男性不育的手术治疗技术。
Surgical techniques for the management of male infertility.
机构信息
Department of Urology, University of Washington, Seattle, 98195, USA.
出版信息
Asian J Androl. 2012 Jan;14(1):94-102. doi: 10.1038/aja.2011.62. Epub 2011 Nov 28.
Abstract
Evaluation and surgical treatment of male infertility has evolved and expanded, now leading to more precise diagnoses and tailored treatments with diminished morbidity and greater success. Surgeries for male infertility are divided into four major categories: (i) diagnostic surgery; (ii) surgery to improve sperm production; (iii) surgery to improve sperm delivery; and (iv) surgery to retrieve sperm for use with in vitro fertilization and intracytoplasmic sperm injection (IVF-ICSI). While today we are more successful than ever in treating male infertility, pregnancy is still not always achieved likely due to factors that remain poorly understood. Clinicians treating infertility should advocate for couple-based therapy, and require that both partners have a thorough evaluation and an informed discussion before undergoing specific surgical therapies.
摘要
男性不育的评估和治疗已经发展和扩展，现在可以进行更精确的诊断和针对性治疗，减少发病率和提高成功率。男性不育的手术可分为四大类：（一）诊断性手术；（二）改善精子生成的手术；（三）改善精子输送的手术；和（四）用于体外受精和胞浆内单精子注射（IVF-ICSI）的精子采集手术。虽然我们今天在治疗男性不育方面比以往任何时候都更成功，但由于一些仍未被很好理解的因素，妊娠仍未总是能实现。治疗不孕的临床医生应提倡基于夫妇的治疗方法，并要求双方在接受特定的手术治疗前进行全面评估和知情讨论。
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