逆行性射精的诊断和管理中的最新进展:叙述性综述
Charalampos Konstantinidis1, Athanasios Zachariou2, Evangelini Evgeni3
1Urology & Neuro-Urology Unit, National Rehabilitation Center, 13122 Athens, Greece.
Diagnostics (Basel, Switzerland)
|March 28, 2025
概括
逆行性射精 (RE) 损害了精液的排泄,导致男性不孕. 辅助生殖技术 (ART) 为怀孕提供了希望,但需要进一步的研究才能获得更好的治疗方法.
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
- 安德罗学与人类学
背景情况:
- 逆行性射精 (RE) 是一种影响男性生育能力的疾病,其特点是精液排泄受损.
- 它可以导致受影响个体的不孕症和严重的心理痛苦.
- 原因多种多样,包括糖尿病,脊髓损伤和前列腺手术后.
研究的目的:
- 审查逆行性射精的病因学,病理生理学,诊断和管理.
- 强调RE对男性生育能力的影响,并探索当前的治疗选择.
- 确定当前研究中的差距,并建议未来的方向.
主要方法:
- 这篇叙事综述综合了关于逆行性射精的现有文献.
- 它检查了病因因素,诊断方法和治疗策略.
- 专注于辅助生殖技术 (ARTs) 的作用.
主要成果:
- RE可能导致部分或完全缺少射精.
- 诊断包括患者病史,尿液分析和成像.
- 药物和手术选择的成功率有所变化;ART,特别是尿液取出的精子,显示出有前途.
结论:
- 虽然ARTs为RE患者提供了可行的怀孕途径,但治疗疗效仍然不一致.
- 进一步的研究对于完善诊断工具和优化ART协议至关重要.
- 至少侵入性治疗和强大的临床试验是必要的,以改善结果和生活质量.
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