PROSPECTS FOR FERTILITY IN PATIENTS BORN WITH GENITOURINARY ANOMALIES
2001; Lippincott Williams & Wilkins; Volume: 165; Issue: 6 Part 2 Linguagem: Inglês
10.1016/s0022-5347(05)66202-7
ISSN1527-3792
Autores Tópico(s)Pediatric Urology and Nephrology Studies
ResumoNo AccessJournal of UrologyJohn W. Duckett, Jr. Lecture1 Jun 2001PROSPECTS FOR FERTILITY IN PATIENTS BORN WITH GENITOURINARY ANOMALIES C.R.J. WOODHOUSE C.R.J. WOODHOUSEC.R.J. WOODHOUSE View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)66202-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The effect of congenital genitourinary anomalies on fertility and the impact of current therapies are reviewed. Materials and Methods: The literature of each of the 2 components was used to define the present status and to make proposals for future management. Results: Infertility may be caused by gonadal failure (intersex states), failure of sperm transport (exstrophy) or both (bilateral undescended testes). In some conditions it is uncertain whether there are any fertility problems despite an identifiable genital problem. In cases of unilateral undescended testis the fertility rate may be unaffected by surgery and be no different from that in the normal population. Techniques of in vitro fertilization, particularly intracytoplasmic sperm injection, have allowed previously untreatable patients to become parents. Successful pregnancies in patients who had the prune belly syndrome and Klinefelter's syndrome have been reported in the last year. Conclusions: Prospects for fertility with current techniques and those that might be discovered in the next 20 years should strongly influence decisions about the treatment of infants and children. References 1 : Significance of epididymal and ductal anomalies associated with testicular maldescent. J Urol1989; 142: 556. Link, Google Scholar 2 : Significance of epididymal and ductal anomalies associated with undescended testis: a study in 652 cases. Urology1994; 43: 857. Google Scholar 3 : Maldescended testes and fertility: a review of 68 cases. 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Link, Google Scholar From the Institute of Urology and Nephrology, University College London, London, England© 2001 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited By (2018) Reply by AuthorsJournal of Urology, VOL. 199, NO. 1, (309-310), Online publication date: 1-Jan-2018.PATIL K, DUFFY P, WOODHOUSE C and RANSLEY P (2018) LONG-TERM OUTCOME OF FOWLER-STEPHENS ORCHIOPEXY IN BOYS WITH PRUNE-BELLY SYNDROMEJournal of Urology, VOL. 171, NO. 4, (1666-1669), Online publication date: 1-Apr-2004. Volume 165Issue 6 Part 2June 2001Page: 2354-2360 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.Keywordsurogenital systemabnormalitiesfertilityMetricsAuthor Information C.R.J. WOODHOUSE More articles by this author Expand All Advertisement PDF DownloadLoading ...
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