Electroejaculatory stimulation for male infertility secondary to spinal cord injury: the Irish experience in National Rehabilitation Hospital.

Hdl Handle:
http://hdl.handle.net/10147/207898
Title:
Electroejaculatory stimulation for male infertility secondary to spinal cord injury: the Irish experience in National Rehabilitation Hospital.
Authors:
McGuire, Ciara; Manecksha, Rustom P; Sheils, Pauline; McDermott, Thomas E D; Grainger, Ronald; Flynn, Robert
Affiliation:
Department of Urology, Adelaide and Meath Hospital, Tallaght, Ireland.
Citation:
Urology. 2011 Jan;77(1):83-7. Epub 2010 Oct 8.
Journal:
Urology
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207898
DOI:
10.1016/j.urology.2010.07.477
PubMed ID:
20932558
Abstract:
OBJECTIVES: To examine the success rate of electroejaculatory stimulation in patients with acquired spinal injuries in a single Irish institution. The use of electroejaculatory stimulation is of benefit in patients with spinal cord injury who wish to have children. METHODS: A retrospective review of the Hospital In-Patient Enquiry scheme database and the patients' medical notes was performed. Any patient who had undergone electroejaculatory stimulation in the past 14 years was included. The quality of semen obtained and the pregnancy rate were assessed in relation to several variables, including patient age and level of spinal injury. RESULTS: From 1994 to 2008, 31 patients (29 patients with acquired spinal injury and 2 patients with a congenital spinal abnormality) had undergone electroejaculatory stimulation as a method of providing semen for assisted conception. Of the 31 patients, 6 had requested cryopreservation of their semen for future use and were therefore excluded from the pregnancy rate analysis. Of the 25 patients who had used the semen, 9 (36%) were successful in achieving pregnancy that resulted in living offspring. The semen analysis results were available for 15 patients. Three patients (one each with contaminated semen, poor semen quality, and an abandoned procedure) required testicular biopsy to extract viable sperm and subsequently achieved pregnancy. Lower spinal lesions (below T10) were associated with lower rates of pregnancy after electroejaculatory stimulation. One patient developed autonomic dysreflexia during the procedure, which was therefore abandoned. CONCLUSIONS: Electroejaculatory stimulation is an effective method of obtaining semen for reproductive purposes and is an option for fertility preservation in patients with spinal cord injury-related anejaculation.
Language:
eng
MeSH:
Adult; *Ejaculation; *Electric Stimulation; Hospitals, Special; Humans; Infertility, Male/*etiology/*therapy; Ireland; Male; Middle Aged; Retrospective Studies; Spinal Cord Injuries/*complications; Young Adult
ISSN:
1527-9995 (Electronic); 0090-4295 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorMcGuire, Ciaraen_GB
dc.contributor.authorManecksha, Rustom Pen_GB
dc.contributor.authorSheils, Paulineen_GB
dc.contributor.authorMcDermott, Thomas E Den_GB
dc.contributor.authorGrainger, Ronalden_GB
dc.contributor.authorFlynn, Roberten_GB
dc.date.accessioned2012-02-01T10:49:29Z-
dc.date.available2012-02-01T10:49:29Z-
dc.date.issued2012-02-01T10:49:29Z-
dc.identifier.citationUrology. 2011 Jan;77(1):83-7. Epub 2010 Oct 8.en_GB
dc.identifier.issn1527-9995 (Electronic)en_GB
dc.identifier.issn0090-4295 (Linking)en_GB
dc.identifier.pmid20932558en_GB
dc.identifier.doi10.1016/j.urology.2010.07.477en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207898-
dc.description.abstractOBJECTIVES: To examine the success rate of electroejaculatory stimulation in patients with acquired spinal injuries in a single Irish institution. The use of electroejaculatory stimulation is of benefit in patients with spinal cord injury who wish to have children. METHODS: A retrospective review of the Hospital In-Patient Enquiry scheme database and the patients' medical notes was performed. Any patient who had undergone electroejaculatory stimulation in the past 14 years was included. The quality of semen obtained and the pregnancy rate were assessed in relation to several variables, including patient age and level of spinal injury. RESULTS: From 1994 to 2008, 31 patients (29 patients with acquired spinal injury and 2 patients with a congenital spinal abnormality) had undergone electroejaculatory stimulation as a method of providing semen for assisted conception. Of the 31 patients, 6 had requested cryopreservation of their semen for future use and were therefore excluded from the pregnancy rate analysis. Of the 25 patients who had used the semen, 9 (36%) were successful in achieving pregnancy that resulted in living offspring. The semen analysis results were available for 15 patients. Three patients (one each with contaminated semen, poor semen quality, and an abandoned procedure) required testicular biopsy to extract viable sperm and subsequently achieved pregnancy. Lower spinal lesions (below T10) were associated with lower rates of pregnancy after electroejaculatory stimulation. One patient developed autonomic dysreflexia during the procedure, which was therefore abandoned. CONCLUSIONS: Electroejaculatory stimulation is an effective method of obtaining semen for reproductive purposes and is an option for fertility preservation in patients with spinal cord injury-related anejaculation.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.mesh*Ejaculationen_GB
dc.subject.mesh*Electric Stimulationen_GB
dc.subject.meshHospitals, Specialen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInfertility, Male/*etiology/*therapyen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshSpinal Cord Injuries/*complicationsen_GB
dc.subject.meshYoung Adulten_GB
dc.titleElectroejaculatory stimulation for male infertility secondary to spinal cord injury: the Irish experience in National Rehabilitation Hospital.en_GB
dc.contributor.departmentDepartment of Urology, Adelaide and Meath Hospital, Tallaght, Ireland.en_GB
dc.identifier.journalUrologyen_GB
dc.description.provinceLeinster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.