Nematulloh Sohib Ibodzoda

Erectile dysfunction (ED) is a significant problem among older men, greatly affecting their quality of life. The risk of developing ED increases with age and is associated with various factors, including age-related changes, reduced testosterone levels, hypertension, diabetes, and metabolic syndrome. Endothelial dysfunction plays a central role in the pathogenesis of ED. Effective treatment of ED in elderly men requires measures aimed at lifestyle modification (weight loss, smoking cessation, physical activity), pharmacotherapy (phosphodiesterase 5 inhibitors), and, when necessary, testosterone replacement therapy. In cases where medication is ineffective, alternative treatments such as vacuum devices or intracavernosal injections may be used. Psychological support also plays an essential role in successful treatment. Early diagnosis and a comprehensive approach to treatment can significantly improve patient outcomes and enhance their quality of life.

This article presents the clinical case of patient Sh.M. (35 years old), who was diagnosed with a giant ureteral stone. A urinary tract ultrasound revealed left-sided hydronephrosis and a hyperechoic lesion in the middle and lower portions of the left ureter. A plain urogram of the urinary system revealed a giant stone in the middle and lower third of the left ureter. It is 16.8 cm long and weighs 86 grams. A left-sided ureterolithotomy (11 cm) was performed above the stone, followed by drainage of the left kidney via a ureterostomy. The postoperative period was uneventful.