Male infertility in spinal cord trauma

Male infertility in spinal cord trauma

Autor Utida, Cristiano Autor UNIFESP Google Scholar
Truzzi, Jose C. Autor UNIFESP Google Scholar
Bruschini, Homero Autor UNIFESP Google Scholar
Simonetti, Rogerio Autor UNIFESP Google Scholar
Cedenho, Agnaldo Pereira Autor UNIFESP Google Scholar
Srougi, Miguel Autor UNIFESP Google Scholar
Ortiz, Valdemar Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
San Francisco Home School Section of Urology
Resumo Every year there are 10 thousand new cases of patients victimized by spinal cord trauma (SCT) in the United States and it is estimated that there are 7 thousand new cases in Brazil. Eighty percent of patients are fertile males. Infertility in this patient group is due to 3 main factors resulting from spinal cord lesions: erectile dysfunction, ejaculatory disorder and low sperm counts. Erectile dysfunction has been successfully treated with oral and injectable medications, use of vacuum devices and penile prosthesis implants. The technological improvement in penile vibratory stimulation devices (PVS) and rectal probe electro-ejaculation (RPE) has made such procedures safer and accessible to patients with ejaculatory dysfunction. Despite the normal number of spermatozoa found in semen of spinal cord-injured patients, their motility is abnormal. This change does not seem to be related to changes in scrotal thermal regulation, frequency of ejaculation or duration of spinal cord damage but to factors related to the seminal plasma. Despite the poor seminal quality, increasingly more men with SCT have become fathers through techniques ranging from simple homologous insemination to sophisticated assisted reproduction techniques such as intracytoplasmic sperm injection (ICSI).
Palavra-chave spinal cord injuries
semen
infertility
male
ejaculation
paraplegia
Idioma Inglês
Data de publicação 2005-08-01
Publicado em International braz j urol. Sociedade Brasileira de Urologia, v. 31, n. 4, p. 375-383, 2005.
ISSN 1677-5538 (Sherpa/Romeo)
Publicador Sociedade Brasileira de Urologia
Extensão 375-383
Fonte http://dx.doi.org/10.1590/S1677-55382005000400013
Direito de acesso Acesso aberto Open Access
Tipo Artigo
SciELO S1677-55382005000400013 (estatísticas na SciELO)
Endereço permanente http://repositorio.unifesp.br/handle/11600/2651

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