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Titolo:
Sexual function in spinal cord lesioned men
Autore:
Biering-Sorensen, F; Sonksen, J;
Indirizzi:
Copenhagen Univ Hosp, Rigshosp, Ctr Neurosci, Dept TH,Clin Para & Tetraplegia, Copenhagen, Denmark Copenhagen Univ Hosp Copenhagen Denmark etraplegia, Copenhagen, Denmark Copenhagen Univ Hosp, Rigshosp, Abdominal Ctr, Dept D,Clin Urol, Copenhagen, Denmark Copenhagen Univ Hosp Copenhagen Denmark ,Clin Urol, Copenhagen, Denmark
Titolo Testata:
SPINAL CORD
fascicolo: 9, volume: 39, anno: 2001,
pagine: 455 - 470
SICI:
1362-4393(200109)39:9<455:SFISCL>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFLATABLE PENILE PROSTHESIS; IN-VITRO FERTILIZATION; TERM FOLLOW-UP; VASOACTIVE INTRACAVERNOUS PHARMACOTHERAPY; INTRACYTOPLASMIC SPERM INJECTION; INFERIOR MESENTERIC PLEXUS; ANTERIOR ROOT STIMULATORS; CAUDA-EQUINA LESIONS; QUALITY-OF-LIFE; ERECTILE DYSFUNCTION;
Keywords:
spinal cord injury; paraplegia; tetraplegia; sexual function; erection; ejaculation;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
200
Recensione:
Indirizzi per estratti:
Indirizzo: Biering-Sorensen, F Copenhagen Univ Hosp, Rigshosp, Ctr Neurosci, Clin Para & Tetraplegia, Havnevej 25, DK-3100 Hornbaek, Denmark Copenhagen Univ Hosp Havnevej 25 Hornbaek Denmark DK-3100
Citazione:
F. Biering-Sorensen e J. Sonksen, "Sexual function in spinal cord lesioned men", SPINAL CORD, 39(9), 2001, pp. 455-470

Abstract

Study design: Review of literature. Objective: To review the physical aspects related to penile erection, ejaculatory dysfunction, semen characteristics, and techniques for enhancement of fertility in spinal cord lesioned (SCL) men. Setting: Worldwide: individuals with traumatic as well as non-traumatic SCL. Results: Recommendations for management of erectile dysfunction in SCL men: If it is possible to obtain a satisfactory erection but of insufficient duration, then try to use a venous constrictor band to find out if this is sufficient to maintain the erection. Otherwise we recommend Sildenafil. If Sildenafil is not satisfactory then use intracavernous injection with prostaglandin E-1 (some SCL men may prefer cutaneous or intraurethral application). We discourage the implantation of penile prosthesis for the sole purposeof erection. Recommendations for management of ejaculatory dysfunction in SCL men: Penile vibratory stimulation (PVS) to induce ejaculation is recommended as first treatment choice. If PVS fails, SCL men should be referred for electroejaculation (EEJ). Semen characteristics: Impaired semen profiles with low motility rates areseen in the majority of SCL men. Recently reported data gives evidence of a decline in spermatogenesis and motility of ejaculated spermatozoa shortlyafter (few weeks) an acute SCL. 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 SCL. Fertility: Home insemination with semen obtained by PVS and introduced intravaginally in order to achieve successful pregnancies may be an option forsome SCL men and their partners. The majority of SCL men will further enhance their fertility potential when using either PVS or EEJ combined with assisted reproduction techniques such as intrauterine insemination or in vitro fertilization with or without intracytoplasmic sperm injection.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/01/20 alle ore 01:44:17