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Brady AM, Ohl DA, Dupree JM, Xu M, Sønksen JOR, Jensen CFS. Case of the Month from Herlev and Gentofte University Hospital, Herlev, Denmark: Ablation of spermatogenesis due to acute spinal cord injury: a case report. BJU Int 2022; 130:303-305. [PMID: 35998908 DOI: 10.1111/bju.15747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 03/17/2022] [Accepted: 04/10/2022] [Indexed: 11/26/2022]
Affiliation(s)
- Alyson M Brady
- Assisted Reproduction Laboratory, Center for Reproductive Medicine, University of Michigan, Ann Arbor, MI, USA
| | - Dana A Ohl
- Department of Urology, University of Michigan, Ann Arbor, MI, USA
| | - James M Dupree
- Department of Urology, University of Michigan, Ann Arbor, MI, USA
| | - Min Xu
- Assisted Reproduction Laboratory, Center for Reproductive Medicine, University of Michigan, Ann Arbor, MI, USA
| | - Jens O R Sønksen
- Department of Urology, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark
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Anderson R, Moses R, Lenherr S, Hotaling JM, Myers J. Spinal cord injury and male infertility-a review of current literature, knowledge gaps, and future research. Transl Androl Urol 2018; 7:S373-S382. [PMID: 30159244 PMCID: PMC6087847 DOI: 10.21037/tau.2018.04.12] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2018] [Accepted: 04/04/2018] [Indexed: 12/15/2022] Open
Abstract
Spinal cord injury (SCI) affects nearly half a million new patients worldwide, with 17,700 in the US each year, and disproportionately impacts young males of reproductive age. Almost every aspect of male reproduction is affected by SCI, resulting in: erectile, endocrine and sexual dysfunction, decreased sperm motility despite an often-normal count, and abnormal semen emission and ejaculation. The aim of this review is to focus on how SCI impacts testicular spermatogenesis, sperm function, semen quality, and overall fecundity while discussing what is not known, and future avenues for research.
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Affiliation(s)
- Ross Anderson
- Department of Surgery, Division of Urology, University of Utah, Salt Lake City, Utah, USA
| | - Rachel Moses
- Department of Surgery, Division of Urology, University of Utah, Salt Lake City, Utah, USA
| | - Sara Lenherr
- Department of Surgery, Division of Urology, University of Utah, Salt Lake City, Utah, USA
| | - James M Hotaling
- Department of Surgery, Division of Urology, University of Utah, Salt Lake City, Utah, USA
| | - Jeremy Myers
- Department of Surgery, Division of Urology, University of Utah, Salt Lake City, Utah, USA
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Sánchez-Ramos A, Vargas-Baquero E, Martin-de Francisco FJ, Godino-Durán JA, Rodriguez-Carrión I, Ortega-Ortega M, Mordillo-Mateos L, Coperchini F, Rotondi M, Oliviero A, Mas M. Early spermatogenesis changes in traumatic complete spinal cord-injured adult patients. Spinal Cord 2017; 55:570-574. [DOI: 10.1038/sc.2016.184] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2016] [Revised: 11/17/2016] [Accepted: 11/24/2016] [Indexed: 01/21/2023]
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Dimitriadis F, Karakitsios K, Tsounapi P, Tsambalas S, Loutradis D, Kanakas N, Watanabe NT, Saito M, Miyagawa I, Sofikitis N. Erectile function and male reproduction in men with spinal cord injury: a review. Andrologia 2010; 42:139-65. [DOI: 10.1111/j.1439-0272.2009.00969.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
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Brown DJ, Hill ST, Baker HWG. Male fertility and sexual function after spinal cord injury. PROGRESS IN BRAIN RESEARCH 2006; 152:427-39. [PMID: 16198718 DOI: 10.1016/s0079-6123(05)52029-6] [Citation(s) in RCA: 71] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
Abstract
Spinal cord injury has an enormous impact upon the sexual relationship of a man and his partner. Erection may be partial or absent, orgasm altered or impossible, and fertility severely impaired. New understanding of the physiology of sexual function and improved treatment can enable most cord-injured men to achieve erections suitable for sexual satisfaction. Modern methods of sperm collection and fertility treatment mean that many can also be fathers. The best results are obtained by a team approach involving rehabilitation and reproductive medicine clinicians, nurses, spinal cord injury specialists and counselors with the cord-injured man and his partner. Erections can be achieved by drugs, such as sildenafil, that block phosphodiesterase 5, prolonging the action of nitric oxide with resultant smooth muscle relaxation. Intracavernosal prostaglandin E1 and mechanical systems, such as vacuum pumps and constriction rings, are also effective. Sexual gratification can be promoted in the context of an understanding relationship in which the cord-injured person can gain pleasure from pleasing his partner and also from his partner's exploration of erotogenic areas not affected by the spinal cord injury. An emphasis on the broader view of sexuality in relationships allows for a continuance and strengthening of bonds between the couple. Vibration ejaculation or electroejaculation can be used to collect semen. For a limited period in the acute phase, usually for about 6-12 days after injury, normal semen can be obtained by electroejaculation from some cord-injured men. With chronic spinal cord injury the semen is of variable quality. Some patients have necrospermia, which may be improved by regular ejaculation. Others have poor quality semen or spermatogenic disorders and, in this situation, in vitro fertilization techniques must be used to achieve parenthood. Trials of assisted ejaculation help individualize cost-effective management of the infertility.
