Management of Erectile Dysfunction and Infertility in the Male Spinal Cord Injury Patient
Purpose of Review
Men with spinal cord injury (SCI) commonly suffer from erectile dysfunction and ejaculatory dysfunction. The literature regarding the causes and treatment of these two important problems was reviewed.
Many of the erectile dysfunction treatments applied to able bodied individuals are also useful in the SCI population, although there are differences in the goals and results of treatment. Ejaculatory dysfunction can be treated with either penile vibratory stimulation or electroejaculation with high success rates. Pregnancies are possible, but poor quality sperm quality in male SCI patients leads to pregnancy rates lower than is observed in the able-bodied population.
Although effective treatments are available for erectile and ejaculatory dysfunction in men with SCIs, many challenges remain in optimizing the treatment of these individuals.
KeywordsSpinal cord injury Erectile dysfunction Andrology and infertility
Compliance with Ethical Standards
Conflict of Interest
Michael Fenstermaker, Miriam Hadj-Moussa, and Dana A. Ohl each declare no potential conflicts of interest. James M. Dupree reports grant funding from Blue Cross Blue Shield of Michigan and personal, common stock in Lipocine.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance
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