“…These results highlight that it is difficult to trigger anterograde ejaculation in patients with SCI who have a flaccid perineum, even with midodrine, corroborating results in the literature. 6,21 In this specific population of patients with SCI, the rate of ejaculation by VM varies from 11.5 to 35%, 3,4,21 whereas in patients with supra-sacral SCI, the rate is 50-90%. 3,4 This demonstrates the importance of systematically seeking sperm in the urine in the case of antegrade anejaculation with VM ± midodrine (following alkalinisation and Ferticult).…”