Sweet V, Servy E J, Karow A M
Women's Health Care and Reproductive Services, Fort Myers, FL, USA.
Oncol Nurs Forum. 1996 Jan-Feb;23(1):51-8.
PURPOSE/OBJECTIVES: To review the current medical technologies available to protect the reproductive potential of adult males undergoing sterilizing cancer treatments; to describe the attributes and limitations of these technologies and how oncology nurses can access them for the patient; and to discuss psychosocial elements, including the legal considerations of oncology nurses who counsel patients.
Quantitative data from personal clinical records; personal clinical experience; published articles, abstracts, and books identified by bibliographic data base searches; and consultation with lawyers.
Cancer treatment can have severe and adverse long-term iatrogenic effects on male fertility. Medical technologies that protect male reproduction potential from sterilizing procedures have progressed from unreliable to clinically practical over a period of 20 years. The present clinical means for preserving the potential reproductive capacity of men at risk is cryopreservation of sperm before treatment begins, followed by assisted reproductive technology when pregnancy is desired. Medical, legal, and religious issues relevant to counseling are involved.
Current reproductive technology provides realistic hope for future procreation by men facing sterilizing cancer treatment.
Nursing intervention primarily involves providing patient counseling and arranging patient access to cryopreservation facilities. Oncology nurses can assist men making these types of reproductive decisions by assessing their medical and psychological need for information and by counseling them in regard to human sexuality, the fertility risk of oncologic therapy, the availability of reproductive interventions, and the social ramifications of using stored semen.
目的/目标：回顾目前可用于保护接受绝育癌症治疗的成年男性生殖潜力的医学技术；描述这些技术的特性和局限性，以及肿瘤学护士如何为患者获取这些技术；并讨论心理社会因素，包括为患者提供咨询的肿瘤学护士的法律考量。
个人临床记录中的定量数据；个人临床经验；通过书目数据库搜索确定的已发表文章、摘要和书籍；以及与律师的咨询。
癌症治疗可能对男性生育能力产生严重且长期的医源性不良影响。在20年的时间里，保护男性生殖潜力免受绝育手术影响的医学技术已从不可靠发展到临床实用。目前保护有风险男性潜在生殖能力的临床方法是在治疗开始前冷冻保存精子，之后在希望怀孕时采用辅助生殖技术。这涉及到与咨询相关的医学、法律和宗教问题。
当前的生殖技术为面临绝育癌症治疗的男性未来生育提供了现实的希望。
护理干预主要包括为患者提供咨询，并安排患者使用冷冻保存设施。肿瘤学护士可以通过评估男性对信息的医学和心理需求，以及就人类性行为、肿瘤治疗的生育风险、生殖干预的可用性以及使用储存精液的社会影响为他们提供咨询，来协助男性做出这类生殖决策。
