Abstract
Prospective case series. Male infertility is a common sequela of spinal cord injury (SCI). Fatherhood is a goal in this group of young patients; however, most are anejaculatory. Penile vibratory stimulation is recommended as the first line of treatment for this condition. Our study evaluated the safety and efficacy of a new device designed to induce ejaculation in these patients. The Miami Project to Cure Paralysis, Miami, FL, USA. The Viberect-X3 (Reflexonic, Frederick, MD, USA) was applied to 30 consecutive anejaculatory men with SCI whose level of injury was T10 and rostral. The ejaculatory success was 77% (23/30). No adverse events occurred, and there were no malfunctions of the device. In this first report on the efficacy of the Viberect-X3 for treatment of anejaculation in men with SCI, we conclude that the device is safe and effective for inducing ejaculation in men with SCI. Recommendation of the Viberect-X3 versus other devices intended for this purpose should not be made until randomized controlled trials are performed.
Highlights
Every year, there are B12 000 new cases of spinal cord injury (SCI) in the United States,[1] and thousands more worldwide
Subjects were men with SCI enrolled in the Male Fertility Research Program of the Miami Project to Cure Paralysis
We prospectively studied 30 consecutive SCI subjects who were unable to ejaculate by sexual intercourse or masturbation
Summary
There are B12 000 new cases of spinal cord injury (SCI) in the United States,[1] and thousands more worldwide. Most spinal cord injuries occur in young males.[1] Following SCI, the majority of men become anejaculatory and require medical assistance to procure sperm.[2] Only 10% of men with SCI can ejaculate via masturbation.[3]. Cost and reliability, penile vibratory stimulation (PVS) is recommended as the first line of therapy for anejaculation in men with SCI.[3] PVS typically is performed by applying a single vibrator to the dorsum or frenulum of the glans penis. During any PVS procedure, care must be taken to manage adverse symptoms such as autonomic dysreflexia and penile skin edema/abrasion.[4,5]
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