title: Penile vibratory stimulation in spinal cord injured men: optimized vibration parameters and prognostic factors.
abstract: OBJECTIVE
  To study the efficacy of penile vibratory stimulation (PVS) with optimized vibration parameters in spinal cord injured (SCI) men and to examine prognostic factors for success.
  
  
  METHODS
  Case series.
  
  
  METHODS
  University hospital outpatient clinic.
  
  
  METHODS
  Thirty-four consecutive SCI men seeking fertility treatment.
  
  
  METHODS
  PVS with optimized vibration parameters to induce reflex ejaculation.
  
  
  METHODS
  Ejaculatory response; semen analysis.
  
  
  RESULTS
  Antegrade ejaculation was seen in 65% of patients. High rates were seen in lesions above T10 (81%) and in presence of hip flexion and bulbocavernosus reflexes (77%). Of men with lesions above T10, those with a penile prosthesis had lower ejaculation rates (40% vs 90%). Average total sperm counts were 968 million, with 26% motility.
  
  
  CONCLUSIONS
  High rates of ejaculation are seen with optimized vibration parameters, especially in men with lesions above T10 and intact lower spinal reflexes. A penile prosthesis may impair success with PVS.
authors.affiliation: Department of Surgery, University of Michigan Medical Center, Ann Arbor.
authors.forename: D A
authors.initials: DA
authors.lastname: Ohl
authors.forename: A C
authors.initials: AC
authors.lastname: Menge
authors.forename: J
authors.initials: J
authors.lastname: Sønksen
mesh_terms: D015331:Cohort Studies; D004542:Ejaculation / Q000502:physiology*; D006801:Humans; D007248:Infertility, Male / Q000534:rehabilitation*; D008297:Male; D015917:Penile Prosthesis; D010413:Penis / Q000503:physiopathology*; D011379:Prognosis; D013076:Sperm Count; D013081:Sperm Motility; D013119:Spinal Cord Injuries / Q000534:rehabilitation*; D014546:Urinary Catheterization; D014732:Vibration / Q000627:therapeutic use*