{"id":77633,"date":"2017-02-13T10:44:53","date_gmt":"2017-02-13T10:44:53","guid":{"rendered":"http:\/\/humanitasnet-new.local\/cure\/uklanjanje-sperme\/"},"modified":"2017-02-13T10:44:53","modified_gmt":"2017-02-13T10:44:53","slug":"uklanjanje-sperme","status":"publish","type":"cure","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/treatments\/uklanjanje-sperme\/","title":{"rendered":"Uklanjanje sperme"},"content":{"rendered":"<h1>Uklanjanje sperme<\/h1>\n<p>&nbsp;<\/p>\n<p>Odsustvo sperme u ejakulatu ne zna\u010di da se uop\u0161te ne produkuju. U slu\u010daju azospermije, cripto-azospermije, nekrozospermije, i anejakulacije, sperma mo\u017ee biti identifikovana u drugim lokacijama \u2013 u testisima ili pasemeniku \u2013 \u010dak i u manjim brojevima se mo\u017ee detektovati ako koristimo drugu tehniku. Neki od njih su nam dali mogu\u0107nost da povratimo spermu iz testisa (TEFNA, TESE, microTESE), druge iz pasemenika (PESA, MESA).<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"koje-su-glavne-tehnike-koje-su-povezane-za-uklanjanje-sperme\">Koje su glavne tehnike koje su povezane za uklanjanje sperme?<\/h2>\n<ul>\n<li>Testicular Sperm Extraction \u2013 TESE<\/li>\n<li>Microsurgical Testicular Sperm Extraction \u2013 microTESE<\/li>\n<li>Microsurgical Epididymal Sperm Aspiration \u2013 MESA<\/li>\n<li>Percutaneous Epididymal Sperm Aspiration \u2013 PESA<\/li>\n<\/ul>\n<p>TESE, MESA, I microTESE su hirur\u0161ke procedure, dok TEFNA, PESA procedure izvedene do avgusta sa aspiracijom.<\/p>\n<p>Naru\u010dito:<\/p>\n<ul>\n<li>PESA\/MESA: kolekcija se izvr\u0161ava sa druga\u010dijim tehnikama u pasemeniku, cev koja je spojena sa testisom.<\/li>\n<li>TESA: uzorak se uzima kroz ko\u017ee testisa.<\/li>\n<li>TESE: biopsija tkiva testisa, procedura da izvadi spermu iz malog dela tkiva testisa koja se hirur\u0161ki odstranjuje. TESE se mo\u017ee izvesti pod lokalnom anestezijom, lokoalnoregionalnom ili dubokom sedacijom. Hirurg uti\u010de na tkivo koje pokriva testise (tunica albuginea) ii uzima sekciju tubuli seminiferija, koja je veli\u010dine zrnca narand\u017ee. Ise\u010deni deo je transportovan u sterilnoj tubi biolozima za ekstrakciju sperme. Skupljanje mo\u017ee biti jedinstven ili vi\u0161estruk u istom testisu. U na\u0161em centru mi rutinski izvodimo histolo\u0161ki pregled koja nam omogu\u0107ava da precizno odredimo dijagnozu o azospermiji i prese\u0107i okultni rak, \u010dest u NOA.<\/li>\n<li>PREDNOSTI: Ovo je tehnika koja se koristi u svim formama azospermije i neopstruktivne azospermije. Dozvoljava oporavak i krioprezervaciju najve\u0107i broj sperme.<\/li>\n<li>MANE: hirur\u0161ka procedura se rade u bolnici, mada bolnica nudi kompletan odmor barem 24 do 48 sati.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"koja-je-razlika-u-uzorcima-izmedju-raznih-uzroka-infertiliteta\">Koja je razlika u uzorcima izme\u0111u raznih uzroka infertiliteta?<\/h2>\n<p>Kod nekrozospermije, sperma je prisutna kada osoba ejakulira, ali nije vitalna i ne mo\u017ee biti kori\u0161\u0107ena za asistiranu reprodukcijsku tehniku. U ovakvim slu\u010dajevima jedini na\u010din da dobijete odr\u017eivu spermu je direktno iz testisa.<\/p>\n<p>Kod anejakulacije i pod raznim okolnostima, kao \u0161to su juvenilni dijabetes, neurolo\u0161ki sistematski ishod hirur\u0161kog rasturanja karli\u010dnih maligniteta, mi koristimo skupljanje sperme gonada.<\/p>\n<p>Procenti uspeha tretmana:<\/p>\n<p>U opstruktivnoj azospermiji (OA), kripto-opstruktivne azospermije, nekrozospermije, anejakulacije, i stopa oporavka sperme ima procenat uspe\u0161nosti blizu 100% za ICSI. Kod neopstruktivne azospermije (NOA) i kripto-azospermije sekretorna stopa oporavka sperme ima uspe\u0161nosti od 50% uspeha. Generalno povla\u010denje se koristi pre testikularne ovarijalne stimulacije kod \u017eenskog partnera, krioprezervacija sperme poma\u017ee da se sa\u010duva vreme i izbegnu nepotrebni hormonski tretmani za \u017eene u slu\u010daju nedostatka testikularne sperme.