Surgical treatment of male infertility in the era of intracytoplasmic sperm injection - new insights
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/19276 |
Resumo: | Assisted reproductive technology is an evolving area, and several adjuvant procedures have been created to increase a couple's chance of conceiving. For male infertility, the current challenges are to properly accommodate old and new techniques that are both cost-effective and evidence-based. In this context, urologists are expected to diagnose, counsel, provide medical or surgical treatment whenever possible and/or correctly refer male patients for assisted conception. Urologists are sometimes part of a multiprofessional team in an assisted reproduction unit and are responsible for the above-cited tasks as well as the surgical retrieval of sperm from either the epididymides or testicles. We present a comprehensive review of the surgical treatment options for infertile males, including the perioperative planning and prognostic aspects, with an emphasis on the role of microsurgery in the optimization of treatment results. This review also discusses current techniques for sperm retrieval that are used in association with assisted reproductive technology and includes sperm retrieval success rates according to the technique and the type of azoospermia. New insights are provided with regard to each surgical treatment option in view of the availability of assisted conception to overcome male infertility. |
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Clinics |
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Surgical treatment of male infertility in the era of intracytoplasmic sperm injection - new insights MaleInfertilitySurgerySperm retrievalReview Assisted reproductive technology is an evolving area, and several adjuvant procedures have been created to increase a couple's chance of conceiving. For male infertility, the current challenges are to properly accommodate old and new techniques that are both cost-effective and evidence-based. In this context, urologists are expected to diagnose, counsel, provide medical or surgical treatment whenever possible and/or correctly refer male patients for assisted conception. Urologists are sometimes part of a multiprofessional team in an assisted reproduction unit and are responsible for the above-cited tasks as well as the surgical retrieval of sperm from either the epididymides or testicles. We present a comprehensive review of the surgical treatment options for infertile males, including the perioperative planning and prognostic aspects, with an emphasis on the role of microsurgery in the optimization of treatment results. This review also discusses current techniques for sperm retrieval that are used in association with assisted reproductive technology and includes sperm retrieval success rates according to the technique and the type of azoospermia. New insights are provided with regard to each surgical treatment option in view of the availability of assisted conception to overcome male infertility. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2011-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/1927610.1590/S1807-59322011000800026Clinics; v. 66 n. 8 (2011); 1463-1478 Clinics; Vol. 66 Núm. 8 (2011); 1463-1478 Clinics; Vol. 66 No. 8 (2011); 1463-1478 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/19276/21339Esteves, Sandro C.Miyaoka, RicardoAgarwal, Ashokinfo:eu-repo/semantics/openAccess2012-05-23T16:31:40Zoai:revistas.usp.br:article/19276Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-05-23T16:31:40Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Surgical treatment of male infertility in the era of intracytoplasmic sperm injection - new insights |
title |
Surgical treatment of male infertility in the era of intracytoplasmic sperm injection - new insights |
spellingShingle |
Surgical treatment of male infertility in the era of intracytoplasmic sperm injection - new insights Esteves, Sandro C. Male Infertility Surgery Sperm retrieval Review |
title_short |
Surgical treatment of male infertility in the era of intracytoplasmic sperm injection - new insights |
title_full |
Surgical treatment of male infertility in the era of intracytoplasmic sperm injection - new insights |
title_fullStr |
Surgical treatment of male infertility in the era of intracytoplasmic sperm injection - new insights |
title_full_unstemmed |
Surgical treatment of male infertility in the era of intracytoplasmic sperm injection - new insights |
title_sort |
Surgical treatment of male infertility in the era of intracytoplasmic sperm injection - new insights |
author |
Esteves, Sandro C. |
author_facet |
Esteves, Sandro C. Miyaoka, Ricardo Agarwal, Ashok |
author_role |
author |
author2 |
Miyaoka, Ricardo Agarwal, Ashok |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Esteves, Sandro C. Miyaoka, Ricardo Agarwal, Ashok |
dc.subject.por.fl_str_mv |
Male Infertility Surgery Sperm retrieval Review |
topic |
Male Infertility Surgery Sperm retrieval Review |
description |
Assisted reproductive technology is an evolving area, and several adjuvant procedures have been created to increase a couple's chance of conceiving. For male infertility, the current challenges are to properly accommodate old and new techniques that are both cost-effective and evidence-based. In this context, urologists are expected to diagnose, counsel, provide medical or surgical treatment whenever possible and/or correctly refer male patients for assisted conception. Urologists are sometimes part of a multiprofessional team in an assisted reproduction unit and are responsible for the above-cited tasks as well as the surgical retrieval of sperm from either the epididymides or testicles. We present a comprehensive review of the surgical treatment options for infertile males, including the perioperative planning and prognostic aspects, with an emphasis on the role of microsurgery in the optimization of treatment results. This review also discusses current techniques for sperm retrieval that are used in association with assisted reproductive technology and includes sperm retrieval success rates according to the technique and the type of azoospermia. New insights are provided with regard to each surgical treatment option in view of the availability of assisted conception to overcome male infertility. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/19276 10.1590/S1807-59322011000800026 |
url |
https://www.revistas.usp.br/clinics/article/view/19276 |
identifier_str_mv |
10.1590/S1807-59322011000800026 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/19276/21339 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; v. 66 n. 8 (2011); 1463-1478 Clinics; Vol. 66 Núm. 8 (2011); 1463-1478 Clinics; Vol. 66 No. 8 (2011); 1463-1478 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1787713172258422784 |