Centro de Reprodução Humana Curitiba, PR, Brasil.
Int Braz J Urol. 2018 Jan-Feb;44(1):188-191. doi: 10.1590/S1677-5538.IBJU.2017.0249.
To describe the retrieval spermatozoa technique for cryopreservation after death, including the proximal part of vas deferens.
A 28-years old man, with previous history of infertility, who died 12 hours ago, was submitted to spermatozoa retrieval for cryopreservation, with surgical bilateral resection in bloc of the proximal part of vas deferens, testicle and epididymis. At the laboratory, by milking the epididymis and vas deferens, the extracted fluid was collected; also, three samples of each testicle parenchyma were also harvested.
The fluid from the vas deferens showed spermatozoa, mostly with in situ motility. Testicular fragments also presented spermatozoa, mostly with small tail movements or immobile.
The inclusion of the proximal part of vas deferens during spermatozoa retrieval after death must be performed, since it contains high concentration of spermatozoa, and even in the presence of previous infertility, as was with this patient, it is possible to retrieve spermatozoa.
描述死后(包括输精管近段)精子冷冻保存的获取技术。
一位 28 岁男子,既往有不育病史,于 12 小时前死亡,接受了精子冷冻保存的获取,行双侧输精管、睾丸和附睾整块切除术。在实验室中,通过挤捏附睾和输精管收集提取液;同时,还从每个睾丸实质中采集了三个样本。
输精管中的液体显示有精子,大多数具有原位运动。睾丸碎片也有精子,大多表现为小尾巴运动或不动。
在死后的精子获取中必须包括输精管近段,因为它含有高浓度的精子,即使在像这个患者一样存在先前不育的情况下,也有可能获取精子。