{"id":76423,"date":"2017-03-28T11:58:17","date_gmt":"2017-03-28T11:58:17","guid":{"rendered":"http:\/\/humanitasnet-new.local\/cure\/indepartarea-spermei\/"},"modified":"2017-03-28T11:58:17","modified_gmt":"2017-03-28T11:58:17","slug":"indepartarea-spermei","status":"publish","type":"cure","link":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/treatments\/indepartarea-spermei\/","title":{"rendered":"\u00cendep\u0103rtarea spermei"},"content":{"rendered":"<h2 id=\"indepartarea-spermei\">\u00cendep\u0103rtarea spermei<\/h2>\n<p>&nbsp;<\/p>\n<h2 id=\"ce-reprezinta-indepartarea-spermei\">Ce reprezint\u0103 \u00eendep\u0103rtarea spermei?<\/h2>\n<p>Absen\u021ba spermei din materialul seminal nu \u00eenseamn\u0103 c\u0103 aceasta nu mai este produs\u0103 deloc. \u00cen cazul azoospermiei, azoospermie cripto, necrozoospermiei, \u0219i anejacul\u0103rii, sperma poate fi identificat\u0103 \u00een alte loca\u021bii \u2013 testicule sau epididim \u2013 \u0219i chiar poate fi detectat\u0103 chiar \u0219i num\u0103r mic prin recurgerea la alte tehnici. Unele permit g\u0103sirea spermei \u00een testicule (TEFNA, TESE, microTESE), altele prin epididim (PESA, MESA).<\/p>\n<h2 id=\"\"><\/h2>\n<h2 id=\"care-sunt-principalele-tehnici-de-colectare-asociate-cu-indepartarea-spermei\">Care sunt principalele tehnici de colectare asociate cu \u00eendep\u0103rtarea spermei?<\/h2>\n<ul>\n<li>Extragerea spermei testiculare \u2013 TESE<\/li>\n<li>Extragerea microchirurgical\u0103 a spermei testiculare \u2013 microTESE<\/li>\n<li>Aspirarea microchirurgical\u0103 a spermei epididimale\u00a0 \u2013 MESA<\/li>\n<\/ul>\n<ul>\n<li>Aspirarea percutan\u0103 a spermei epididimale \u2013 PESA<\/li>\n<\/ul>\n<p>TESE, MESA \u0219i microTESE sunt proceduri chirurgicale, iar procedurile TEFNA, PESA sunt efectuate de August prin aspirare.<\/p>\n<p>&nbsp;<\/p>\n<p>\u00cen special:<\/p>\n<ul>\n<li>PESA\/MESA: colectarea este efectuat\u0103 prin diferite tehnici \u00een epididim, o conduct\u0103 care este conectat\u0103 la testicul.<\/li>\n<li>TESA: recoltarea este f\u0103cut\u0103 prin pielea testiculului.<\/li>\n<li>TESE: este o biopsie a \u021besutului testicular, o procedur\u0103 pentru a recupera sperma dintr-o bucat\u0103 mic\u0103 de \u021besut testicular care este \u00eendep\u0103rtat chirurgical. TESE poate fi efectuat anestezie local\u0103, sedare profund\u0103 sau regional\u0103. Chirurgul<\/li>\n<li>can be performed under local anesthesia, locoregional or deep sedation. The surgeon affects the tissue that covers the testicle (tunica albuginea) and takes a section of the seminiferous tubules, which is the size of an orange seed. The excised fragment is delivered in a sterile tube to a biologists for the extraction of sperm. The levy may be single or multiple in the same testicle. At our Centre we routinely perform a histological examination that allows us to put a precise diagnosis on the azoospermia and intercept occult cancers, frequent in the NOA.<\/li>\n<li>PROS: It is a technique that is used in all forms of azoospermia and non-obstructive azoospermia. It allows recovery and cryopreservation of the greatest number of sperm.<\/li>\n<li>CONS: surgical procedure takes place at the hospital, however the hospital provides complete rest for at least 24 to 48 hours.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"care-sunt-diferentele-de-prelevare-intre-diverse-cauze-de-infertilitate\">Care sunt diferen\u0163ele de prelevare \u00eentre diverse cauze de infertilitate?<\/h2>\n<p>\u00cen necrozoospermia, sperma este prezent c\u00e2nd subiectul ejaculeaza, dar acesta nu este vital, si nu pot fi utilizate pentru tehnici de reproducere asistata. \u00cen astfel de cazuri singura modalitate de a ob\u0163ine sperma viabila este direct de la testicul.<\/p>\n<p>\u00cen anejaculation \u015fi \u00een anumite condi\u0163ii, cum ar fi diabet juvenil, neurologice sistemice rezultate din demolarea chirurgicale pentru tumori maligne pelvine, vom recurge la prelevare sperma gonade.