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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
A Journal on Physical Medicine and Rehabilitation after Pathological Events
Official Journal of the , , , ,
In association with
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
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.