辅助生殖技术(ART)的进步导致了对死后精子回收(PMER)的要求增加。这些技术的使用通常与法律联系在一起,伦理和医学/随意性问题。这项工作的目的是使用两个真实案例分析西班牙PMER的技术和法律方面,并建立准则以帮助PMER请求后的决策。
介绍了两个实际案例,其中要求使用PMER,以及近年来在西班牙发布的其他案例。我们继续阐述验尸ART案例中使用的技术,特别是在PMER中,并对当前的法律框架进行了详细研究。
在西班牙,我们有关于ART的完整法律。第9条明确要求已故男性伴侣在接下来的12个月内使用其生殖材料的授权。关于PMER,技术和后勤方面的考虑需要快速和有组织的决策。直到提取的时间不应超过死亡后24-36小时,并且必须选择良好的生物材料。
医学科学的进步现在允许PMER和事后ART的使用。对技术有很好的了解,后勤和法律方面对于快速和协调的行动是必要的。
Advances in assisted reproductive techniques (ART) have caused an increase in requests for postmortem sperm retrieval (PMER). The use of these techniques is usually tied to legal, ethical and medical/casuistic problems. The objective of this work is to analyze technical and legal aspects of PMER in Spain using two real cases and to establish guidelines to help in decision-making after a PMER request.
Two real cases in which a PMER was requested and others published in Spain in recent years are presented. We proceed to an exposition of the techniques used in postmortem ART cases and specifically in PMER, and a detailed study of the current legal framework is carried out.
In Spain we have a complete law on ART. Article 9 expressly requires an authorization from the deceased male partner for the use of his reproductive material in the following 12 months. Regarding the PMER, technical and logistical considerations require a quick and organized decision-making. The time until extraction should not exceed 24-36hours from death and a good choice of biological material is essential.
Medical-scientific advances now allow PMER and the use of postmortem ART. A good knowledge of the technical, logistical and legal aspects is necessary for a fast and coordinated action.