Recuperación espermática post mortem: análisis técnico y legislativo en España a propósito de dos casos

IF 0.8 4区 医学 Q4 ANDROLOGY Revista Internacional De Andrologia Pub Date : 2022-10-01 DOI:10.1016/j.androl.2021.02.002
Esther García Rojo , Saturnino Lujan , Manuel Alonso Isa , Borja García Gómez , José Medina Polo , Javier Romero Otero
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Abstract

Introduction and objectives

Advances in assisted reproductive techniques (ART) have caused an increase in requests for postmortem sperm retrieval (PMER). The use of these techniques is usually tied to legal, ethical and medical/casuistic problems. The objective of this work is to analyze technical and legal aspects of PMER in Spain using two real cases and to establish guidelines to help in decision-making after a PMER request.

Material and methods

Two real cases in which a PMER was requested and others published in Spain in recent years are presented. We proceed to an exposition of the techniques used in postmortem ART cases and specifically in PMER, and a detailed study of the current legal framework is carried out.

Results

In Spain we have a complete law on ART. Article 9 expressly requires an authorization from the deceased male partner for the use of his reproductive material in the following 12 months. Regarding the PMER, technical and logistical considerations require a quick and organized decision-making. The time until extraction should not exceed 24–36 hours from death and a good choice of biological material is essential.

Conclusions

Medical-scientific advances now allow PMER and the use of postmortem ART. A good knowledge of the technical, logistical and legal aspects is necessary for a fast and coordinated action.

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【死后取精:西班牙两例报告及技术和立法回顾】。
摘要辅助生殖技术(ART)的进步导致死后精子提取(PMER)的需求增加。这些技术的使用通常与法律、伦理和医疗/诡辩问题有关。这项工作的目的是利用两个真实案例分析西班牙PMER的技术和法律方面,并建立指导方针,以帮助在PMER请求后做出决策。材料和方法介绍了两个实际案例,其中一个PMER被要求和其他近年来在西班牙发表。我们继续对死后ART案例中使用的技术进行阐述,特别是在PMER中,并对当前的法律框架进行了详细研究。结果在西班牙,我们有完整的ART法律。第9条明确要求在今后12个月内使用其生殖材料必须得到已故男性伴侣的授权。关于PMER,技术和后勤方面的考虑需要快速和有组织的决策。从死亡到提取的时间不应超过24-36小时,选择好的生物材料至关重要。结论医学科学的进步现在允许PMER和死后ART的使用。良好的技术、后勤和法律方面的知识是快速和协调行动所必需的。
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来源期刊
CiteScore
1.60
自引率
12.50%
发文量
54
审稿时长
>12 weeks
期刊介绍: Revista Internacional de Andrología es la revista oficial de la Asociación Española de Andrología, Medicina Sexual y Reproductiva (ASESA), la Sociedade Portuguesa de Ardrologia, la Sociedad Argentina de Andrología (SAA), la Asociación Iberoamericana de Sociedades de Andrología (ANDRO), y la Federación Española de Sociedades de Sexología. La revista publicada trimestralmente es revisada por pares y es líder en el la especialidad y en español y portugués. Recientemente también publica artículos en inglés. El objetivo de la revista es principalmente la promoción del conocimiento y la educación médica continua, con un enfoque especial en el público español y latinoamericano, a través de la publicación de las contribuciones importantes de la investigación en el campo. Todos los miembros de las sociedades antes mencionadas reciben la revista y otros suscriptores individuales e institucionales de España, Portugal y América Latina.
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