Comparison of three methods of penile vibratory stimulation (PVS) in men with spinal cord injury (SCI)

Chong, W.; Ibrahim, Emad; Aballa, Teodoro C.; Lynne, C.; Brackett, Nancy L.

doi:10.1016/j.fertnstert.2015.07.026

Cited by 1 publication

(1 citation statement)

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“…20 Viberect-X3 may also be used for simultaneous dorsal and frenular stimulation; however, patient satisfaction scores are lower for the Viberect-X3 than for 2 FertiCare devices. 21 Some extragenital somatic responses may be seen in reaction to PVS, and these indicate that ejaculation is imminent. Increased spasticity below the level of injury and tightening of the abdominal and/or intercostal muscles may occur.…”

Section: Ejaculatory Dysfunctionmentioning

confidence: 99%

Reproductive Health of Men with Spinal Cord Injury

Sinha

Elliott

Ibrahim

et al. 2017

Topics in Spinal Cord Injury Rehabilitation

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Most men with spinal cord injury (SCI) are infertile due to a combination of erectile dysfunction, ejaculatory dysfunction, and abnormal semen quality. This article addresses issues that should be considered when managing the reproductive health of men with SCI. The authors present recommendations based on their decades of experience in managing the reproductive health of more than 1,000 men with SCI. Men with SCI face obstacles when pursuing sexual activity and/or biologic fatherhood. Hypogonadism and premature symptoms of aging may interfere with sexual function. Erectile dysfunction is prevalent in the SCI population, and treatments for erectile dysfunction in the general population are also effective in the SCI population. Most men with SCI cannot ejaculate with sexual intercourse. The procedures of penile vibratory stimulation (PVS) and/or electroejaculation (EEJ) are effective in obtaining an ejaculate from 97% of men with SCI. The ejaculate often contains sufficient total motile sperm to consider the assisted conception procedures of intrauterine insemination or even intravaginal insemination at home. If PVS and/or EEJ fail, sperm may be retrieved surgically from the testis or epididymis. Surgical sperm retrieval typically yields enough motile sperm only for in vitro fertilization with intracytoplasmic sperm injection. The majority of new cases of SCI occur in young men at the peak of their reproductive health. With proper medical management, these men can expect to experience active sexual lives and biologic fatherhood, if these are their goals. Numerous tools are available to physicians for helping these patients reach their goals.

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Section: Ejaculatory Dysfunctionmentioning

confidence: 99%