Ethical Dimensions of Urology: Four Case Studies

  • Marc S. CohenEmail author
  • Ray E. Moseley


In recent years, the progression of medical science has led to what used to be extremely rare ethical problems on the cutting edge of urological management of male infertility to become a more routine part of urological practice. These ethical problems, even though they have become more common in urological practice, still cause significant issues for the physician. In this chapter we discuss four cases that illustrate the ethical problems associated with identification and framing of the ethical problem, analysis of the problem, and the resolution of the problem. The basic purpose of these case discussions is that it is much easier to avoid and/or satisfactorily resolve an ethical problem when it is recognized early before a crisis mode arises or before poor ethical decisions are made and have to be unraveled after the fact. These cases represent four possible scenarios but are by no means exhaustive of the possible ethical issues that may arise from the current urological practice.


Urology case studies Ethics in urology Male infertility Patient assent Ethical dilemmas in urology Cryopreservation Legal concerns 


  1. 1.
    Neal MS, Nagel K, Duckworth J, Bissessar H, Fischer MA, Portwine C, Tozer R, Barr RD. Effectiveness of sperm banking in adolescents and young adults with cancer: a regional experience. Cancer. 2007;110:1125–30.PubMedCrossRefGoogle Scholar
  2. 2.
    Miller VA, Drotar D, Kodish E. Children’s competence for assent and consent: a review of empirical findings. Ethics Behav. 2004;14:255–96.PubMedCrossRefGoogle Scholar
  3. 3.
    Covey Stephen R. The seven habits of highly effective people: powerful lessons in personal change. New York: Simon and Schuster Inc; 1990. p. 237.Google Scholar
  4. 4.
    Goldstein MM. Health information technology and the idea of informed consent. J Law Med Ethics. 2010;38:27–36.PubMedCrossRefGoogle Scholar
  5. 5.
    Howard G. Who asks for vasectomy reversal and why? Br Med J (Clin Res Ed). 1982;285:490–3.CrossRefGoogle Scholar
  6. 6.
    Lachance D. In re Grady: the mentally retarded individual’s right to choose sterilization. Am J Law Med. 1981;6:559–91.PubMedGoogle Scholar
  7. 7.
    Zuba-Ruggieri R. Making links, making connections: internet resources for self-advocates and people with developmental disabilities. Intellect Dev Disabil. 2007;45:209–16.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of UrologyShands at the University of FloridaGainesvilleUSA
  2. 2.Department of Community Health and Family MedicineUniversity of Florida Health Science CenterGainesvilleUSA

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