Valor de la microcirugía como tratamiento de la infertilidad masculina en la era de la reproducción asistida
DOI:
https://doi.org/10.18597/rcog.650Palabras clave:
microcirugía, epididimovasostomía, vasovasostomía, varicocelectomía, fertilización in vitro, inyección espermática intracitoplasmáticaResumen
La actuación sobre el tubo epididimario y el conducto deferente obstruidos con diámetros aproximados de 0.1 y 0.3 mm respectivamente, precisan de la aplicación de técnicas microquirúrgicas. La microcirugía también puede hallarse indicada en determinados casos de varicocelectomía.
Por encima de todos los tópicos que se apuntan con relación a la microcirugía, cabe mencionar que los factores más importantes son la práctica y la experiencia, por lo que es conveniente tener la oportunidad de realizar estas cirugías de manera frecuente en la clínica humana.
Biografía del autor/a
Héctor Narváez R.
Referencias bibliográficas
Pomerol JM. Práctica microquirúrgica. En: Práctica andrológica. Pomerol JM, Arrondo JL, editores. Barcelona, Masson-Salvat; 1994. p. 282-98.
World health Organization. Laboratory manual for the examination of human semen and sperm-cervical mocus interaction. 3a. ed. Cambridge: Cambridge University Press; 1992.
Goldstein M. Vasography. En: Goldstein M. Surgery of male infertility. Philadelphia: W.B. Saunders Company; 1995. p. 26-31.
Ruiz-Romero J, Narváez H, Bassas L, Pomerol JM. Consideraciones sobre la relación entre la agenesia de conductos deferentes y fibrosis quística. Ac Func Puigvert 1993;12:236-40.
Casals T, Bassas L, Ruiz Romero J et al. Extensive analysis of 40 infertile patients with congenital absence of the vas deferens: in 50% of cases only CFTR allele could be detected. Hum Genet 1995;95:205-11.
Balaban B, Urman B, Sertac A, Alatas C, Aksoy S, Mercan R, Nuhoglu A. In-vitro culture of spermatozoa induces motility and increases implantation and pregnancy rates after testicular sperm extraction and intracytoplasmic sperm injection. Hum Reprod 1999;14:2808-11.
Palermo GD, Schlegel P, Hariprashad JJ, Ergun B, Mielnik A, Zaninovic N. Fertilization and pregnancy outcome with intracytoplasmic sperm injection for azoospermic men. Hum Reprod 1999;14:741-8.
Murphy H, George C, Kretser D, Judd S. Successful treatment with ICSI of infertility caused by azoospermia associated with adrenal restts in the testes. Hum Reprod 2001;2:263-7.
Narváez H, Saavedra J. Papel del andrólogo en la salud reproductiva. Rev Colomb Obstet Ginecol 2000;51:105-11.
Goldstein M. Microsurgical vasoepididymostomy end-to-end anastomosis. En: Goldstein M. Surgery of male infertility. Philadelphia: W.B. Saunders Company; 1995. p. 120-27.
Pomerol JM. Microcirugía del epidídimo. En: Pomerol JM, Arrondo JL. Práctica Andrológica. Barcelona: Masson-Salvat; 1994. p. 299-318.
Silber SJ. Microscopic vasoepididymostomy: specific microanastomosis to the epididymal tubule. Fertil Steril 1978;30:565.
Schlegel PN, Goldstein M. Microsurgical vasoepididymostomy: refinements and results. J Urol 1993;150:1165-8.
Matsuda T, Horii Y, Muguruma K, et al. Microsurgical epididymovasostomy for obstructive azoospermia: factors affecting postoperative fertility. Eur Urol 1994;26:322-6.
Silber SJ. Results of microsurgical vasoepididymostomy: role of epididymis in sperm maturation. Hum Reprod 1989;4:298.
Fuchs EF. Restoring fertility through epididymovasostomy. Comtemp Urol 1991;3(12):27.
Derrick FC, Yarbrongn W, D´Agostino J. Vasovasostomy: results of questionnaire of members of the American Urological Association. J Urol 1973;110:556.
Belker AM, Konnak JW, Sharlip ID, Thomas AJ. Jr. Intraoperative observations during vasovasostomy in 334 patients. J Urol 1983;129:524.
Silber SJ. Vasectomy and vasectomy reversal. Fertil Steril 1978;29:125-40.
Goldstein M. Vasectomy and vasectomy reversal. Curr Ther Endocrinol Metab 1985-1986;1986:180-5.
Belker AM, Fuchs EF, Konnak JW et al. Transient fertility after vasovasostomy in 892 patients. J Urol 1985;134:75.
Linnet L. Clinical immunology of vasectomy and vasovasostomy. Urology 1983;22:101-14.
Belker AM, Thomas AJ. Jr, Fuchs EF et al. Results of 1469 microsurgical vasectomy reversals by the Vasovasostomy Study Group. J Urol 1991;145:505-11.
Silber SJ. Pregnancy after vasovasostomy for vasectomy reversal: a study of factors affecting long-term return of fertility in 282 patients followed for 10 years. Hum Reprod 1989;4:318-22.
Matsuda T, Horii Y, Yoshida O. Unilateral obstruction of the vas deferens caused by childhood inguinal herniorhaphy in male infertility patients. Fertil Steril 1992;58:609-13.
Belker AM, Jiménez-Cruz FJ, Kêlami A, Wagenknecht LV. Alloplastic spermatocele: poor sperm motility in intraoperative epididymal fluid contraindicates prosthesis implantation. J Urol 1986;136:408.
Vicente J, Del Portillo L, Pomerol JM. Endoscopic surgery duct obstruction of the ejaculatory ducts. Eur Urol 1983;9:338.
