Robotic Surgery for Male Infertility

Darves-Bornoz, Annie; Panken, Evan J.; Brannigan, Robert E.; Halpern, Joshua A.

doi:10.1016/j.ucl.2020.09.009

Cited by 14 publications

(18 citation statements)

References 31 publications

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“…44 In urology, robotic microsurgery has been used in vasoepididymostomy, subinguinal varicocelectomy, spermatic cord denervation, vasovasostomy, testicular artery reanastomosis, and vasectomy reversal. Studies 3,24,25 claim that robotics is a promising and effective technique in this filed, which yields results that are satisfactory and superior to those of conventional surgery.…”

Section: Discussionmentioning

confidence: 99%

Existe espaço para a microcirurgia na cirurgia robótica?

Silva

Busnello

Cesarino

et al. 2022

Rev Bras Ortop (Sao Paulo)

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ResumoA cirurgia robótica abriu uma nova era de procedimentos minimamente invasivos, por meio da sua precisão, da eliminação dos tremores, e dos maiores graus de liberdade e demais aspectos facilitadores. O campo da microcirurgia robótica apresentou grande crescimento nos últimos anos em especial, uma vez que a robótica oferece uma configuração potencialmente ideal para realização das manipulações delicadas exigidas na microcirurgia. Assim, conduzimos uma revisão sistemática com o objetivo de avaliar os benefícios da cirurgia robótica e sua contribuição para a microcirurgia, comparando-a com as demais técnicas cirúrgicas utilizadas em pacientes de todas as faixas etárias. Foram analisados 25 artigos encontrados nas bases de dados PubMed e Cochrane utilizando os descritores robotic surgery AND microsurgery com filtro para os últimos cinco anos, e estudos realizados em humanos e publicados em inglês ou português. Concluímos que existe grande espaço para a cirurgia robótica na microcirurgia, como em procedimentos primários de infertilidade masculina, microcirurgia neurológica, cirurgias oculares e otológicas, cirurgia transoral, hepatobiliar, microvascular, e cirurgia plástica e reconstrutiva.

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Section: Discussionmentioning

confidence: 99%

Existe espaço para a microcirurgia na cirurgia robótica?

Silva

Busnello

Cesarino

et al. 2022

Rev Bras Ortop (Sao Paulo)

View full text Add to dashboard Cite

show abstract

“…Robotics have since had uptake in many other specialties, with its first use in urology in 1989, and has now become the standard method for many procedures [ 43 ]. The daVinci ® surgical robot is currently the only USA Food and Drug Administration-approved device, and within male infertility, it has evolved as a possible adaptation from traditional microsurgery, given its potential benefits such as improved visualization, ergonomics, reduction in tremor, and potential to obviate the need for a surgical assistant [ 44 , 45 ].…”

Section: Robotics and Male Infertility Microsurgerymentioning

confidence: 99%

“…Since this time, robotic microsurgery has been completed for vasectomy reversal in humans. While there have been multiple published reports, to date, there continues to be limited widespread adoption [ 44 ]. One such study demonstrated comparable clinical outcomes, but only demonstrated reduced operative time after a higher number of cases were completed [ 47 ].…”

Section: Robotics and Male Infertility Microsurgerymentioning

confidence: 99%

“…One such study demonstrated comparable clinical outcomes, but only demonstrated reduced operative time after a higher number of cases were completed [ 47 ]. Other procedures which have been examined include varicocelectomy, spermatic cord denervation, and microdissection testicular sperm extraction, but again the uptake has been limited [ 44 ]. However, an additional benefit of robotics in male infertility may be for complex cases which may require a large incision for an open procedure.…”

Section: Robotics and Male Infertility Microsurgerymentioning

confidence: 99%

“…This may require deep access to areas such as the pelvis, which may allow for much smaller port incisions [ 47 ]. To date, as previously discussed, reasons for ongoing slow adoption include limited high-quality data, limited feedback on delicate tissue handling ability, cost, and lack of benefit over other technologies such as video microsurgery [ 44 ]. A recent expert debate also suggests that at this time, no substantial clinical evidence exists suggesting improved outcomes, but instead may require extra microsurgical training coupled with extensive costs that come with robotic surgery [ 48 ].…”

Section: Robotics and Male Infertility Microsurgerymentioning

confidence: 99%

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Technological Advancements in Male Infertility Microsurgery

Punjani

Kang

Lee

et al. 2021

JCM

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There have been significant advancements in male infertility microsurgery over time, and there continues to be significant promise for new and emerging techniques, technologies, and methodologies. In this review, we discuss the history of male infertility and the evolution of microsurgery, the essential role of education and training in male infertility microsurgery, and new technologies in this space. We also review the potentially important role of artificial intelligence (AI) in male infertility and microsurgery.

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Effects of zinc chloride on boar sperm quality during liquid storage at 17°C

2023

Veterinary Medicine & Sci

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Objectives:The aim of this study was to evaluate the effects of zinc chloride (ZnCl 2 ) at 20, 50, 100, and 200 μg/mL on the quality of seminal plasma-free boar sperm stored at 17 • C for 7 days and to explore the underlying mechanisms.Methods: Boar sperm were collected and incubated in non-capacitation/capacitation medium to analyze sperm quality. Results:In the non-capacitated state, the addition of ZnCl 2 at 20 and 50 μg/mL improved the survival rate and plasma membrane integrity of boar sperm (p < 0.05).Compared to the control group, the addition of ZnCl 2 significantly increased total antioxidative capacity and CuZn superoxide dismutase activity, while reducing the malondialdehyde content (p < 0.05). ZnCl 2 at 100 and 200 μg/mL significantly decreased sperm motility, protein kinase A (PKA) substrate phosphorylation, and tyrosine phosphorylation. These proteins were mainly located on the mid-pieces of the flagellum.The addition of ZnCl 2 at 20 and 50 μg/mL conveyed a protective effect to boar sperm stored at 17 • C. Furthermore, ZnCl 2 at 100 and 200 μg/mL inhibited sperm motility via tyrosine phosphorylation, thus preventing the 'capacitation-like' state. In the capacitated state, there was no change in PKA substrate phosphorylation and tyrosine phosphorylation of the mid-pieces of the flagellum compared to the control groups, indicating that the addition of Zn 2+ did not negatively affect capacitation of preserved sperm. Conclusions:ZnCl 2 showed protective capacity to the preservation extender used for boar sperm during the process of 17 • C storage, and the optimal concentration of ZnCl 2 for the preservation extender was 100 μg/mL.

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Robotic Surgery for Male Infertility

Cited by 14 publications

References 31 publications

Existe espaço para a microcirurgia na cirurgia robótica?

Existe espaço para a microcirurgia na cirurgia robótica?

Technological Advancements in Male Infertility Microsurgery

Effects of zinc chloride on boar sperm quality during liquid storage at 17°C

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