title: Use of assisted reproductive techniques for treatment of ejaculatory disorders.
abstract: Ejaculatory disorders can interfere with the fertility of young adults who suffer from spinal cord injury, have type I diabetes mellitus or have undergone retroperitoneal or intrapelvic operations. Following an overview of causes and treatment of ejaculatory disorders, the data of our centre are presented. From a group of 37 patients with genuine loss of seminal emission, 15 men and their wives were offered a combined treatment of rectal probe electro-ejaculation and artificial reproductive techniques. No serious complications occurred. During 40 cycles with intracorporeal insemination and 11 cycles with extracorporeal fertilization techniques, seven pregnancies were achieved, representing a pregnancy rate of 46% per couple and 14% per cycle for all cycles. Five healthy children were born, all following extracorporeal insemination. The 'take-home baby rate' for this population and for this technique is 45%. In vitro fertilization (IVF) led to one birth, intracytoplasmic sperm injection (ICSI) achieved four live births out of three pregnancies, one being a twin gestation. Since our successes are due to the use of extracorporeal insemination techniques, these are now incorporated in a new, more rational treatment protocol.
authors.affiliation: Department of Urology, Hannover Medical School, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Denil
authors.forename: M A
authors.initials: MA
authors.lastname: Kuczyk
authors.forename: D
authors.initials: D
authors.lastname: Schultheiss
authors.forename: S
authors.initials: S
authors.lastname: Jibril
authors.forename: W
authors.initials: W
authors.lastname: Küpker
authors.forename: R
authors.initials: R
authors.lastname: Fischer
authors.forename: U
authors.initials: U
authors.lastname: Jonas
authors.forename: H W
authors.initials: HW
authors.lastname: Schlösser
authors.forename: K
authors.initials: K
authors.lastname: Diedrich
mesh_terms: D004542:Ejaculation; D004558:Electric Stimulation; D005260:Female; D006801:Humans; D008297:Male; D011247:Pregnancy; D012099:Reproductive Techniques; D012735:Sexual Dysfunction, Physiological / Q000209:etiology / Q000628:therapy*