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Vol. 44. Issue 5.
Pages 314-320 (June 2020)
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Vol. 44. Issue 5.
Pages 314-320 (June 2020)
Review article
Surgical treatment for male infertility
Tratamiento quirúrgico de la infertilidad masculina
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3
C.A. Zambrano Serranoa, A. Carvajal Obandob,
Corresponding author
ac@sexualidadyfertilidad.com

Corresponding author.
a Residente Urología, Universidad CES, Medellín, Colombia
b Urólogo-Andrólogo, Profesor Universidad CES, Medellín, Colombia
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Abstract

Given the nature of the multiple causes of male infertility, some of them are “reversible” and can be managed with a surgical procedure to recover, in some cases, the fertilizing capacity of the male reproductive tract. With appropriate use of diagnostic tools and clinical judgment, the physician can identify the ideal candidates for these procedures. Together with the expertise and experience of the surgeon, these treatments can manage to resolve the barrier, and men may become fertile again. In this chapter, we will review some of the most commonly used surgical procedures for the treatment of male infertility and make a brief description of their technical details.

Keywords:
Varicocele
Vasectomy reversal
Microsurgery
Sperm retrieval
Resumen

Dada la naturaleza de las múltiples causas de infertilidad masculina, algunas de ellas son «reversibles» y pueden manejarse con un procedimiento en cirugía para recuperar, en algunos casos, la capacidad fertilizante del tracto reproductivo masculino. Con la adecuada utilización de herramientas diagnósticas y del juicio clínico, el médico puede identificar candidatos ideales para estos procedimientos, y sumado a la pericia y experiencia del cirujano, conseguir resolver la barrera para retornar la posibilidad al varón para fecundar a su pareja. En este capítulo revisaremos algunos de los procedimientos quirúrgicos más utilizados en infertilidad masculina y realizaremos una breve descripción de sus detalles técnicos.

Palabras clave:
Varicocele
Reversión de vasectomía
Microcirugía
Recuperación espermática

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