Resultaten van semencryopreservatie en gebruik voor kunstmatige voortplantingstechnieken bij 898 mannen met kanker: Semencryopreservatie bij mannen met kanker

Abstract

Laparoscopic radical cystectomy in a non-academic center by a single surgeon in 94 cases Objective:: To determine how often cryopreserved semen from cancer patients is used and the success rate of assisted reproductive technology (ART) in this group. Design:: Retrospective data analysis. Setting:: Academic tertiary referral fertility centre. Patients:: 898 male cancer patients who cryopreserved semen between 1983-2013. Intervention:: Follow-up of all ART treatments. Main outcome measures:: Usage rate of cryopreserved semen and success rate of assisted reproductive technology in achieving parenthood. Results:: 898 patients cryobanked their semen. 96 patients used their cryopreserved semen for ART (10,7%). The clinical pregnancy rate for intra-uterine insemination (IUI), in vitro fertilisation (IVF), intracytoplasmic sperm injection (ICSI) and cryo embryo transfer (ET) were 14%, 37%, 38% and 18%, respectively. A total of 77% of the couples achieved parenthood. Conclusions:: Although the success rates of ART are impressive, the usage rate of cryopreserved semen in cancer patients is (too) low.