Fertility preservation in uro-oncology.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-12-01 DOI:10.1097/SPC.0000000000000621

Kieran J Moore, Carlos Delgado, Jesse Ory

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引用次数: 0

Abstract

Purpose of review: The purpose of this review is to highlight the demand for fertility preservation among cancer survivors and to draw attention to areas where healthcare workers need to improve. As technology advances, maximizing cryopreservation rates will be paramount to increase the ability individuals to conceive after cancer treatment.

Recent findings: Guidelines recommending discussion of fertility for those diagnosed with cancer have been shown to increase patient satisfaction and overall quality of life. Our review demonstrated that increasing counseling rates remains an ongoing challenge and should remain an area of improvement for all healthcare professionals working in the oncology field. Formal programs to improve patient and provider education and access to fertility preservation increase uptake of fertility preservation. For men, many options exist to cryopreserve sperm; a slight delay to achieve fertility preservation has not been shown to lead to worse outcomes. Cryopreservation strategies differ based on puberty status and remain an active area of clinical research.

Summary: Improving fertility outcomes for cancer survivors is possible with appropriate counseling techniques at the time of cancer diagnosis. Clinicians should challenge current barriers for patient access to fertility preservation surrounding cancer treatments.

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泌尿肿瘤中的生育能力保存。

综述的目的:本综述的目的是强调癌症幸存者对生育能力保存的需求，并提请注意卫生保健工作者需要改进的领域。随着技术的进步，最大限度地提高冷冻保存率对于提高个体在癌症治疗后怀孕的能力至关重要。最近的研究发现:指南建议对那些被诊断为癌症的人讨论生育问题，这已被证明可以提高病人的满意度和整体生活质量。我们的回顾表明，提高咨询率仍然是一个持续的挑战，应该继续是所有在肿瘤领域工作的医疗保健专业人员的改进领域。正式的方案，以提高患者和提供者的教育和获得生育能力保存增加吸收生育能力保存。对于男性来说，冷冻保存精子有很多选择;为了保持生育能力而进行的轻微延迟并没有显示会导致更糟糕的结果。冷冻保存策略因青春期状态而异，仍然是临床研究的活跃领域。摘要:在癌症诊断时采用适当的咨询技术，可以改善癌症幸存者的生育结果。临床医生应该挑战目前患者在癌症治疗中获得生育能力保护的障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.