i want to invite an expert doctor leonid grigorievich spivak to the studio, urologist, doctor of medicalssor of the institute urology and human reproductive health of the first moscow state medical university named after sechenovanovich. good morning. leonid grigoryevich, it is necessary, first of all, to figure out what adhesive disease is. what is fibrosis of the pelvic organs, fibrosis is the appearance of such dense connective tissue cords. moreover, it may be, as in men, this is certainly the case in women, and as a rule, fibrosis is a consequence of inflammatory diseases. what are spikes? of course we are so very conditional imagine fibrous bands. they are inside us in the pelvic organs. this is how they form, what happens in the male pelvis, when any inflammatory process occurs, the outcome is actually a scar, that is, the growth stands on the tissue. imagine scratching your hand. first , some kind of wound is an abrasion, and then a scar remains, the same thing happens to the prostate gland. our task. of course, to fight these cicatricial changes with factory changes at the earli