Neurocritical Care

, Volume 12, Issue 3, pp 445–449

Sperm Retrieval During Critical Illness

  • David J. Powner
  • Jon A. Rumohr
  • Larry I. Lipshultz
Ethical Matters

DOI: 10.1007/s12028-010-9333-6

Cite this article as:
Powner, D.J., Rumohr, J.A. & Lipshultz, L.I. Neurocrit Care (2010) 12: 445. doi:10.1007/s12028-010-9333-6

Abstract

Objective of this study is to review technical methods to retrieve sperm from critically ill/injured patients after an appropriate family request, possible harmful effects on sperm production/function by ICU medications or concurrent illnesses, and ethical considerations for hospitals and care providers in providing this resource. Design used for this study includes: literature review, PubMed 1998–2009, and authors’ files. There are no interventions. In conclusion, although successful and unsuccessful pregnancies following sperm removal from critically-ill patients are reported, no firm probability predictions for either result are known. Acute and chronic diseases that effect the hypothalamic–pituitary–gonadal axis and multiple medications common to the ICU may reduce sperm production or function. Retrieval methods before and after cardio-respiratory death differ and often require intracytoplasmic sperm injection or other in vitro fertilization techniques to achieve a subsequent pregnancy. The proactive development of a collaborative policy/procedure to identify appropriate roles for the hospital, its employees, and affiliated critical care and urology physicians is strongly recommended.

Keywords

Critical illness Reproductive medicine Spermatozoa Brain death Coma Brain damage Chronic 

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • David J. Powner
    • 1
  • Jon A. Rumohr
    • 2
    • 3
  • Larry I. Lipshultz
    • 2
  1. 1.Departments of Neurosurgery and Internal MedicineUniversity of Texas Health Sciences Center at Houston Medical SchoolHoustonUSA
  2. 2.Scott Department of UrologyBaylor College of MedicineHoustonUSA
  3. 3.Kelsey-Seybold ClinicHoustonUSA

Personalised recommendations