| Journal: | International braz j urol |
| Database: | PERIÓDICA |
| System number: | 000296714 |
| ISSN: | 1677-5538 |
| Authors: | Utida, Cristiano1 Truzzi, Jose C Bruschini, Homero Simonetti, Rogerio Cedenho, Agnaldo P Srougi, Miguel Srougi, Miguel Ortiz, Valdemar |
| Institutions: | 1Universidade Federal de Sao Paulo, Escola Paulista de Medicina, Ribeirao Preto, Sao Paulo. Brasil |
| Year: | 2005 |
| Season: | Jul-Ago |
| Volumen: | 31 |
| Number: | 4 |
| Pages: | 375-383 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Teórico, descriptivo |
| English abstract | 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) |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Traumatología y ortopedia, Traumatismos, Lesiones, Médula espinal, Semen, Infertilidad, Hombres, Eyaculación, Paraplejia |
| Keyword: | Medicine, Surgery, Traumatology and orthopedics, Traumatisms, Injuries, Spinal cord, Semen, Infertility, Males, Ejaculation, Paraplegia |
| Full text: | Texto completo (Ver HTML) |
