García Rojo Esther, Lujan Saturnino, Alonso Isa Manuel, García Gómez Borja, Medina Polo José, Romero Otero Javier
Servicio de Urología, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, España; Servicio de Urología, Hospital Universitario HM Montepríncipe, HM Hospitales, Madrid, España; Servicio de Urología, Hospital Universitario HM Puerta del Sur, HM Hospitales, Madrid, España.
Servicio de Urología, Hospital Universitario y Politécnico La Fe, Valencia, España.
Rev Int Androl. 2022 Oct;20 Suppl 1:S61-S66. doi: 10.1016/j.androl.2021.02.002. Epub 2022 May 20.
Advances in assisted reproductive techniques (ART) have caused an increase in requests for postmortem sperm retrieval (PMER). The use of these techniques is usually tied to legal, ethical and medical/casuistic problems. The objective of this work is to analyze technical and legal aspects of PMER in Spain using two real cases and to establish guidelines to help in decision-making after a PMER request.
Two real cases in which a PMER was requested and others published in Spain in recent years are presented. We proceed to an exposition of the techniques used in postmortem ART cases and specifically in PMER, and a detailed study of the current legal framework is carried out.
In Spain we have a complete law on ART. Article 9 expressly requires an authorization from the deceased male partner for the use of his reproductive material in the following 12 months. Regarding the PMER, technical and logistical considerations require a quick and organized decision-making. The time until extraction should not exceed 24-36hours from death and a good choice of biological material is essential.
Medical-scientific advances now allow PMER and the use of postmortem ART. A good knowledge of the technical, logistical and legal aspects is necessary for a fast and coordinated action.
辅助生殖技术(ART)的进步导致死后取精(PMER)的需求增加。这些技术的使用通常与法律、伦理和医学/具体案例问题相关。这项工作的目的是通过两个实际案例分析西班牙PMER的技术和法律方面,并制定指导方针,以帮助在收到PMER请求后进行决策。
介绍了两个请求进行PMER的实际案例以及近年来在西班牙发表的其他案例。我们阐述了死后ART案例中,特别是PMER中所使用的技术,并对当前的法律框架进行了详细研究。
在西班牙,我们有一部关于ART的完整法律。第9条明确要求在接下来的12个月内使用已故男性伴侣的生殖材料需获得其授权。关于PMER,技术和后勤方面的考虑需要快速且有条理的决策。从死亡到提取的时间不应超过24 - 36小时,并且良好地选择生物材料至关重要。
医学科学的进步现在允许进行PMER以及使用死后ART。为了快速且协调地采取行动,必须充分了解技术、后勤和法律方面的知识。