Sardinha L A C, Athayde M V O, Rodrigues S L L, Cunha M R P D, Dantas Filho V P, Zambelli H J L, Lima M L, Araujo S, Boin I F S F
Organ Procurement Organization, Clinical Hospital, University of Campinas, São Paulo, Brazil.
Organ Procurement Organization, Clinical Hospital, University of Campinas, São Paulo, Brazil.
Transplant Proc. 2019 Mar;51(2):595-601. doi: 10.1016/j.transproceed.2018.12.004. Epub 2018 Dec 13.
The recovery or collection of postmortem semen raises relevant ethical and social concerns. In this study we report 2 cases witnessed by the authors in an organ procurement organization in Brazil. The patients had a diagnosis of brain death, were organ donors, and had no consent for the use of postmortem sperm. In Brazil, the diagnosis of brain death has been clearly established since 1997, with the most recent update in 2017, but has not considered the possibility of the collection of sperm or eggs from the donor. A review of the world literature has been carried out, as well as current legislation in different countries, including Brazil, with special interest in the impact on the autonomy of the deceased (informed consent or not), the wife, the generation of the child and their rights, and the ethical role of the physician.
死后精液的恢复或采集引发了相关的伦理和社会问题。在本研究中，我们报告了作者在巴西一家器官采购组织目睹的2例病例。这些患者被诊断为脑死亡，是器官捐献者，且未同意使用死后精子。自1997年以来，巴西已明确确立脑死亡诊断，2017年有最新更新，但未考虑从捐献者采集精子或卵子的可能性。我们对世界文献以及包括巴西在内的不同国家的现行立法进行了综述，特别关注对死者自主权（无论是否有知情同意）、妻子、孩子的生育及其权利的影响，以及医生的伦理角色。
