Surgical treatment of male infertility in the era of intracytoplasmic sperm injection - new insights
Clinics
;
66(8): 1463-1478, 2011. ilus, tab
Article
Dans Anglais
| LILACS
| ID: lil-598384
ABSTRACT
Assisted reproductive technology is an evolving area, and several adjuvant procedures have been created to increase a couple's chance of conceiving. For male infertility, the current challenges are to properly accommodate old and new techniques that are both cost-effective and evidence-based. In this context, urologists are expected to diagnose, counsel, provide medical or surgical treatment whenever possible and/or correctly refer male patients for assisted conception. Urologists are sometimes part of a multiprofessional team in an assisted reproduction unit and are responsible for the above-cited tasks as well as the surgical retrieval of sperm from either the epididymides or testicles. We present a comprehensive review of the surgical treatment options for infertile males, including the perioperative planning and prognostic aspects, with an emphasis on the role of microsurgery in the optimization of treatment results. This review also discusses current techniques for sperm retrieval that are used in association with assisted reproductive technology and includes sperm retrieval success rates according to the technique and the type of azoospermia. New insights are provided with regard to each surgical treatment option in view of the availability of assisted conception to overcome male infertility.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Infertilité masculine
Type d'étude:
Etude d'étiologie
/
Étude pronostique
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Clinics
Thème du journal:
Médicament
Année:
2011
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Andrology & Human Reproduction Clinic/BR
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS