View Item 

Show simple item record

Penile vibratory stimulation and electroejaculation in the treatment of ejaculatory dysfunction 1

dc.contributor.authorSønksen, Jensen_US
dc.contributor.authorOhl, Dana A.en_US
dc.date.accessioned2010-06-01T18:18:33Z
dc.date.available2010-06-01T18:18:33Z
dc.date.issued2002-12en_US
dc.identifier.citationSØNKSEN, JENS; OHL, DANA A. (2002). "Penile vibratory stimulation and electroejaculation in the treatment of ejaculatory dysfunction 1 ." International Journal of Andrology 25(6): 324-332. <http://hdl.handle.net/2027.42/71519>en_US
dc.identifier.issn0105-6263en_US
dc.identifier.issn1365-2605en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/71519
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=12406364&dopt=citationen_US
dc.description.abstractThe purpose of this review is to present the current understanding of penile vibratory stimulation (PVS) and electroejaculation (EEJ) procedures and its clinical use in men with ejaculatory dysfunction. Unfortunately, the record of treating such individuals has been quite poor, but within recent years development and refinement of PVS and EEJ in men with spinal cord injury (SCI) has significantly enhanced the prospects for treatment of ejaculatory dysfunction. The majority of spinal cord injured men are not able to produce antegrade ejaculation by masturbation or sexual stimulation. However, approximately 80% of all spinal cord injured men with an intact ejaculatory reflex arc (above T10) can obtain antegrade ejaculation with PVS. Electroejaculation may be successful in obtaining ejaculate from men with all types of SCI, including men who do not have major components of the ejaculatory reflex arc. Because vibratory stimulation is very simple in use, non-invasive, it does not require anaesthesia and is preferred by the patients when compared with EEJ, PVS is recommended to be the first choice of treatment in spinal cord injured men. Furthermore, EEJ has been successfully used to induce ejaculation in men with multiple sclerosis and diabetic neuropathy. Any other conditions which affect the ejaculatory mechanism of the central and/or peripheral nervous system including surgical nerve injury may be treated successfully with EEJ. Finally, for sperm retrieval and sperm cryopreservation before intensive anticancer therapy in pubertal boys, PVS and EEJ have been successfully performed in patients who failed to obtain ejaculation by masturbation. Nearly all data concerning semen characteristics in men with ejaculatory dysfuntion originate from spinal cord injured men. Semen analyses demonstrate low sperm motility rates in the majority of spinal cord injured men. The data give evidence of a decline in spermatogenesis and motility of ejaculated spermatozoa shortly after (few weeks) an acute SCI. Furthermore, it is suggested that some factors in the seminal plasma and/or disordered storage of spermatozoa in the seminal vesicles are mainly responsible for the impaired semen profiles in men with chronic SCI. Home insemination with semen obtained by penile vibratory and introduced intravaginally in order to achieve successful pregnancies may be an option for some spinal cord injured men and their partners. The majority of men will further enhance their fertility potential when using either penile vibratory or EEJ combined with assisted reproduction techniques such as intrauterine insemination or in-vitro fertilization with or without intracytoplasmic sperm injection.en_US
dc.format.extent265844 bytes
dc.format.extent3109 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherBlackwell Science Ltden_US
dc.rights2002 Blackwell Science Ltd.en_US
dc.subject.otherEjaculatory Dysfunctionen_US
dc.subject.otherElectroejaculationen_US
dc.subject.otherSemenen_US
dc.subject.otherSpinal Cord Injuriesen_US
dc.subject.otherVibrationen_US
