ANALYSIS OF THE STRUCTURE MALE GENITOURINARY MORBIDITY SYSTEM IN MEN LIVING CITY OF BISHKEK
A retrospective epidemiological analysis of the genitourinary morbidity of men living in the city Bishkek was carried out. The morbidity structure was studied and the male infertility ranking was determined. Men went to the clinic with different diagnoses, on average, there were from 2 to 4 diagnoses per person. Among the main causes of treatment, 82.9% were prostatitis, 80.8% of which were chronic prostatitis. The second place in importance was occupied by urethritis 15.7%, of which the majority were acute urethritis 15.3%. The third place was occupied by cysts of the urinary organs, various localizations, of 6.6%, mostly they were testicular cysts 4.4%. The fourth place was occupied by urolithiasis and salt in the kidneys - the share was 5.0%. The diagnosis of male infertility ranked fifth in the structure of the urogenital diseases of men living in Bishkek (4.8%), of which 3.3% accounted for primary infertility, 1.3% for secondary infertility. Male infertility is associated with certain pathological conditions: hypogonadotropic hypogonadism (8.1%); testicular hypotrophy (3.2%); asthenozoospermia and excretory infertility (3.2%). Other diseases are found both with male infertility and in other diseases, among which varicocele presents a high risk of developing male infertility (RR = 3.4), the association with primary infertility is especially statistically significant (RR = 4.8); with testicular cysts (RR> 1.5); adenoma (benign prostatic hyperplasia) is a risk factor for the development of male infertility (RR = 1.2) and above all secondary infertility (RR = 4.6). There is a statistically significant association with chronic prostatitis (RR = 4.6) for both primary infertility (RR = 3.3) and secondary (RR = 3.9). Chronic urethritis is also associated with male 2nd infertility (RR = 6.8).