Hendry WA, Prior JP. Mullerian duct (prostatic utricle) cyst: diagnosis and treatment in subfertile males. Br J Urol 1992; 69:79-82.
Pomerol JM, Enrique C, Narváez H, Puigvert A. Asthenonecrozoospermia and hypospermia as indicative pathology of the distal seminal tract. Int J Androl 1997;20(suppl):42.
Lizza EF, Marmar JL, Schmidt SS, et al. Transseptal crossed vasovasostomy. J Urol 1985;134:1132-4.
Sabanegh Jr. E, Thomas AJ Jr. Effectiveness of crossover transseptal vasoepididymostomy in treating complex obstructive azoospermia. Fertil Steril 1995;63:392-5.
Narváez H, Navas M, Viscasillas P, Pomerol JM. Microaspiración de espermatozoides a nivel deferencial y fertilización in vitro. En: Libro de resúmenes VII Congreso Nacional de Andrología. ASESA. Bilbao, España; 1995. p. 526-27.
Silber SJ, Van Steirteghem AC, Liu J, et al. High fertilization and pregnancy rate after intracytoplasmatic sperm injection with spermatozoa obtained from testicle biopsy. Hum Reprod 1995;10:148-52.
Schoysman R, Vanderzwalmen P, Nijs M et al. Pregnancy after fertilization with human testicular spermatozoa. Lancet 1993;342:1237.
Pryor J, Parsons J, Goswamly R et al. In vitro fertilization for men with obstructive azoospermia. Lancet 1984:762.
Pomerol JM, García F, Barri PN y cols. Gestación mediante esperamatozoides aspirados del conducto deferente y fertilización in vitro. Arch Esp Uro 1993;45:811-5.
Temple-Smith PD, Southwick GJ, Yates CA, et al. Human pregnancy by in vitro fertilization using sperm aspirated from the epididymis. J In Vitro Fert Embryo Transfer 1985;2:119.
Silber SJ, Nagy ZP, Lui J. Conventional in-vitro fertilization versus intracytoplasmatic sperm injection for patients requiring microsurgical sperm aspiration. Hum Reprod 1994;9:1705-9.
Hovatta O, Moilanen J, Von Smitten K, et al. Testicular needle biopsy open biopsy epididymal aspiration and intracytoplasmatic sperm injection in obstructive azoospermia. Hum Rep 1995;10:2595-9.
Gil-Salom M, Mínguez Y, Rubio C, et al. Efficacy of intracytoplasmatic sperm injection using testicular spermatozoa. Hum Reprod 1995;10:3166-70.
Mansour R, Aboulghar M, Serour G, et al. Intracytoplasmatic sperm injection using microsurgically retrieved epididymal and testicular sperm. Fertil Steril 1996;65:566-72.
Tournaye H, Liu J, Nagy PZ, et al. Correlation between testicular histology and outcome after intracytoplasmatic sperm injection using testicular spermatozoa. Hum Reprod 1996;11:127-32.
Devroey P, Nagy Z, Tournaye H, et al. Outcome of intracytoplasmatic sperm injection with testicular spermatozoa in obstructive and non-obstructive azoospermia. Hum Reprod 1996;11:1015-8.
Kahraman S, Ozgür S, Alatas C, et al. Fertility with testicular sperm extraction and intracytoplasmatic sperm injection in non-obstructive azoospermic men. Hum Reprod 1996;11:756-60.
Craft IL, Khalifa I, Boulos A, et al. Factors influencing the outcome of in-vitro fertilization with percutaneous aspirated epididymal spermatozoa and ICSI in azoospermic men. Hum Reprod 1995;10:1791-4.
Shrivastav P, Nadkarni P, Wensvoort S, Craft I. Percutaneous epididymal sperm aspiration for obstructive azoospermia. Hum Reprod 1994;9:2058-61.
Shufaro Y, Prus D, Laufer N, Simon A. Impact of repeated fine needle aspirations (TEFNA) and testicular sperm extraction (TESE) on the microscopic morphology of the testis: an animal model. Hum Reprod 2001;16:11.
Nijs M, Vanderzwalmen P, Vandamme B, Segal-Bertin G, Lejeune B, Segal L, Van Roosendaal E, Schoysman R. Fertilizing ability of immotile spermatozoa after intracytoplasmatic sperm injection. Hum Reprod 1996;11:2180-5.
Sallam HN, Farrag A, Agameya AF, Ezzeldin F, Eid A and Sallam A. The use a motified hypo-osmotic swelling test for the selection of viable ejaculated and testicular immotile spermatozoa in ICSI. Hum Reprod 2001;16:272-6.
Word Health Organization. The influence of varicocele on parameters of fertility in a large group of men presenting to infertility clinics. Fertil Steril 1992;57(4):725.
Bast FA, Masabni R. Effective of varicocelectomy in varicoceles diagnosed by physical examination versus doppler studies. Fertil Steril 1988;50(2):321.
Palomo A. A radical cure of varicocele by a new technique. J Urol 1949;61:604-7.
Dubin L, Amelar RD. Varicocelectomy: 986 cases in a 12 year study. J Urol 1977;10:446-9.
Marmar IL, Kym Y. Subinguinal microsurgical varicocelectomy: A technical critique and statiscal analysis of semen and pregnancy data. J Urol 1994;152:1127.
Goldstein M, Gilbert BR, Dicker A, Dúos J, Gnecco C. Microsurgical inguinal varicocelectomy with delivery of the testis: An artery and lymphatic sparing technique. J Urol 1992;148(6):1808-11.
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