<\/p>\n<p>U periodu izme\u0111u 2003-2011 je ura\u0111eno u totalu 1142 TEST u Humanitas Fertilty Center. To je me\u0111unarodno istra\u017eivanje slu\u010daja I rezultati su u skladu sa dobijenim rezultatima iz najboljih internacionalnih centara.<\/p>\n<p>Stopa povra\u0107aja sperme kod pacijenata sa neopstruktivnom azospermijom proisti\u010de da bude dosta ve\u0107a u Humanitas Fertiliy Center nego one koje su prikupljene u skorijem prikazu 24 klini\u010dkih studija\u00a0 (Donoso et al., 2007 &#8211; Humanitas 381\/654 vs 24 clinical studies from Pubmed 909\/1838, p = 0.0001).<\/p>\n<p>&nbsp;<\/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>Uzrok<\/strong><\/td>\n<td>&nbsp;<\/td>\n<td>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bez povla\u010denja<\/strong><\/td>\n<td>&nbsp;<\/td>\n<td>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Pozitivni uzorci (%)<\/strong><\/td>\n<td><\/td>\n<td>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Povla\u010denje negativno (%)<\/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>Nekrozospermija<br \/>\n+<br \/>\nAnejakulacija<\/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=\"sta-uraditi-pre-prijema\">\u0160ta uraditi pre prijema?<\/h2>\n<p>\u0160ta pacijent mora uraditi:<\/p>\n<ul>\n<li>Depilacija se mora obaviti tokom jutra prijema bez gela za otklanjanje dlaka<\/li>\n<li>Uklanjanje dlaka na levom listu<\/li>\n<li>Dan pre operacije, nije dozvoljeno ni jelo, ni pi\u0107e posle pono\u0107i<\/li>\n<\/ul>\n<p style=\"margin-left: 36.0pt;\">\u0160ta raditi posle otpusta?<\/p>\n<ul>\n<li>Pacijent ne sme voziti I treba mu pratilac do ku\u0107e<\/li>\n<li>Besplatna dijeta posle operacije<\/li>\n<li>Upotreba antibiotika 5 dana<\/li>\n<li>Upotreba analgetika po potrebi<\/li>\n<li>Apstinencija od seksualne I sportske aktivnosti 10 dana<\/li>\n<li>Plivanje u bazenu ili na moru je izrazito zabranjeno, dok se \u0161avovi ne skinu<\/li>\n<li>Kontrolni pregled nakon 10 dana posle operacije<\/li>\n<\/ul>\n","protected":false},"featured_media":0,"template":"","class_list":["post-77633","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>Uklanjanje sperme - 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=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Uklanjanje sperme - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Uklanjanje sperme &nbsp; Odsustvo sperme u ejakulatu ne zna\u010di da se uop\u0161te ne produkuju. U slu\u010daju azospermije, cripto-azospermije, nekrozospermije, i anejakulacije, sperma mo\u017ee biti identifikovana u drugim lokacijama \u2013 u testisima ili pasemeniku \u2013 \u010dak i u manjim brojevima se mo\u017ee detektovati ako koristimo drugu tehniku. Neki od njih su nam dali mogu\u0107nost da povratimo [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/removal-of-sperm\/\" \/>\n<meta property=\"og:site_name\" content=\"Humanitas.net\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/HumanitasInternational\/\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@humanitasmilano\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/removal-of-sperm\/\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/removal-of-sperm\/\",\"name\":\"Uklanjanje sperme - Humanitas.net\",\"isPartOf\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#website\"},\"datePublished\":\"2017-02-13T10:44:53+00:00\",\"dateModified\":\"2017-02-13T10:44:53+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/removal-of-sperm\/#breadcrumb\"},\"inLanguage\":\"sr-RS\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/removal-of-sperm\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/removal-of-sperm\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/humanitas-net.humweb.webiz.team\/sr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Trattamenti\",\"item\":\"https:\/\/humanitas-net.humweb.webiz.team\/cure\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Uklanjanje sperme\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#website\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/\",\"name\":\"Humanitas.net\",\"description\":\"Humanitas