Document Detail


The effect of penile vibratory stimulation on male fertility potential, spasticity and neurogenic detrusor overactivity in spinal cord lesioned individuals.
MedLine Citation:
PMID:  15986748     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Present the possibility for treatment of male infertility, spasticity, and neurogenic detrusor overactivity in spinal cord lesioned (SCL) individuals with penile vibratory stimulation (PVS). METHOD: Obtaining reflex-ejaculation by PVS, by using a vibrator developed for this purpose. The stimulation was performed with a vibrating disc of hard plastic placed against the frenulum of the penis (amplitude > or = 2.5 mm). The vibration continued until antegrade ejaculation or for a maximum of 3 minutes followed by a pause of 1 minute before the cycle was repeated, maximally 4 times. RESULTS: >80% SCL men are able to obtain ejaculation with PVS. Pregnancy rates obtained with home PVS and intra-vaginal insemination was 22-62% (4 studies), and with PVS or electroejaculation and intrauterine insemination/in-vitro fertilization/intracytoplasmatic sperm injection 39-64% (9 studies). PVS was demonstrated to decrease spasticity significantly when measured by the modified Ashworth scale. In addition, a decrease of the number of spontaneous EMG events which probably indicate spasms was observed. Increase in bladder capacity at leakpoint following 4 weeks of frequent ejaculation with PVS treatment was likewise demonstrated. CONCLUSION: PVS has proved its importance for SCL male fertility, in the years to come its place in treatment of spasticity and neurogenic detrusor overactivity has to be established.
Authors:
F Biering-Sørensen; L Laeessøe; J Sønksen; P Bagi; J B Nielsen; J K Kristensen
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Acta neurochirurgica. Supplement     Volume:  93     ISSN:  0065-1419     ISO Abbreviation:  Acta Neurochir. Suppl.     Publication Date:  2005  
Date Detail:
Created Date:  2005-06-30     Completed Date:  2005-07-28     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  100962752     Medline TA:  Acta Neurochir Suppl     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  159-63     Citation Subset:  IM    
Affiliation:
Clinic for Spinal Cord Injuries, NeuroScience Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. finbs@rh.dk
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MeSH Terms
Descriptor/Qualifier:
Humans
Infertility, Male / etiology,  rehabilitation*
Male
Muscle Hypertonia / etiology*,  rehabilitation*
Penis / innervation,  physiopathology*
Physical Stimulation / methods*
Recovery of Function
Spinal Cord Injuries / complications,  rehabilitation*
Treatment Outcome
Vibration / therapeutic use*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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