Archives of physical medicine and rehabilitation · 1996
Penile vibratory stimulation in spinal cord injured men: optimized vibration parameters and prognostic factors.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Ohl D A, Menge A C, Sønksen J
Аннотация
OBJECTIVE: To study the efficacy of penile vibratory stimulation (PVS) with optimized vibration parameters in spinal cord injured (SCI) men and to examine prognostic factors for success.
DESIGN: Case series.
SETTING: University hospital outpatient clinic.
PATIENTS: Thirty-four consecutive SCI men seeking fertility treatment.
INTERVENTION: PVS with optimized vibration parameters to induce reflex ejaculation.
MAIN OUTCOME MEASURES: Ejaculatory response; semen analysis.
RESULTS: Antegrade ejaculation was seen in 65% of patients. High rates were seen in lesions above T10 (81%) and in presence of hip flexion and bulbocavernosus reflexes (77%). Of men with lesions above T10, those with a penile prosthesis had lower ejaculation rates (40% vs 90%). Average total sperm counts were 968 million, with 26% motility.
CONCLUSIONS: High rates of ejaculation are seen with optimized vibration parameters, especially in men with lesions above T10 and intact lower spinal reflexes. A penile prosthesis may impair success with PVS.
DESIGN: Case series.
SETTING: University hospital outpatient clinic.
PATIENTS: Thirty-four consecutive SCI men seeking fertility treatment.
INTERVENTION: PVS with optimized vibration parameters to induce reflex ejaculation.
MAIN OUTCOME MEASURES: Ejaculatory response; semen analysis.
RESULTS: Antegrade ejaculation was seen in 65% of patients. High rates were seen in lesions above T10 (81%) and in presence of hip flexion and bulbocavernosus reflexes (77%). Of men with lesions above T10, those with a penile prosthesis had lower ejaculation rates (40% vs 90%). Average total sperm counts were 968 million, with 26% motility.
CONCLUSIONS: High rates of ejaculation are seen with optimized vibration parameters, especially in men with lesions above T10 and intact lower spinal reflexes. A penile prosthesis may impair success with PVS.