously with He-Ne laser introduced into the urethra, infrared laser, electrostimulation (Yarilo unit). Perineal pain and dysuria ceased in 58.9 and 9.8%, 62.1 and 13.2% of patients from group 1 and 2, respectively. Erection recovered in 90% of group 1 patients. In group 2 this percentage was 50%.

The effect of urogenital infection on reproductive function was studied in 326 infertile males. They were found to carry Chlamydia, Ureaplasma, Mycoplasma, Herpes, Gardnerella and mixed Chlamydia-Ureaplasma infections in 132, 84, 28, 16, 12 and 56 patients, respectively. Oligozoospermia of the first, second and third degree was diagnosed in 164, 128 and 34 males, respectively. Intermittent-course therapy included macrolid, chephalosporin and fluoroquinolone drugs, sometimes rifampicin, immunocorrection. Husbands and wives received treatment simultaneously. Secretory infertility was managed later. Oligozoospermia declined in two-thirds of the patients. 119 wives got pregnant.

Testosterone andecanoate (andriol) was used for treatment of copulative dysfunction in 18 young and middle-aged males in a dose 160 mg/day (a 10-12-day treatment course) or 40-80 mg/day (up to 6 week maintenance course). Clinical responses concerning such sexual symptoms as libido, erection, ejaculation and orgasm were achieved in most of the patients. Pretreatment blood levels of testosterone were not decreased. The treatment aroused these levels which persisted higher that pretreatment ones for 3 months. Estradiol was slightly higher after the treatment. Andriol is recommended for treatment of copulative dysfunction in young and middle-aged males.

The role of PH in initiation of lithogenesis recurrences after extracorporeal lithotripsy (ECLT) was studied in 206 patients. Renal PH was diagnosed in 35 from 56 patients of group 1 with recurrent lithogenesis after ECLT. All the 35 patients underwent parathyroidectomy and repeated ECLT. The recurrence was seen only in 1 patient (2.9%). 150 patients of group 2 had complicated urolithiasis, 86 of them had renal PH. Prior to ECLT the above patients were subjected to prophylactic parathyroidectomy. Uroliths recurred in 2 patients (2.2%). It is thought valid before ECLT to examine urolithiasis patients for renal PH. In its presence the authors recommend to perform parathyroidectomy.

Operative management of acute epididymitis performed in 150 patients aged 18-67 produced better therapeutic results compared to 150 patients treated conservatively (9.1 patient day versus 13.3 days). Follow-up for 2-4 years showed marked intergroup differences as regards anatomic changes in the epididymis revealed by palpation and ultrasound scanning. Echographic pattern was altered in 25 operated on and 92 patients treated conservatively. Copulative function was diminished in few cases in those operated on and much more frequently after conservative treatment, libido and erection in particular. Reproductive function was impaired more profoundly after conservative treatment as well. These patients demonstrated lower levels of testosterone and estradiol but higher content of LH and FSH. The latter hormones did not vary with age among the groups. Better effect of scrotal drainage in acute nonspecific epididymitides is attributed to the influence of inflammation-affected epididymis on the contralateral testicle more intensive under conditions of closed (nondrained) inflammation.