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Affiliation(s)
- D J Brown
- Victorian Spinal Cord Service, Austin Health, Heidelberg, Vic., Australia.
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Das S, Soni BM, Sharma SD, Gazvani R, Lewis-Jones DI. A case of rapid deterioration in sperm quality following spinal cord injury. Spinal Cord 2005; 44:56-8. [PMID: 16010279 DOI: 10.1038/sj.sc.3101786] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
STUDY DESIGN Case report. SETTING Northwest Regional Spinal Injuries Unit, Southport, UK and Reproductive Medicine Unit, Liverpool Women's Hospital, Liverpool, UK. CASE REPORT A 28-year-old man suffered from paraplegia on sustaining a fall. Fertility preservation was an important aspect of his treatment and electro-ejaculation and cryopreservation of sperm was possible within days of sustaining the fall. The sperm samples obtained subsequently showed a rapid decline in quality. Frozen sperm from the first normal ejaculate obtained soon after the injury was used for assisted reproduction and has resulted in an ongoing pregnancy. CONCLUSION This case highlights the importance of collection and freezing of seminal fluid within 2 weeks of spinal cord injury (SCI), or earlier to improve fertility outcomes in spinal cord-injured men, as the clinical stability of the patient may allow.
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Affiliation(s)
- S Das
- Hewitt Centre for Reproductive Medicine, Liverpool Women's Hospital, Liverpool, UK
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Sønksen J, Ohl DA. Penile vibratory stimulation and electroejaculation in the treatment of ejaculatory dysfunction. INTERNATIONAL JOURNAL OF ANDROLOGY 2002; 25:324-32. [PMID: 12406364 DOI: 10.1046/j.1365-2605.2002.00378.x] [Citation(s) in RCA: 100] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
The purpose of this review is to present the current understanding of penile vibratory stimulation (PVS) and electroejaculation (EEJ) procedures and its clinical use in men with ejaculatory dysfunction. Unfortunately, the record of treating such individuals has been quite poor, but within recent years development and refinement of PVS and EEJ in men with spinal cord injury (SCI) has significantly enhanced the prospects for treatment of ejaculatory dysfunction. The majority of spinal cord injured men are not able to produce antegrade ejaculation by masturbation or sexual stimulation. However, approximately 80% of all spinal cord injured men with an intact ejaculatory reflex arc (above T10) can obtain antegrade ejaculation with PVS. Electroejaculation may be successful in obtaining ejaculate from men with all types of SCI, including men who do not have major components of the ejaculatory reflex arc. Because vibratory stimulation is very simple in use, non-invasive, it does not require anaesthesia and is preferred by the patients when compared with EEJ, PVS is recommended to be the first choice of treatment in spinal cord injured men. Furthermore, EEJ has been successfully used to induce ejaculation in men with multiple sclerosis and diabetic neuropathy. Any other conditions which affect the ejaculatory mechanism of the central and/or peripheral nervous system including surgical nerve injury may be treated successfully with EEJ. Finally, for sperm retrieval and sperm cryopreservation before intensive anticancer therapy in pubertal boys, PVS and EEJ have been successfully performed in patients who failed to obtain ejaculation by masturbation. Nearly all data concerning semen characteristics in men with ejaculatory dysfuntion originate from spinal cord injured men. Semen analyses demonstrate low sperm motility rates in the majority of spinal cord injured men. The data give evidence of a decline in spermatogenesis and motility of ejaculated spermatozoa shortly after (few weeks) an acute SCI. Furthermore, it is suggested that some factors in the seminal plasma and/or disordered storage of spermatozoa in the seminal vesicles are mainly responsible for the impaired semen profiles in men with chronic SCI. Home insemination with semen obtained by penile vibratory and introduced intravaginally in order to achieve successful pregnancies may be an option for some spinal cord injured men and their partners. The majority of men will further enhance their fertility potential when using either penile vibratory or EEJ combined with assisted reproduction techniques such as intrauterine insemination or in-vitro fertilization with or without intracytoplasmic sperm injection.
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Affiliation(s)
- Jens Sønksen
- Department of Urology, Rigshospitalet, University of Copenhagen, Denmark.
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Schill WB, Schuppe HC, Weid W, Mannign M. Proceedings of the 7th Andrology Symposium. Treatment of male infertility - viewpoints, controversies, perspectives. Giessen, Germany, 17 November 2001. Andrologia 2002. [DOI: 10.1111/j.1439-0272.2002.tb02948.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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