dc.titlePenile vibratory stimulation and electroejaculation in the treatment of ejaculatory dysfunction 1en_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelMedicine (General)en_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationum† Department of Urology, University of Michigan, Ann Arbor, MI, USAen_US
dc.contributor.affiliationother* Department of Urology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark, anden_US
dc.identifier.pmid12406364en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/71519/1/j.1365-2605.2002.00378.x.pdf
dc.identifier.doi10.1046/j.1365-2605.2002.00378.xen_US
dc.identifier.sourceInternational Journal of Andrologyen_US
dc.identifier.citedreferenceBeilby, J. A. & Keogh, E. J. ( 1989 ) Spinal cord injuries and anejaculation. Paraplegia 27, 152.en_US
dc.identifier.citedreferenceBeretta, G., Chelo, E. & Zanollo, A. ( 1989 ) Reproductive aspects in spinal cord injured males. Paraplegia 27, 113 – 118.en_US
dc.identifier.citedreferenceBiering-SØrensen, F. & SØnksen, J. ( 2001 ) Sexual function in spinal cord lesioned men. Spinal Cord 39, 455 – 470.en_US
dc.identifier.citedreferenceBillups, K. L., Tillman, S. L. & Chang, T. S. ( 1990a ) Reduction of epididymal sperm motility after ablation of the inferior mesenteric plexus in the rat. Fertility and Sterility 53, 1076 – 1082.en_US
dc.identifier.citedreferenceBillups, K. L., Tillman, S. & Chang, T. S. ( 1990b ) Ablation of the inferior mesenteric plexus in the rat: alteration of sperm storage in the epididymis and vas deferens. Journal of Urology 143, 625 – 629.en_US
dc.identifier.citedreferenceBrackett, N. L., Abae, M., Padron, O. F. & Lynne, C. M. ( 1995 ) Treatment by assisted conception of severe male factor infertility to spinal cord injury or other neurologic impairement. Journal of Assisted and Reproduction Genetics 12, 210 – 216.en_US
dc.identifier.citedreferenceBrackett, N. L., Davi, R. C., Padron, O. F. & Lynne, C. M. ( 1996 ) Seminal plasma of spinal cord injured men inhibits sperm motility of normal men. Journal of Urology 155, 1632 – 1635.en_US
dc.identifier.citedreferenceBrackett, N. L., Lynne, C. M., Aballa, T. C. & Ferrell, S. M. ( 2000 ) Sperm motility from the vas deferens of spinal cord injured men is higher than from ejaculate. Journal of Urology 164, 712 – 715.en_US
dc.identifier.citedreferenceBrackett, N. L., Ead, D. N., Aballa, T. C., Ferrell, S. M. & Lynne, C. M. ( 2002 ) Semen retrieval in men with spinal cord injury is improved by interrupting current delivery during electroejaculation. Journal of Urology 167, 201 – 203.en_US
dc.identifier.citedreferenceBrindley, G. S. ( 1981a ) Electroejaculation: its technique, neurological implications and uses. Journal of Neurology, Neurosurgery and Psychiatry 44, 9 – 18.en_US
dc.identifier.citedreferenceBrindley, G. S. ( 1981b ) Reflex ejaculation under vibratory stimulation in paraplegic men. Paraplegia 19, 299 – 302.en_US
dc.identifier.citedreferenceBrindley, G. S. ( 1984 ) The fertility of men with spinal injuries. Paraplegia 22, 337 – 348.en_US
dc.identifier.citedreferenceBrinsden, P. R., Avery, S. M., Marcus, S. & Macnamee, M. C. ( 1997 ) Tranrectal electroejaculation combined with in-vitro fertilization: effective treatment of anejaculatory infertility due to spinal cord injury. Human Reproduction 12, 2687 – 2692.en_US
dc.identifier.citedreferenceComarr, A. E. ( 1970 ) Sexual function among patients with spinal cord injury. Urology Internationalis 25, 34 – 168.en_US
dc.identifier.citedreferenceComarr, A. E. ( 1985 ) Sexuality and fertility among spinal cord and/or cauda equina injuries. Journal of American Paraplegia Society 8, 67 – 75.en_US
dc.identifier.citedreferenceCrich, J. P. & Jequier, A. M. ( 1978 ) Infertility in men with retrograde ejaculation: the action of urine on sperm motility, and a simple method for achieving antegrade ejaculation. Fertility and Sterility 30, 572 – 576.en_US