Hospital\",\"publisher\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/humanitas-net.humweb.webiz.team\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"sr-RS\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#organization\",\"name\":\"Humanitas\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"sr-RS\",\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg\",\"contentUrl\":\"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg\",\"width\":1,\"height\":1,\"caption\":\"Humanitas\"},\"image\":{\"@id\":\"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/HumanitasInternational\/\",\"https:\/\/x.com\/humanitasmilano\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Uklanjanje sperme - Humanitas.net","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"sr_RS","og_type":"article","og_title":"Uklanjanje sperme - Humanitas.net","og_description":"Uklanjanje sperme &nbsp; Odsustvo sperme u ejakulatu ne zna\u010di da se uop\u0161te ne produkuju. U slu\u010daju azospermije, cripto-azospermije, nekrozospermije, i anejakulacije, sperma mo\u017ee biti identifikovana u drugim lokacijama \u2013 u testisima ili pasemeniku \u2013 \u010dak i u manjim brojevima se mo\u017ee detektovati ako koristimo drugu tehniku. Neki od njih su nam dali mogu\u0107nost da povratimo [&hellip;]","og_url":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/removal-of-sperm\/","og_site_name":"Humanitas.net","article_publisher":"https:\/\/www.facebook.com\/HumanitasInternational\/","twitter_card":"summary_large_image","twitter_site":"@humanitasmilano","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/removal-of-sperm\/","url":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/removal-of-sperm\/","name":"Uklanjanje sperme - Humanitas.net","isPartOf":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#website"},"datePublished":"2017-02-13T10:44:53+00:00","dateModified":"2017-02-13T10:44:53+00:00","breadcrumb":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/removal-of-sperm\/#breadcrumb"},"inLanguage":"sr-RS","potentialAction":[{"@type":"ReadAction","target":["https:\/\/humanitas-net.humweb.webiz.team\/treatments\/removal-of-sperm\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/humanitas-net.humweb.webiz.team\/treatments\/removal-of-sperm\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/"},{"@type":"ListItem","position":2,"name":"Trattamenti","item":"https:\/\/humanitas-net.humweb.webiz.team\/cure\/"},{"@type":"ListItem","position":3,"name":"Uklanjanje sperme"}]},{"@type":"WebSite","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#website","url":"https:\/\/humanitas-net.humweb.webiz.team\/","name":"Humanitas.net","description":"Humanitas Hospital","publisher":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/humanitas-net.humweb.webiz.team\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"sr-RS"},{"@type":"Organization","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#organization","name":"Humanitas","url":"https:\/\/humanitas-net.humweb.webiz.team\/","logo":{"@type":"ImageObject","inLanguage":"sr-RS","@id":"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/","url":"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg","contentUrl":"https:\/\/humanitas-net.humweb.webiz.team\/wp-content\/uploads\/2025\/01\/new-humanitas-logo-1.svg","width":1,"height":1,"caption":"Humanitas"},"image":{"@id":"https:\/\/humanitas-net.humweb.webiz.team\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/HumanitasInternational\/","https:\/\/x.com\/humanitasmilano"]}]}},"acf":[],"_links":{"self":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/wp-json\/wp\/v2\/cure\/77633","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/wp-json\/wp\/v2\/cure"}],"about":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/wp-json\/wp\/v2\/types\/cure"}],"wp:attachment":[{"href":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/wp-json\/wp\/v2\/media?parent=77633"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}