There were 40 patients with a metabolic syndrome with erectile dysfunction under observation. All patients received physiotherapy exercises, psychotherapeutic correction of a sex disadaptation, epicutaneous electrical stimulation of cavernous bodies of a penis and muscles of a pelvic bottom, and acupuncture according to specially developed scheme. It is proved that the combination of medical methods provides duration of therapeutic effect after course of treat-ment. Normalization of integrated indicators of the International index of erectile function came at 72,5% of patients. Vegetative indicators reached values of norm at 72,5% of patients, normalization of volume of a prostate came at 72,5% of patients, a prostate hemodynamic – at 70% of patients. The penil hemodynamic was normalized at 72,5% of patients. Normalization of functional activity hypothalamic – adrenal and testicular system came at 70% of patients. Components of a copulative cycle reached values of norm at 70% of patients. Carbohydrate metabolism was normalized at 75%, lipide – at 72,5%, biochemical markers of endothelial dysfunction – at 72,5% of patients, the index of exacerbations of a metabolic syndrome decreased by 1,9 times. The remote results of therapeutic effect in 1 year after treatment showed that appreciable improvement was observed at 55%, improvement – at 25%, without improvement – at 20% of patients.
acupuncture, neurostimulation therapy, metabolic syndrome, erectile dysfunction
1. Metabolicheskiy sindrom / Aleksandrov O.B., Alekhina R.M., Grigor´ev S.P. [i dr.]. Rossiyskiy meditsinskiy zhurnal. 2006. №6. S. 50–55.
2. Butchenko L.A., Tiktinskiy O.L. Lechebnaya fizkul´tura pri prostatite. SPb., 1995. 123 s.
3. Gamidov S.I. Erektil´naya disfunktsiya u bol´nykh s metabolicheskim sindromom: epidemio-logiya, patogenez, diagnostika, lechenie i profilak-tika: Avtoref. dis…d-ra med.nauk. M., 2007. 48 s.
4. Efimenko A.P. Fizicheskie faktory i me-dikamenty v vosstanovitel´nom lechenii erektil´-noy disfunktsii u muzhchin s metabolicheskim sin-dromom: Avtoref.dis…kand.med.nauk. Pyatigorsk, 2013. 24 s.
5. Kovalev V.A., Koroleva S.V., Kamalov A.A. Farmakoterapiya erektil´noy disfunktsii. Urologiya. 2000. №1. S. 33–38.
6. Levitra-test v diagnostike vaskulogennoy erektil´noy disfunktsii / Mazo E.B., Gamidov S.I., Zhuchenko T.D. [i dr.]. Urologiya. 2005. №1. S. 29–31.
7. Mamedov M.N. Algoritmy diagnostiki i lecheniya metabolicheskogo sindroma v kliniko-ambulatornykh usloviyakh. Kardiologiya. 2005. № 5. S. 92–100.
8. Radnaev V.B. Metody refleksoterapii v le-chenii i profilaktike metabolicheskogo sindroma: Avtoref. diss…kand.med:nauk. M., 2006. 24 s.
9. Rubin V.V. Nemedikamentoznaya terapiya erektil´noy disfunktsii, obuslovlennoy metabolicheskim sindromom, na kurorte: Avtoref. dis…kand.med.nauk. Pyatigorsk, 2013. 24 s.
10. Rubin V.V., Efimenko A.P., Tsogoev A.S., Ur-vacheva E.E. Vosstanovlenie erektil´noy funktsii u bol´nykh s metabolicheskim sindromom na zhelezno-vodskom kurorte. Vestnik novykh meditsinskikh tekh-nologiy. 2011. №3. S. 149–151.
11. Tereshin A.T., Sosnovskiy I.B., Dmitrenko G.D. Kliniko-funktsional´noe sostoyanie penil´noy gemodinamiki u bol´nykh khronicheskim prostatitom s erektil´noy disfunktsiey. Vrach-aspirant. 2012. №2.3(51). S.456–466.
12. Demir T. Prevalence of erectile dysfunction in patients with metabolic syndrome. J. Urol., 2006. №13(4). P. 385–388.
13. Esposito K. High proportions of erectile dys-function in men with the metabolic syndrome. Di-abetes Care. 2005. №5. P.1201–1203.