dc.identifier.citedreferenceDahlberg, A., Ruutu, M. & Hovatta, O. ( 1995 ) Pregnancy results from a vibrator application, electroejaculation, and vas aspiration programme in spinal-cord injured men. Human Reproduction 10, 2305 – 2307.en_US
dc.identifier.citedreferenceDubin, L. & Amelar, R. D. ( 1971 ) Etiologic factors in 1294 consecutive cases of male infertility. Fertility and Sterility 22, 469 – 474.en_US
dc.identifier.citedreferenceFrankel, H. L. & Mathias, C. J. ( 1980 ) Severe hypertension in patients with high spinal cord lesions undergoing electro-ejaculation – management with prostaglandin E 2. Paraplegia 18, 293 – 299.en_US
dc.identifier.citedreferenceGerig, N. E., Meacham, R. B. & Ohl, D. A. ( 1997 ) Use of electroejaculation in the treatment of ejaculatory failure secondary to diabetes mellitus. Urology 49, 239 – 242.en_US
dc.identifier.citedreferenceHalstead, L. S., VerVoort, S. & Seager, S. W. J. ( 1987 ) Rectal probe electrostimulation in the treatment of anejaculatory spinal cord injured men. Paraplegia 25, 120 – 129.en_US
dc.identifier.citedreferenceHendry, W. F., Althof, S. E., Benson, G. S., Haensel, S. M., Huli, E. M., Kihara, K. & Opsomer, R. J. ( 2000 ) Male orgasmic and ejaculatory disorders. In: Erectile Dysfunction (eds A. Jardin, G. Wagner, S. Khoury, F. Giuliano, H. Padma-Nathan & R. Rosen), pp. 477 – 506. Health Publication Ltd, Paris.en_US
dc.identifier.citedreferenceHorne, H. W., Paull, D. P. & Munro, D. ( 1948 ) Fertility studies in the human male with traumatic injuries of the spinal cord and cauda equina. New England Journal of Medicine 239, 959 – 961.en_US
dc.identifier.citedreferenceHuang, H. F., Linsenmeyer, T. A., Anesetti, R., Giglio, W., Ottenweller, J. E. & Pogach, L. ( 1998 ) Suppression and recovery of spermatogenesis following spinal cord injury in the rat. Journal of Andrology 19, 72 – 80.en_US
dc.identifier.citedreferenceHultling, C., Rosenlund, B., Levi, R., FridstrÖm, M., SjÖblom, P. & HillensjÖ, T. ( 1997 ) Assisted ejaculation and in-vitro fertilization in the treatment of infertile spinal cord-injured men: the role of intracytoplasmic sperm injection. Human Reproduction 12, 499 – 502.en_US
dc.identifier.citedreferenceLearmonth, J. R. ( 1931 ) A contribution to the neurophysiology of the urinary bladder in man. Brain 54, 147 – 176.en_US
dc.identifier.citedreferenceLinsenmeyer, T. A. & Perkash, I. ( 1991 ) Review article: infertility in men with spinal cord injury. Archives of Physical and Medical Rehabilitation 72, 747 – 754.en_US
dc.identifier.citedreferenceLÖchner-Ernst, D., Mandalka, B., Kramer, G. & StÖhrer, M. ( 1997 ) Conservative and surgical semen retrieval in patients with spinal cord injury. Spinal Cord 35, 463 – 468.en_US
dc.identifier.citedreferenceLucas, M. G., Hargreave, T. B., Edmund, P., Creasy, G. H., McParland, M. & Seager, S. W. J. ( 1991 ) Sperm retrieval by electro-ejaculation. Preliminary experience in patients with secondary anejaculation. British Journal of Urology 67, 191 – 194.en_US
dc.identifier.citedreferenceLundberg, P. O., Brackett, N. L., Denys, P., Chartier-Kastler, E., SØnksen, J. & Vodusek, D. B. ( 2000 ) Neurological disorders: erectile and ejaculatory dysfunction. In: Erectile Dysfunction (eds A. Jardin, G. Wagner, S. Khoury, F. Giuliano, H. Padma-Nathan,, H. & R. Rosen ), pp. 591 – 645. Health Publication Ltd, Paris.en_US
dc.identifier.citedreferenceMallidis, C., Lim, T. C., Hill, S. T., Skinner, D. J., Brown, D. J., Johnston, W. I. & Baker, H. W. ( 1994 ) Collection of semen from men in acute phase of spinal cord injury. Lancet 343, 1072 – 1073.en_US
dc.identifier.citedreferenceMarina, S., Marina, F., Alcolea, R., Nadal, J., Pons, M. C., Grossmann, M., Exposito, R. & Vidal, J. ( 1999 ) Triplet pregnancy achieved through intracytoplasmic sperm injection with spermatozoa obtained by prostatic massage of a paraplegic patient: case report. Human Reproduction. 14, 1546 – 1548.en_US
