2288 EJACULATORY SUCCESS RATES BY PENILE VIBRATORY STIMULATION AND ELECTROEJACULATION IN PATIENTS WITH ACUTE SPINAL CORD INJURY

Abstract

You have accessJournal of UrologyInfertility: Evaluation1 Apr 20122288 EJACULATORY SUCCESS RATES BY PENILE VIBRATORY STIMULATION AND ELECTROEJACULATION IN PATIENTS WITH ACUTE SPINAL CORD INJURY Frank Celigoj, Emad Ibrahim, Teodoro Aballa, Charles Lynne, and Nancy Brackett Frank CeligojFrank Celigoj Miami, FL More articles by this author , Emad IbrahimEmad Ibrahim Miami, FL More articles by this author , Teodoro AballaTeodoro Aballa Miami, FL More articles by this author , Charles LynneCharles Lynne Miami, FL More articles by this author , and Nancy BrackettNancy Brackett Miami, FL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2467AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Most men with spinal cord injury (SCI) cannot ejaculate with sexual intercourse or masturbation and require medically assisted ejaculation procedures such as penile vibratory stimulation (PVS) or electroejaculation (EEJ) to obtain semen for insemination. In a report of 500 men with SCI whose mean time post injury was 10 years, the procedures of PVS and EEJ were successful in 86% and 97% of patients, respectively (J Urol 2010; 183: 2304-8). There are limited reports, however, regarding the success rates of semen retrieval in the acute post-injury setting. The goal of this study was to examine ejaculation success rates by PVS and EEJ during the first 24 months after SCI. METHODS A retrospective chart review was performed of 533 men with SCI participating in the Male Fertility Research Program of the Miami Project to Cure Paralysis from 1991 through 2011. Patients were included in the study if they had one or more trials of PVS or EEJ within the first 24 months after the date of their SCI. An ejaculatory efficiency rate was calculated for each subject by calculating the number of attempts successful in obtaining semen divided by the total number of attempts. RESULTS Of the 533 subjects, 111 had PVS or EEJ trials during the first 24 months post-injury. Ejaculatory efficiency rates for PVS are are shown in Figure 1. There were no successful PVS trials in the first three months post-SCI. The percentage of successful trials continued to improve with PVS until 15 months post-SCI, at which time the efficiency rate reached 68% and then remained stable. In contrast to PVS, EEJ was successful in close to 80% of patients during the first three months post-injury (Figure 2). After 9 months, the efficiency rate for EEJ ranged between 87-100%. CONCLUSIONS Time post-injury is a consideration, especially when performing PVS. PVS was not successful during the first three months post-SCI, but continued to improve with time up to 15 months. EEJ was more successful than PVS during all time intervals. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e923-e924 Peer Review Report Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Frank Celigoj Miami, FL More articles by this author Emad Ibrahim Miami, FL More articles by this author Teodoro Aballa Miami, FL More articles by this author Charles Lynne Miami, FL More articles by this author Nancy Brackett Miami, FL More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...