Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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PATTERN OF DEVELOPMENT AND FLOW OF ANDROGEN DEFICIENCY IN THE AGING MALE IN COMBINATION WITH CHRONIC PROSTATITIS IN YOUNG AND MIDDLE-AGED MEN

Spirin P.V. 1 Popkov V.M. 1
1 State Educational Institution of Higher Professional Training Saratov State Medical University named after V. I. Razumovsky of the Ministry of Health and Social Development of the Russian Federation
We have researched a pattern of development and the properties of clinical flow of androgen deficiency in the aging male in combination with chronic prostatitis. 371 men aged 32–54 have been examined for androgen deficiency in the aging male and chronic prostatitis. The Aging Males’ Symptoms (AMS) rating scale (Heinemann L. A. J. et al., 1999) was applied for evaluation of the intensity of androgen deficiency in the aging male and the International Prostate Symptom Score (IPSS) and L (Barry M. J. et al., 1992) – for the severity of chronic prostatitis evaluation. For improvement in the diagnosis of chronic prostatitis we have used the whole complex of clinical and laboratory examinations, including Doppler sonography and uroflowmetry. Our data showed that the incidence rate for well-timed undetectable androgen deficiency in the aging male was 79.5 % and it was caused by inadequate attention from the part of allied medical professionals, i.e. urologists and endocrinologists, to the problem as well as low awareness of the population about clinical signs of androgen deficiency in the aging male. The results of our study showed that the incidence rate of chronic prostatitis against the background of androgen deficiency in the aging male was 1.5 higher than androgen deficiency in the aging male against the background of chronic prostatitis. It is worth noting that 76.4 % of chronic prostatitis were diagnosed in 1–2 years after appearing of clinical signs of androgen deficiency in the aging male and 71.2 % of androgen deficiency in the aging male against the background of chronic prostatitis – in 4–5 years.