dc.identifier.citedreferenceMatthews, G. J., Gardner, T. A. & Francois, E. J. ( 1996 ) In vitro fertilization improves pregnancy rates for sperm obtained by rectal probe ejaculation. Journal of Urology 155, 1934 – 1937.en_US
dc.identifier.citedreferenceMÜller, J., SØnksen, J., Sommer, P., Schmiegelow, M., Petersen, P. M. Heilman, C. & Schmiegelow, K. ( 2000 ) Cryopreservation of semen from pubertal boys with cancer. Medical and Pediatric Oncology 34, 191 – 194.en_US
dc.identifier.citedreferenceNehra, A., Werner, M. A., Bastuba, M., Title, C. & Oates, R. D. ( 1996 ) Vibratory stimulation and rectal probe electroejaculation as therapy for patients with spinal cord injury: Semen parameters and pregnancy rates. Journal of Urology 155, 554 – 559.en_US
dc.identifier.citedreferenceOhl, D. A. & SØnksen, J. ( 1996 ) Sperm collection for assisted reproduction in ejaculatory dysfunctions. In: Human Spermatozoa in Assisted Reproduction (eds A. A. Acosta & T. F. Kruger), pp. 455 – 472. Parthenon Publishing, Carnforth.en_US
dc.identifier.citedreferenceOhl, D. A. & SØnksen, J. ( 1997 ) Current status of electroejaculation. Advances in Urology 10, 169 – 189.en_US
dc.identifier.citedreferenceOhl, D. A., Bennett, C. J., McCabe, M., Menge, A. C. & McGuire, E. J. ( 1989a ) Predictors of success in electroejaculation of spinal cord injured men. Journal of Urology 142, 1483 – 1486.en_US
dc.identifier.citedreferenceOhl, D. A., Grainger, R., Bennett, C. J., Randolph, J. F., Seager, S. W. J. & McCabe, M. ( 1989b ) Successful of electroejaculation in two multiple sclerosis patients including a report of a pregnancy utilizing intrauterine insemination. Neurourology and Urodynamics 8, 195 – 198.en_US
dc.identifier.citedreferenceOhl, D. A., Hurd, W. W., Wolf, L. J., Menge, A. C., Ansbacher, R., Christman, G. & Randolph, J. F. ( 1995 ) Electroejculation and assisted reproductive techniques. Fertility and Sterility 64 ( Suppl. ), 138.en_US
dc.identifier.citedreferenceOhl, D. A., McCabe, M., SØnksen, J., Randolph, J. F. & Menge, A. C. ( 1996 ) Management of infertility in SCI. Topics in Spinal Cord Injury Rehablitation 1, 65 – 75.en_US
dc.identifier.citedreferenceOhl, D. A., SØnksen, J., Menge, A. C.. McCabe, M. & Keller, L. M. ( 1997 ) Electroejaculation versus vibratory stimulation in spinal cord injured men: Sperm quality and patient preference. Journal of Urology 157, 2147 – 2149.en_US
dc.identifier.citedreferenceOhl, D. A., Menge, A. C. & Jarow, J. P. ( 1999 ) Seminal vesicle aspiration in spinal cord injured men: Insight into poor sperm quality. Journal of Urology 62, 2048 – 2051.en_US
dc.identifier.citedreferenceOhl, D. A., SØnksen, J. & Bolling, R. ( 2000 ) New stimulation pattern for electroejaculation based on physiological studies. Journal of Urology 163 ( Suppl. ), 1522.en_US
dc.identifier.citedreferenceOhl, D. A., SØnksen, J., Wedemeyer, G., Zabomiak, M. C., Dam, T. N., Menge, A. C., Putzi, M. J. & Papadopuolos, S. M. ( 2001 ) Canine model of infertility following spinal cord injury. Time course of acute changes in semen quality and spermatogenesis. Journal of Urology 166, 1181 – 1184.en_US
dc.identifier.citedreferencePerkash, I., Martin, D. E., Warner, H., Blank, M. S. & Collins, D. C. ( 1985 ) Reproductive biology of paraplegics: results of semen collection, testicular biopsy and serum hormone evaluation. Journal of Urology 134, 284 – 288.en_US
dc.identifier.citedreferencePiera, J. B. ( 1973 ) The establishment of a prognosis for genito-sexual function in the paraplegic and tetraplegic male. Paraplegia 10, 271 – 278.en_US
dc.identifier.citedreferenceRawicki, H. B. & Hill, S. ( 1991 ) Semen retrieval in spinal cord injured men. Paraplegia 29, 443 – 446.en_US
dc.identifier.citedreferenceRutkowski, S. B., Middleton, J. W., Truman, G., Hagen, D. L. & Ryan, J. P. ( 1995 ) The influence of bladder management on fertility in spinal cord injured males. Paraplegia 33, 263 – 266.en_US
