Department of Urology, University of Washington, 1959 Northeast Pacific Street, Box 356510, Seattle, WA 98195, USA.
Department of Urology, University of Washington, 1959 Northeast Pacific Street, Box 356510, Seattle, WA 98195, USA.
Urol Clin North Am. 2020 May;47(2):157-164. doi: 10.1016/j.ucl.2019.12.013.
Guiding a couple with nonobstructive azoospermia requires an integrated approach to care by the urologist and the reproductive endocrinologist. After informing the couple of the implications of the diagnosis, care must be taken to outline the options of parenthood. Most experts agree that sperm retrieval in men can be challenging. This article describes various options of sperm retrieval, historic and contemporary, and highlights the advantages and disadvantages of each. The authors find that using a testicular map can invariably help guide sperm retrieval and overall fertility care. The right approach is one that involves a shared decision with the couple.
指导患有非梗阻性无精子症的夫妇需要泌尿科医生和生殖内分泌学家综合护理。在向夫妇告知诊断结果的影响后，必须谨慎概述生育选择。大多数专家都认为，男性取精可能具有挑战性。本文介绍了各种历史和现代的取精方法，并强调了每种方法的优缺点。作者发现，使用睾丸图谱可以始终如一地帮助指导取精和整体生育护理。正确的方法是与夫妇共同做出决策。
