在逆行性射精的男性中从尿液中恢复精子
Ernesto Veiga Álvarez1,2, Nuria Zopeque García3, Javier M Gutiérrez Romero4
1Working Group on Andrology and Assisted Reproduction Technologies, Spanish Society of Laboratory Medicine (SEQCML),, Barcelona, Spain.
Advances in laboratory medicine
|January 8, 2025
概括
反向性射精 (RE) 是通过在射精后尿液 (PEU) 中发现精子来诊断的. 这种诊断有助于获取用于辅助生殖的精子,避免侵入性方法.
科学领域:
- 生殖医学 生殖医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 反向性射精 (RE) 涉及精液在射精期间向后流入膀.
- 标准射精分析可能无法检测RE,导致不孕不育的潜在错误诊断.
- 侵入性精子采集方法可能不必要地用于管理与RE相关的不孕症.
研究的目的:
- 定义逆行性射精 (RE) 和概述诊断方法.
- 描述精子检测,准备和从射精后尿液 (PEU) 中提取精子.
- 突出PEU分析在辅助生殖技术 (ART) 中的作用.
主要方法:
- 对RE的诊断依赖于检测后射精尿液 (PEU) 中的精子.
- 对于患有无精子或小精子精子和低/正常精液体积的患者,PEU的分析至关重要.
- 关于PEU诊断标准及其局限性的文献综述.
主要成果:
- 在PEU中的精子可以确认RE,尽管诊断标准缺乏共识.
- 关于用于RE诊断的PEU分析的文献有限.
- 准确的RE诊断可以使精子从PEU恢复到ART.
结论:
- 对怀疑逆行性射精的不育患者来说,RE诊断是必不可少的.
- 对PEU的分析是RE的关键诊断工具.
- 正确解释PEU结果有助于精子获取ART,避免侵入性手术.
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