Huyghe Eric, Methorst Charlotte, Lamazou Frédéric, Amar Edouard, Faix Antoine
Département d'urologie, hôpital de Rangueil, CHU de Toulouse, Toulouse, France; Service de médecine de la reproduction, hôpital Paule-de-Viguier, CHU de Toulouse, Toulouse, France; UMR DEFE, Inserm 1203, université de Toulouse, université de Montpellier, Toulouse, France.
Service de médecine de la reproduction, hôpital Paule-de-Viguier, CHU de Toulouse, Toulouse, France.
Prog Urol. 2023 Nov;33(13):710-717. doi: 10.1016/j.purol.2023.09.005.
Following on from the Rapport vers une stratégie nationale de lutte contre l'infertilité (Report on a national strategy to combat infertility) submitted to the French Minister of Health in 2022, whose objective 13 is: to better identify and diagnose male infertility, we wanted to clarify with reproductive specialists what role the urologist should play in the management of the infertile couple.
An expert consensus was reached with the Pedagogical Committee and pilots of the Transversal Specialized Training in Reproductive Medicine and Biology - Andrology, and with the presidents, board and scientific council of the French Federation for Reproductive Study (FFER).
In the case of infertility in a couple, the fertility of both partners should be assessed from the outset, and in the event of abnormality or failure of ART, the patient should be referred to a uro-andrologist for expert management. The uro-andrologist will set up medical or surgical treatments to improve the prognosis of the man's fertility, in conjunction with the entire ART team. It is also important for the urologist/andrologist to take charge of the man's health before conception, because of the benefits for the patient himself and for his offspring.
This expert consensus has shed light on the role of the uro-andrologist in the ART pathway, on the need for training in Andrology and on the medical demography required.
继2022年提交给法国卫生部长的《迈向国家抗击不孕症战略报告》之后，其目标13是：更好地识别和诊断男性不育症，我们希望与生殖专家阐明泌尿科医生在不育夫妇管理中应发挥的作用。
与生殖医学和生物学——男科学横向专业培训的教学委员会和试点人员，以及法国生殖研究联合会（FFER）的主席、董事会和科学委员会达成了专家共识。
在夫妇不育的情况下，应从一开始就评估双方的生育能力，并且在辅助生殖技术出现异常或失败时，患者应转诊至泌尿男科专家进行专业管理。泌尿男科专家将与整个辅助生殖技术团队合作，制定医疗或手术治疗方案，以改善男性生育的预后。由于对患者本人及其后代都有益处，泌尿科医生/男科学医生在受孕前关注男性健康也很重要。
这一专家共识阐明了泌尿男科专家在辅助生殖技术流程中的作用、男科学培训的必要性以及所需的医学人口统计学。