dc.identifier.citedreferenceSarkarati, M., Rossier, A. B. & Fam, B. A. ( 1987 ) Experience in vibratory and electroejaculation techniques in spinal cord injury patients: a preliminary report. Journal of Urology 138, 59 – 63.en_US
dc.identifier.citedreferenceSiÖsteen, A., Forssman, L., Steen, Y., Sullivan, L. & WickstrÖm, I. ( 1990 ) Quality of semen after repeated ejaculation treatment in spinal cord injury men. Paraplegia 28, 96 – 104.en_US
dc.identifier.citedreferenceSiroky, M. B. ( 1988 ) Neurophysiology of male sexual dysfunction in neurologic disorders. Seminars in Neurology 8, 137 – 140.en_US
dc.identifier.citedreferenceSobrero, A. J., Stearns, H. E. & Blair, J. H. ( 1965 ) Technique for the induction of ejaculation in humans. Fertility and Sterility 16, 765 – 767.en_US
dc.identifier.citedreferenceSØnksen, J. & Biering-SØrensen, F. ( 1992 ) Fertility in men with spinal cord or cauda equina lesions. Seminars in Neurology 12, 106 – 114.en_US
dc.identifier.citedreferenceSØnksen, J., Biering-SØrensen, F. & Kristensen, J. K. ( 1994 ) Ejaculation induced by penile vibratory stimulation in men with spinal cord injuries. The importance of the vibratory amplitude. Paraplegia 32, 651 – 660.en_US
dc.identifier.citedreferenceSØnksen, J., Ohl, D. A., Giwercman, A., Biering-SØrensen, F. & Kristensen, J. K. ( 1996 ) Quality of semen obtained by penile vibratory stimulation in men with spinal cord injuries: observations and predictors. Urology 48, 453 – 457.en_US
dc.identifier.citedreferenceSØnksen, J., Sommer, P., Biering-SØrensen, F., Ziebe, S., Lindhard, A., Loft, A., Nyboe Andersen, A. & Kristensen, J. K. ( 1997 ) Pregnancies after assisted ejaculation procedures in men with spinal cord injuries. Archives of Physical and Medical Rehabilitation 78, 1059 – 1061.en_US
dc.identifier.citedreferenceSØnksen, J., Ohl, D. A. & Wedemeyer, G. ( 2001 ) Sphincteric events during penile vibratory ejaculation and electroejaculation in men with spinal cord injuries. Journal of Urology 165, 426 – 429.en_US
dc.identifier.citedreferenceSpira, A. ( 1986 ) Epidemiology of human reproduction. Mini review. Human Reproduction 1, 111 – 115.en_US
dc.identifier.citedreferenceSteinberger, R. E., Ohl, D. A., Bennett, C. J., McCabe, M. & Wang, S. C. ( 1990 ) Nifedipine pretreatment for autonomic dysreflexia during electro-ejaculation. Urology 36, 228 – 231.en_US
dc.identifier.citedreferenceSzasz, G. & Carpenter, C. ( 1989 ) Clinical observation in vibratory stimulation of the penis of men with spinal cord injury. Archives of Sexual Behavior 18, 461 – 474.en_US
dc.identifier.citedreferenceThomas, A. J. J. ( 1983 ) Ejaculatory dysfunction. Fertility and Sterility 39, 445 – 454.en_US
dc.identifier.citedreferenceWatkins, W., Lim, T., Bourne, H., Baker, H. W. & Wutthiphan, B. ( 1996 ) Testicular aspiration of sperm for intracytoplasmic sperm injection: an alternative treatment to electro-emission: case report. Spinal Cord 34, 696 – 698.en_US
dc.identifier.citedreferenceWorld Health Organization ( 1992 ) Laboratory Manual for the Examination of Human Semen and Semen-cervical Mucus Interaction. Cambridge University Press, Cambridge.en_US
dc.identifier.citedreferenceYeoman, R. R., SØnksen, J., Gibson, S. V., Rizk, B. M. & Abee, C. R. ( 1998 ) Penile vibratory stimulation yields increased sperm and accessory gland production compared with rectal electroejaculation in a neurologically intact primate ( Samiri boliviensis ). Human Reprodution 13, 2527 – 2531.en_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


Files in this item

Name:
j.1365-2605.2002.00378.x.pdf
Size:
259.6KB
Format:
PDF
View/Open

Show simple item record

Remediation of Harmful Language

The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.

Accessibility

If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.