Resumo

GALMES BELMONTE, I.. Usefulness and necesity of the andrologist in Assisted Reproductions Units. Actas Urol Esp [online]. 2004, vol.28, n.5, pp.364-376. ISSN 0210-4806.

In this issue we make a review of our experience in the management of the sterile men: protocols used for the study of men’s sterility, causes and specific treatments, surgical recovery of spermatozoa and screening before IVF or IVF-ICSI. We concluded that with an adequate protocol, it’s possible to establish the aetiology of men’s infertility in a 78.8% of the cases and it’s also possible to initiate a specific treatment in almost a 47.8% of men. Results of specific treatment, with a previous selection of patients, could be better than those of assisted reproduction techniques. Best results are obtained in cases of vaso-vasostomy (vasectomy reversal) and obstruction of ejaculatory duct. It’s also needed a study of genetics causes and bad prognostic circumstances in those men whose partner is going on with an IVF or IVF-ICSI cycle.

Palavras-chave : Man sterility [etiology and treatment]; Vaso-vasostomy; Eyaculatory duct obstruction; Genetic pathology of man.

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