Greatly improved sperm motility from vas deferens sperm retrieval: a case for accessory gland related subfertility in spinal cord injured man. Case report.
When sperm motility from vibratory or electroejaculates of spinal cord injured men reveals consistently poor motility (< 10%), one should consider accessory gland factors as a potential cause. Herein, we report the case of a 22 year old paraplegic male who consistently had motility of 1-2% on electroejaculates. He was evaluated in the office with vas deferens sperm retrieval, which revealed a 0.4 ml volume, 9 million/ml density, and 67% motility. We suggest that this significant percent motility differential can only be explained by an accessory gland factor impacting negatively upon this individual's fertility. We propose vas deferens sperm retrieval as a potentially diagnostic and therapeutic procedure in similar cases.
Department of Surgery, University of Connecticut Health Center, Farmington 06030-3955.
J P
JP
Buch
D000328:Adult; D004542:Ejaculation / Q000502:physiology; D005837:Genitalia, Male / Q000473:pathology*; D006801:Humans; D007248:Infertility, Male / Q000209:etiology / Q000473:pathology*; D008297:Male; D013081:Sperm Motility / Q000502:physiology*; D013119:Spinal Cord Injuries / Q000150:complications*; D014649:Vas Deferens / Q000166:cytology*