Document Detail


Optimizing fertility potential in spinal cord injured men.
MedLine Citation:
PMID:  23040624     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Over the past 3 decades significant therapeutic inroads have allowed spinal cord injured men to achieve biologic paternity. Prior to the introduction of electroejaculation in the mid-1980's, men with spinal cord injury were considered "hopelessly infertile". With the application of semen retrieval techniques such as electroejaculation (used to achieve the first reported pregnancy by a quadriplegic male)1 and penile vibratory stimulation2 these patients are now "potentially fertile". Additionally, the coincident application of assisted reproductive technology to these couples has yielded pregnancy rates similar to those in able-bodied subfertile cohorts.3 Thus the field of Reproductive Rehabilitation has evolved to complement the traditional areas of Sexual Rehabilitation and Bladder Rehabilitation of spinal cord injured men. Along with the realization of these reproductive milestones, advances have also progressed in the description of spermatogenesis4 and semen quality following spinal cord injury.5-8 This article by Leduc and Bénard is emblematic of the spectrum of effort during the development of Reproductive Rehabilitation. The authors have applied various medical, technical and surgical methods with and without assisted reproductive techniques to optimize pregnancy rates to 64% of their spinal cord injured population.9 These results and those of other centers dedicated to the quality of life of spinal cord injured men are testimony to the fertility potential of men even after spinal cord injury. As the hurdle of semen retrieval has been successfully transcended in over 90% of such men, our research objectives should be directed toward the optimization of semen quality associated with neurogenic infertility.
Authors:
Irvin H Hirsch
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Canadian journal of urology     Volume:  19     ISSN:  1195-9479     ISO Abbreviation:  Can J Urol     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9515842     Medline TA:  Can J Urol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  6437     Citation Subset:  IM    
Affiliation:
Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
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