pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2026-2-26-32pmj-3137Research ArticleОБЗОРЫREVIEWSКритический анализ эволюции методов диагностики эректильной дисфункцииCritical analysis of diagnostic methods for erectile dysfunctionДаниловВ. В.DanilovV. V.

Владивосток

Vladivostok

https://orcid.org/0009-0000-8273-0346ВащенкоВ. В.VashchenkoV. V.

Ващенко Владимир Владимирович – аспирант института хирургии.

690002, Владивосток, пр-т Острякова, 2; тел.: +7 (908) 994-79-31

Vladimir V. Vashchenko, graduate student.

2 Ostryakova ave., Vladivostok, 690002; tel.: +7 (908) 994-79-31

vvvashchenko@askl-dv.ruТихоокеанский государственный медицинский университетРоссияPacific State Medical UniversityRussian Federation202619072026022632Copyright © Данилов В.В., Ващенко В.В., 20262026Данилов В.В., Ващенко В.В.Danilov V.V., Vashchenko V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/3137

Современная диагностика эректильной дисфункции включает широкий спектр анкетных и инструментальных методов, направленных на оценку сосудистого, нейрогенного и функционального состояния половой функции. Применение специализированных анкетных опросников не претерпело выраженных изменений с момента их создания. В настоящее время опросники, построенные на порядковом типе шкалы, не позволяют получать воспроизводимые результаты при обследовании пациентов. Разработка и внедрение новейших инструментальных методов диагностики эректильной дисфункции требует критического анализа их применимости в клинической практике. Все более актуальной проблемой является увеличение числа пациентов старших возрастных групп с сочетанием признаков доброкачественной гиперплазии предстательной железы и эректильной дисфункции. В связи с этим особый интерес представляет анализ и изучение нейрофизиологических основ развития этих состояний, а также разработка новых методов диагностики, тестирования и оценки проводимой терапии. Проведенный сравнительный анализ преимуществ и ограничений каждого метода диагностики с учетом их применимости у пациентов с доброкачественной гиперплазией предстательной железы обозначает ключевые методологические проблемы и перспективы дальнейшего развития диагностики эректильной дисфункции, а также позволяет сделать вывод о необходимости применения комплексного междисциплинарного подхода к оценке сексуальной функции.

Modern methods for diagnosing erectile dysfunction (ED) include wide-ranging questionnaires and diagnostic tests designed to assess the vascular, neurogenic, and functional aspects of sexual function. Since their introduction, specialized questionnaires have not undergone any significant changes. However, questionnaires based on ordinal scales do not currently yield reproducible results when used to assess patients. Thus, critical analysis of the applicability of the latest diagnostic tools for erectile dysfunction in clinical practice is required for their development and implementation. For instance, the growing number of older patients presenting with symptoms of both benign prostatic hyperplasia and ED is an increasingly pressing issue. Given this, research into the neurophysiological basis of these conditions and the development of new diagnostic, testing, and evaluation methods for ongoing therapy are of particular interest. A comparative analysis of the advantages and limitations of each diagnostic method was conducted, considering their applicability to patients with benign prostatic hyperplasia. Key methodological issues and prospects for further developing ED diagnoses were identified. Conclusively, a comprehensive, interdisciplinary approach should be taken to assess sexual function.

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The authors declare that there are no conflicts of interest present.