Avellino Gabriella, Theva Didi, Oates Robert D
Department of Urology, School of Medicine, Boston University, Boston, Massachusetts.
Department of Urology, School of Medicine, Boston University, Boston, Massachusetts.
Fertil Steril. 2017 Feb;107(2):305-311. doi: 10.1016/j.fertnstert.2016.12.008. Epub 2017 Jan 7.
As men age, medical and surgical diseases involving the genitourinary tract become more common. The conditions themselves, if not their treatments, can negatively impact the fertility potential of an affected man. Many older men maintain the desire to father children, so it is critical to understand the disturbed anatomy and physiology involved to properly counsel that individual. Should this or that treatment regimen be employed? Should sperm banking be undertaken before institution of a permanently ablative/suppressive therapy? What are the long-term consequences of one therapy over another vis-à-vis sperm production, sperm quality, and/or sperm transport? In this context, some of the more common genitourinary afflictions of the older male and the treatment options that are available will be discussed.
随着男性年龄的增长，涉及泌尿生殖道的内科和外科疾病变得更加常见。这些疾病本身，即便不是其治疗方法，也会对受影响男性的生育潜力产生负面影响。许多老年男性仍有生育子女的愿望，因此，了解其中涉及的解剖结构和生理功能紊乱情况对于为个体提供恰当的咨询至关重要。应该采用这种还是那种治疗方案？在开始永久性消融/抑制性治疗之前是否应该进行精子冷冻保存？相对于精子生成、精子质量和/或精子运输而言，一种治疗方法相对于另一种治疗方法的长期后果是什么？在这种背景下，将讨论老年男性一些较为常见的泌尿生殖系统疾病以及可用的治疗选择。