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"success-percentages-of-the-treatment\">Success percentages of the treatment:<\/h2>\n<p>In obstructive azoospermia (OA), crypto-obstructive azoospermia, necrozoospermia, anejaculation and the recovery rate of sperm has a success percentage close to100% for ICSI. In non-obstructive azoospermia (NOA) and crypto-azoospermia secretory rate of recovery of sperm has a rate of 50% success. Generally the withdrawal is made before testicular ovarian stimulation in the female partner, cryopreservation of the sperm helps save you time and avoid unnecessary hormone treatments for the woman in case of the absence of testicular sperm.<\/p>\n<p>In the period 2003-2011 were carried out a total of 1142 TESE at the Humanitas Fertility Center. It is a major international case study and the results are in line with those obtained in the best international centers.<\/p>\n<p>The rate of sperm retrieval in patients with non-obstructive azoospermia results to be significantly higher in Humanitas Fertility Center than those collected in a recent review of 24 clinical studies (Donoso et al., 2007 &#8211; Humanitas 381\/654 vs 24 clinical studies from Pubmed 909\/1838, p = 0.0001).<\/p>\n<table border=\"0\" cellspacing=\"0\" cellpadding=\"0\" align=\"center\">\n<tbody>\n<tr>\n<td>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Cauza<\/strong><\/td>\n<td>&nbsp;<\/td>\n<td>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>No withdrawals<\/strong><\/td>\n<td>&nbsp;<\/td>\n<td>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Positive samples (%)<\/strong><\/td>\n<td><\/td>\n<td>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Withdrawals negative (%)<\/strong><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Necrozoospermia<br \/>\n+<br \/>\nAnejaculare<\/td>\n<td>&nbsp;<\/td>\n<td>208<\/td>\n<td>&nbsp;<\/td>\n<td>208 (100%)<\/td>\n<td>&nbsp;<\/td>\n<td>0<\/td>\n<\/tr>\n<tr>\n<td>&nbsp;<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>NOA<\/td>\n<td><\/td>\n<td>654<\/td>\n<td><\/td>\n<td>381 (58.2%)<\/td>\n<td><\/td>\n<td>273 (41.8%)<\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>OA<\/td>\n<td><\/td>\n<td>280<\/td>\n<td><\/td>\n<td>279 (99.6%)<\/td>\n<td><\/td>\n<td>1 (0.4%)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"clear: both;\"><\/div>\n<p>&nbsp;<\/p>\n<h2 id=\"informatii-despre-spitalizarea-pacientului\">Informa\u021bii despre spitalizarea pacientului:<\/h2>\n<p>Ce se face \u00eenainte de internare?<\/p>\n<p>Pacientul trebuie s\u0103:<\/p>\n<ul>\n<li>se depileze \u00een diminea\u021ba dinaintea intern\u0103rii, f\u0103r\u0103 s\u0103 foloseasc\u0103 creme depilatoare.<\/li>\n<li>s\u0103 \u00eendep\u0103rteze p\u0103rul de pe gamba st\u00e2ng\u0103<\/li>\n<li>s\u0103 nu m\u0103n\u00e2nce \/ bea dup\u0103 miezul nop\u021bii, \u00een ziua dinaintea opera\u021biei.<\/li>\n<\/ul>\n<p>Ce se face dup\u0103 externare?<\/p>\n<ul>\n<li>pacientul nu poate conduce, este recomandat s\u0103 fie \u00eenso\u021bit pe drumul spre cas\u0103<\/li>\n<li>nu are nicio diet\u0103 dup\u0103 opera\u021bie<\/li>\n<li>s\u0103 ia antibiotice pentru 5 zile.<\/li>\n<li>s\u0103 ia analgezice dac\u0103 este necesar.<\/li>\n<li>abstinen\u021b\u0103 sexual\u0103 \u0219i de la activit\u0103\u021bile sportive pentru 10 zile<\/li>\n<li>este strict interzis \u00eenotatul \u00een piscin\u0103 sau mare, p\u00e2n\u0103 la c\u0103derea sau \u00eendep\u0103rtarea firelor<\/li>\n<li>s\u0103 vin\u0103 din nou la spital la 10 zile dup\u0103 opera\u021bie.<\/li>\n<\/ul>\n","protected":false},"featured_media":0,"template":"","class_list":["post-76423","cure","type-cure","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u00cendep\u0103rtarea spermei - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00cendep\u0103rtarea spermei - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"\u00cendep\u0103rtarea spermei &nbsp; Ce reprezint\u0103 \u00eendep\u0103rtarea spermei? 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Absen\u021ba spermei din materialul seminal nu \u00eenseamn\u0103 c\u0103 aceasta nu mai este produs\u0103 deloc. \u00cen cazul azoospermiei, azoospermie cripto, necrozoospermiei, \u0219i anejacul\u0103rii, sperma poate fi identificat\u0103 \u00een alte loca\u021bii \u2013 testicule sau epididim \u2013 \u0219i chiar poate fi detectat\u0103 chiar \u0219i num\u0103r mic prin recurgerea la alte tehnici. 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