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Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > Europa Medicophysica 2003 June;39(2) > Europa Medicophysica 2003 June;39(2):79-86



A Journal on Physical Medicine and Rehabilitation after Pathological Events

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063

Frequency: Bi-Monthly

ISSN 1973-9087

Online ISSN 1973-9095


Europa Medicophysica 2003 June;39(2):79-86


Rectal probe electroejaculation as a method of treatment for male infertility due to spinal cord injury. A Riyadh Armed Forces Hospital experience

Jadid A., Ashraff A.

Divi­sion of Reha­bil­i­ta­tion Med­i­cine Depart­ment of Neu­ros­ci­ences Riyadh ­Armed ­Forces Hos­pital Riyadh, ­Saudi ­Arabia

Aim. The aim of ­this ­paper was to ­review the ­method and effec­tive­ness of ­rectal ­probe elec­tro­ejac­u­la­tion (RPE) ­used to ­obtain ­semen in indi­vid­uals ­with ane­jac­u­la­tion due to ­spinal ­cord ­injury. ­This pros­pec­tive ­study ­tekes ­into con­sid­er­a­tion ­male ­patients ­admitted for reha­bil­i­ta­tion fol­lowing ­spinal ­cord ­injury plan­ning to ­have chil­dren and/or to ­know ­about ­their fer­tility ­status. It was car­ried out in an out­pa­tient ­clinic and inpa­tient reha­bil­i­ta­tion ­unit of 26 ­beds at ­Riyadh ­Armed ­Forces Hos­pital, ­Saudi ­Arabia, a ter­tiary ­referral hos­pital.
­Methods. ­During the ­year 1998, a ­total of 15 ­patients, ­aged 19-50 ­years, ­from inpa­tient ­unit and out­pa­tient ­clinic ­having ­expressed ­their ­wish to ­have chil­dren and/or to ­know ­their fer­tility ­status, under­went elec­tro­ejac­u­la­tion. The ­semen col­lected by elec­tro­ejac­u­la­tion was ­used for sem­inal anal­ysis and fer­til­iza­tion.
­Results. Fif­teen ­patients under­went the elec­tro­ejac­u­la­tion pro­ce­dure ­using ­rectal ­probes. Suf­fi­cient ­semen sam­ples ­were ­obtained ­from 13 ­patients by ante­grade emis­sion. Two ­patients ­failed to pro­duce an ante­grade ejac­u­late. ­There ­were 3 cer­vical, 10 tho­racic and 2 ­lumbar ­lesions of ­both com­plete and incom­plete ­types ­according to the ­ASIA (Amer­ican ­Spinal Inju­ries Asso­ci­a­tion) clas­sifi­ca­tion. The ­mean ­details are as fol­lows: age was 30 ­years old, ­number of ­stimuli ­applied was 16, max­imum cur­rent was 14.33 ­volts, ­number of ejac­u­la­tions per ­patient was 1.73, ­number of ­stimuli ­required to ­obtain ejac­u­late per ­patient was 7.61, ­volume of ejac­u­late was 1.84 ml, ­sperm ­count was 78.46 mil/ml, ­motility was 18.92 % and ­normal mor­phology was 32.61%. Suc­cessful preg­nancy was ­achieved fol­lowing in ­vitro fer­til­isa­tion (IVF) in ­3 mar­ried cou­ples.
Con­clu­sion. Elec­tro­ejac­u­la­tion is a ­well-­accepted ­method of ­obtaining ­semen ­from ­spinal ­cord ­injured ­males ­with ane­jac­u­la­tion. ­This can ­result in ­assisted fer­til­iza­tion and suc­cessful con­cep­tion and preg­nancy.

language: English


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