I. Male infertility

Male infertility risk factors

  • Introduces possible causative factors and background conditions which may predispose to male infertility, presenting their classification and epidemiology.

Genetic aspects of male infertility

  • Describes the role of genomic and chromosomal aberrations and mosaic syndromes in male infertility, as well as the impact of several genetic mutations on fertility of man and his offspring in the setting of assisted reproductive technology.

Specifics of male infertility workup

  • Presents the spectrum of necessary diagnostic tests which are used when male factor infertility is suspected and demonstrates adequate workup algorithm for various types of male infertility.

Strategies of treatment for male infertility

  • Gives latest data on medical and surgical treatment of male infertility of different origins, including information on assisted reproductive techniques; indications and niche for every treatment option will be presented and discussed in terms of evidence-based medicine.

Varicocele and infertility: is there an association?

  • Presents different perspectives on pathogenetic relationship between varicocele and couple infertility which have their place today; options of surgical treatment for varicocele and their indications will be discussed.

Azoospermia: epidemiology, classification, pathogenesis and workup

  • Presents common causative factors for obstructive and non-obstructive azoospermia, gives epidemiology data on azoospermia incidence in infertile males and diagnostic algorithm for cases when no sperm are found in ejaculate.

Management of azoospermic males

  • Uncovers principles of azoospermia management, indications and contraindications for microsurgical repair of vas deferens in obstructive azoospermia; various surgical sperm extraction and aspiration techniques for assisted reproduction will be described in detail.

Prognostic factors for success of testicular biopsy

  • Presents clinical, genetic and biochemical predictors of testicular sperm extraction success in patients with azoospermia.

Preparing azoospermic men for testicular biopsy

  • Presents possible ways to improve success rates for testicular biopsy in azoospermic males, including medical treatment and nutritive support.

Techniques of surgical sperm retrieval

  • Gives understanding of different techniques of surgical testicular and epididymal sperm retrieval in various types of azoospermia.

Sperm DNA fragmentation: from theory to practice

  • Presents the term «DNA fragmentation index» and its molecular and biochemical background, gives understanding of methods to measure it and indications for their use in clinical practice.

Recurrent pregnancy loss: male factor

  • Demonstrates the link between male reproductive health, miscarriage and incidence of developmental abnormalities and congenital diseases in offspring; debunks the myth about a lack of association between male health and pregnancy outcomes.

Reproductive function in men over 40 years old

  • Overviews medical aspects of a social problem which becomes more actual in recent years – late and unequal marriage; describes changes in somatic, endocrine and sexual heath in men after 40 years old; discusses the issue of spermatogenesis involution in elderly males.

Acute and chronic conditions affecting organs of the scrotum

  • Presents principles of workup and treatment of acute diseases of the scrotum, including acute orchitis and epididymitis; differential diagnosis of acute scrotum will be presented, as well as surgical tactics in purulent epididymo-orchitis and spermatic cord torsion; common (hydrocele etc.) and uncommon (post-vasectomy pain syndrome etc.) chronic conditions affecting the scrotum will be discussed.
II. Endocrine disorders in men

Hypogonadism: epidemiology, pathogenesis, workup

  • Describes epidemiology of hypogonadism and its various forms, such as aging male androgen deficiency and others; pathogenesis features of hypogonadotropic and hypergonadotropic hypogonadism will be presented, as well as specifics of clinical and laboratory workup for these conditions.

Treatment of male hypogonadism

  • Presents options of medical treatment for male hypogonadism, describes existing exogenous testosterone preparations and their routes of administration, their indications and contraindications, and possible ways of therapeutic stimulation of hypothalamic-pituitary-gonadal axis.

Hypogonadism and ED: research and practice

  • Describes relationship between the concepts of hypogonadism, libido and sexual function, explains pathophysiology of erectile dysfunction in testosterone deficiency and how it may influence clinical patterns in urology-andrology practice.

Metabolic syndrome in urology

  • Explains pathogenesis and specifics of urological and andrological diseases in patients with metabolic syndrome, presents options of rational behavioral and medical treatment for cases when those conditions coexist.
III. Reconstructive and plastic andrology

Modern possibilities in urethral reconstruction

  • Describes possibilities of surgical correction for congenital abnormalities, fistulae and strictures of urethra; presents indications, contraindications and common complications of direct visual internal urethrotomy; demonstrates unique clinical material on urethroplasty techniques with the use of various grafts and flaps.

Surgical correction of congenital and acquired penile curvature

  • Overviews indications and limitations of plication and excision surgical techniques in Peyronie’s disease and congenital penile curvature; role of penile implants and several rarely used techniques such as penile disassembly proposed by S. Perovic will also be discussed.

Penile fracture

  • Discusses mechanics of penile tunica albuginea rupture, its possible consequences and treatment tactics according to time of presentation.

Etiology, pathogenesis, workup and management of ischemic and non-ischemic priapism

  • Presents contemporary outlook on etiology, pathogenesis and differential diagnosis of ischemic and non-ischemic priapism; management algorithm for different types of priapism, including intermittent nocturnal priapism, will also be presented.
IV. Male sexual dysfunction

Erectile dysfunction: epidemiology, pathogenesis, workup and treatment

  • Presents data on incidence and classification of different pathophysiological forms of erectile dysfunction, contemporary methods of workup and medical treatment for impairment of erectile function.

Surgical treatment of ED

  • Explains the role of penile prosthesis placement and vascular surgery in different groups of patients suffering from erectile dysfunction, describes basic types of penile implants and their technical specifics which impact quality of life and social interaction of such patients.

Specifics of workup and treatment of ED in patients who underwent radical prostatectomy

  • Describes the influence of surgical tactics on incidence of erectile dysfunction and penile shortening after radical prostatectomy, as well as prevention of prostatectomy-associated erectile dysfunction and its medical and surgical treatment.

Personal approach to ED management

  • Presents principles of individual approach to patients with erectile dysfunction and factors which should be taken into account when choosing a method of treatment; explains differences in pharmacokinetics of market-available phosphodiesterase-5 inhibitors; presents the concepts of first, second and third line treatment for erectile dysfunction.

Ejaculatory dysfunction in men: specifics of workup and treatment

  • Presents an overview of incidence and diversity of ejaculatory dysfunction, including premature, delayed, retrograde and painful ejaculation; presents principles of differential diagnosis between primary and secondary premature ejaculation, possibilities of its medical and surgical treatment.

Sexual dysfunction in men with venous disorders

  • Explains pathogenesis of sexual dysfunction and urinary symptoms in varicose pelvic congestion syndrome and various venous anomalies; «venous leak» phenomenon will be discussed as a possible pathogenesis factor in development of erectile dysfunction.

Sexual function in men with BPH

  • Overviews specifics of treating sexual dysfunction in men with prostatic hyperplasia and possibilities of their combined treatment; male sexual dysfunction associated with BPH treatment will also be discussed, as well as potential negative outcomes of BPH surgery in terms of erectile and ejaculatory function.

Lower urinary tract symptoms in men: contemporary methods of diagnosis and treatment

  • Presents the modern paradigm of diagnosing and treating lower urinary tract symptoms in men; explains the role of prostatic hyperplasia, bladder dysfunction and neurogenic factors in their pathogenesis; gives a brief overview of behavioral, medical and surgical treatment in men with micturition disorders.

Shock wave therapy for men with organic ED

  • Pathophysiological mechanisms of shockwave therapy impact on organic erectile dysfunction will be discussed; indications and contraindications for this form of therapy will be presented, as well as a possible niche for this method in today’s andrology.

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