Eficácia da vibroestimulação peniana após lesão vertebromedular

Acta Urológica Portuguesa Pub Date : 2016-04-01 DOI:10.1016/j.acup.2016.01.002

Sandra de Oliveira , António Azenha , Ana Paula Sousa , João Páscoa Pinheiro , Ana Teresa Almeida Santos

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引用次数: 3

Abstract

Aims

Spinal cord injury in males is frequently associated with infertility, due to ejaculatory dysfunction and/or semen properties alterations. Penile vibratory stimulation can be used as a semen collecting method. The aim of this work is to disclose the use of this method in spinal cord injured male patients, evaluate its possible complications and clarify if the ejaculated semen is prone to fertilization.

Material and Methods

Vibratory stimulation was used in three spinal cord injured patients to collect semen and, after that procedure, the evaluation of sperm parameters was performed.

Results

Vibratory stimulation was efficient in all the subjects, in the majority of the sessions. The ejaculates present normal sperm concentration, but variable sperm progressive motility and morphology, when comparing with the standard criteria.

Conclusion

Penile vibratory stimulation is an efficient procedure to induce ejaculation in spinal cord injured patients. Despite the considerable variability between the subjects, the ejaculates met the required quality to allow fertilization trough assisted reproductive technologies.

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椎脊髓损伤后阴茎振动刺激的效果

目的:由于射精功能障碍和/或精液特性改变，男性脊髓损伤常与不育症有关。阴茎振动刺激可作为一种收集精液的方法。这项工作的目的是揭示这种方法在脊髓损伤男性患者中的应用，评估其可能的并发症，并澄清射精后的精液是否容易受精。材料与方法对3例脊髓损伤患者采用振动刺激法采集精液，并对精液参数进行评价。结果在大多数疗程中，振动刺激对所有受试者都有效。精液中精子浓度正常，但与标准标准相比，精子运动和形态变化。结论阴茎振动刺激是脊髓损伤患者射精的有效方法。尽管受试者之间存在相当大的差异，但射精的质量达到了通过辅助生殖技术进行受精的要求。

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Acta Urológica Portuguesa

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