Ejaculatory Disorders in Men with Spinal Cord Injury

TY - JOUR

T1 - Ejaculatory Disorders in Men with Spinal Cord Injury

AU - Fode, Mikkel

AU - Krogh-Jespersen, S.

AU - Brackett, N.L.

AU - Ohl, D.A.

AU - Lynne, C.M.

AU - Sønksen, Jens

PY - 2011

Y1 - 2011

N2 - Spinal cord injury (SCI) most often affects younger men, rendering them unable to ejaculate and therefore incapable of fathering children without medical assistance. Furthermore, most men with SCI have low sperm motility and low sperm viability, probably due to alterations in the seminal plasma and the immune system following the injury. The first choice to induce ejaculation in men with SCI is penile vibratory stimulation (PVS). When this is not successful, the second choice is electroejaculation (EEJ), which is almost always successful. Only if both of these procedures fail should surgical sperm retrieval be considered. In many cases, ejaculation via PVS can be carried out by the patient and his partner at home, followed by home insemination if circumstances and sperm quality are adequate. Other reproductive options include intrauterine insemination (IUI), in vitro fertilisation (IVF) and intracytoplasmic sperm injection (ICSI), depending on the motile sperm count of the patient. Numerous studies have revealed a lack of differences in parenting styles and outcomes in children of individuals with and without SCI.

AB - Spinal cord injury (SCI) most often affects younger men, rendering them unable to ejaculate and therefore incapable of fathering children without medical assistance. Furthermore, most men with SCI have low sperm motility and low sperm viability, probably due to alterations in the seminal plasma and the immune system following the injury. The first choice to induce ejaculation in men with SCI is penile vibratory stimulation (PVS). When this is not successful, the second choice is electroejaculation (EEJ), which is almost always successful. Only if both of these procedures fail should surgical sperm retrieval be considered. In many cases, ejaculation via PVS can be carried out by the patient and his partner at home, followed by home insemination if circumstances and sperm quality are adequate. Other reproductive options include intrauterine insemination (IUI), in vitro fertilisation (IVF) and intracytoplasmic sperm injection (ICSI), depending on the motile sperm count of the patient. Numerous studies have revealed a lack of differences in parenting styles and outcomes in children of individuals with and without SCI.

M3 - Review

SN - 1758-3829

VL - 6

SP - 49

EP - 55

JO - European Urological Review

JF - European Urological Review

IS - 1

ER -